scholarly journals Determinants of Modern Contraception use Among Reproductive Age Women in Cameroon.

2021 ◽  
Author(s):  
Michael guy Toguem
Keyword(s):  
Family Planning ◽  
Statistical Significance ◽  
Unmet Need ◽  
Multivariate Logistic Regression Analysis ◽  
Reproductive Age ◽  
Unexpected Finding ◽  
Modern Contraception ◽  
Reproductive Age Women ◽  
Contraception Use ◽  
Main Determinants

Abstract Background: In Cameroon, 23% of married women, 34% of sexually active single women have unmet needs for family planning and 58% of reproductive age women are not interested in family planning. This contributes to the high mother mortality rate, which is at 600 per 100.000 live births. In this study, we tried to identify the factors contributing to the current use of modern contraception by Cameroonian women so that they can be act on to meet the unmet need for modern contraception. Methods: The study uses data from 12,411 women aged from 15 to 49 years old included in the demographic health survey of Cameroon 2018/19. Bivariate, then multivariate logistic regression analysis were conducted on the study outcome of Modern versus non-modern contraception. Statistical significance was taken at p < 0.05.Results: We found out that 18% of the women in Cameroon use a modern contraception. The main determinants for this were; not working, increasing socioeconomic class, no more wanting children, wanting to delay the next childbirth by at least 2 years, and history of domestic violence. Conclusion: The above factors should be considered in the making of a national contraception improvement plan. Meanwhile, none working women being more likely to use a modern contraception should be considered with some reserve because this is a highly unexpected finding.

scholarly journals Determinants of Long Acting Contraception Among Women Using Modern Contraception in Cameroon.

2021 ◽  
Author(s):  
Michael Guy TOGUEM
Keyword(s):  
Family Planning ◽  
Statistical Significance ◽  
Multivariate Logistic Regression Analysis ◽  
Cost Effective ◽  
Single Women ◽  
Reproductive Age ◽  
Modern Contraception ◽  
Contraception Use ◽  
Long Acting

Abstract Background: In Cameroon, 23% of married women, 34% of sexually active single women have unmet needs for family planning and 58% of the reproductive age patients are not interested in family planning. While a long acting contraception such as intra uterine devise is known to be safe, highly effective, and cost effective; less than 1% of reproductive age women in Cameroon use a long acting reversible contraception. These contribute to Cameroon’s mother mortality rate of 600 per 100,000 live births. In this study, we tried to identify the determinants of use or none use of long acting contraception among Cameroonian women using a modern contraception so that they can be acted upon to improve long acting contraception use in cameroon.Methods: The study uses data from 2,231 women aged 15 to 49 years old, using a modern contraception and included in the demographic health survey of Cameroon 2018/19. Bivariate, then multivariate logistic regression analysis was conducted for the study outcome of short versus long term modern contraception. Statistical significance was taken at p < 0.05.Results: Among women using a modern contraception in Cameroon, 45.4% were using a long acting contraception. The mean determinants for this were: increase age, being more than 10 people in the household, belonging to the poorer and middle economic quintiles, being insulted or made to feel bad sometimes by the husband or the partner. Conclusion: To improve the use of long acting contraception among women using a modern contraception in Cameroon, a special consideration should be given to women experiencing domestic violence without forgetting the other determinants.

scholarly journals Role of husband’s attitude towards the usage of contraceptives for unmet need of family planning among married women of reproductive age in Pakistan

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Muhammad Farhan Asif ◽  
Zahid Pervaiz ◽  
Jawad Rahim Afridi ◽  
Ghulam Abid ◽  
Zohra S. Lassi
Keyword(s):  
Family Planning ◽  
Unmet Need ◽  
Wealth Quintile ◽  
Married Women ◽  
Reproductive Age ◽  
Women Of Reproductive Age ◽  
Family Planning Programs ◽  
Contraception Use ◽  
Wide Range

Abstract Background Family planning services deliver a wide range of benefits to the well-being of females and the community. It can curtail the risk of maternal and neonatal mortality through the reduction in abortions and pregnancies. The government of Pakistan has been struggling to convince people about the usefulness of family planning programs. However, different factors related to social norms, values, and culture are important to determine the success of these programs. One such factor is the patriarchal structure of Pakistani society where most of the household decisions are made by men. The objective of this research is to examine the role of the husband’s attitude towards the usage of contraceptives for the unmet need of family planning (UMNFP) among married women of reproductive age (MWRA) in Pakistan. Method The dataset of Pakistan Demographic and Health Survey 2017–18 is utilized to examine the role of the husband’s attitude towards the usage of contraceptives in UMNFP among MWRA in Pakistan. Results The UMNFP was considerably lower among MWRA between 40 years and above compared to women 15–19 years. The odds of UMNFP were higher among women and men who were educated up to the primary level compared to those with no education. Odds of UMNFP were higher among women from the poor wealth quintile compared to the poorest wealth quintile; similarly, it was significantly lower among women who were from the richer and the richest wealth quintile compared to the poorest wealth quintile. The odds of UMNFP were lower among women who were employed compared to those who were not employed. Lastly, the odds of UMNFP were higher among women whose husbands opposed to using contraceptives, who perceived that there was a religious prohibition for such use and when a decision on the contraception use was solely made by the husband. Conclusions Husband’s attitude towards the usage of contraceptives is an important predictor of UMNFP. Liaising with the community and religious leaders to persuade people particularly men about the usefulness of family planning programs and encouraging men to understand their women’s say in using contraceptives should be encouraged.

Trend and predictors of change of unmet need for family planning among reproductive age women in Ethiopia, based on Ethiopian demographic and health survey from 2005-2016: Multivariate decomposition analysis

2021 ◽  
Author(s):  
Abiyu Abadi Tareke ◽  
Ermias Bekele
Keyword(s):  
Family Planning ◽  
Birth Order ◽  
Health Surveys ◽  
Unmet Need ◽  
Decomposition Analysis ◽  
Educational Status ◽  
Reproductive Age ◽  
Remarkable Change ◽  
Reproductive Age Women ◽  
Predictors Of Change

Abstract Background: Family planning is a key method for reducing population growth and improving maternal and child health by spacing births and preventing unwanted pregnancies. have an unmet need for family planning is defined as women believed to be sexually involved but are not using some form of contraception, either do not want to have more children (Limiting) or want to delay their next birth for at least two years, (Spacing).Methods: The data for this study arrived from the Ethiopia Demographic Health Surveys in 2005, 2011, and 2016 to investigate trends and Predictors of change of unmet need for family planning among reproductive age women in Ethiopia. A pooled weighted sample of 26,230 (7761 in 2005, 9136 in 2011 and 9,333 in 2016 Ethiopian demographic health surveys) reproductive-age women used for this study. For the overall trend (2005-2016) multivariate decomposition analysis for non-linear response outcome was calibrated to identify the factors contributed to the change of unmet need for family planning. The Logit based multivariate decomposition analysis utilizes the output from the logistic regression model to assign the observed change in in unmet need for family planning over time into two components. Stata version 16.0 was used to analysis the data.Result: among reproductive age women in Ethiopia the magnitude of unmet need for family planning decreased from 39.6% in 2005 to 23.6% in 2016. From the decomposition analysis change of unmet need for family planning was due to change in characteristics and coefficients. About nine in ten changes in unmet need for family planning was attributable to the difference in coefficients. Factors that associated with the change of unmet need for family planning over the last 11 years were educational status, birth order, and desired number of children.Conclusion: Remarkable change in unmet need for FP was observed between the period of 2005 and 2016. Both change in characteristics and coefficient were the contributing to observed change. Majority of the change in unmet need for FP was due to difference in coefficient over the study period. Mainly the change of unmet need for FP was due to change in women having birth order of five and above, having secondary education and women who desired number of children below five.

scholarly journals Factors Associated with Unmet Need for Family Planning among Married Reproductive Age Women in Toke Kutaye District, Oromia, Ethiopia

2021 ◽  
Vol 2021 ◽  
pp. 1-9
Author(s):  
Abebe Tadesse G/Meskel ◽  
Habtamu Oljira Desta ◽  
Elias Teferi Bala
Keyword(s):  
Family Planning ◽  
Maternal Education ◽  
Health Workers ◽  
Unmet Need ◽  
Married Women ◽  
Reproductive Age ◽  
Cross Sectional ◽  
Factors Associated ◽  
Reproductive Age Women ◽  
Living Children

Background. It is estimated that more than 142 million married women in developing countries have an unmet need for family planning. This study is aimed at identifying factors associated with the unmet need of family planning among married women of reproductive age in Toke Kutaye district, Ethiopia in 2019. Methods. A community-based cross-sectional study was conducted in Toke Kutaye district from March 1–30, 2019. A systematic random sampling technique was used to select 494 reproductive-age women who were married during data collection. Data were collected using a pretested structured questionnaire. Bivariate and multivariate logistic regression analyses were used to assess factors associated with the unmet need of family planning at 95% CI with a p value of ≤ 0.05. Result. The prevalence of unmet need for family planning in the Toke Kutaye district was 23.1% [95% CI (19.2-26.7)], with 15.2% for spacing and 7.9% for limiting. Women’s education [AOR, 3.64, 95% CI: 1.43-9.25], number of living children [AOR, 2.63, 95% CI: 1.37-5.05], husband disapproval of family planning [AOR, 3.68, 95% CI: 2.20-6.16], and discussion with healthcare providers on family planning [AOR, 0.20, 95% CI: 0.13-0.37] were significantly associated with unmet need for family planning. Conclusion. The prevalence of unmet need for family planning was high. Therefore, program managers, partners, and health workers should work to address the gaps in maternal education, the number of living children, partner disapproval of family planning, and discussion on family planning issues through enhancing female education, awareness on family planning, and male involvement in family planning services.

DESIRE FOR MORE CHILDREN, CONTRACEPTIVE USE AND UNMET NEED FOR FAMILY PLANNING IN A REMOTE AREA OF BALI, INDONESIA

2010 ◽  
Vol 42 (4) ◽  
pp. 549-562 ◽  
Author(s):  
MELLISSA WITHERS ◽  
MEGUMI KANO ◽  
GDE NGURAH INDRAGUNA PINATIH
Keyword(s):  
Family Planning ◽  
Health Services ◽  
Contraceptive Use ◽  
Unmet Need ◽  
Multivariate Logistic Regression Analysis ◽  
Reproductive Age ◽  
Access To Health Services ◽  
The Past ◽  
Access To Health ◽  
Living Children

SummaryExploring fertility preferences in relation to contraceptive use can increase the understanding of future reproductive behaviour and unmet family planning needs. This knowledge can help assist women in meeting their reproductive goals. The influences on the desire for more children and current contraceptive use were examined among 1528 married women of reproductive age in an isolated community in Bali, Indonesia, using multivariate logistic regression analysis. Women who were younger, had fewer living children, had given birth in the past year and had regular access to health services were more likely to desire children. Being older, having fewer living children, not having regular access to health services, having given birth in the past year and having the desire for more children were associated with a lower likelihood of using contraception. Women with regular access to health care are more likely to desire more children, probably because they are confident in their ability to have successful birth outcomes. However, specialized clinics or family planning outreach workers may be required to reduce barriers to service utilization among some groups. The findings of this study identify key target populations for family planning, including older women and postpartum women – groups that may not perceive themselves to be at risk for unintended pregnancy. Meeting unmet need for family planning among these groups could help women meet their fertility goals, as well as reduce maternal morbidity and mortality.

scholarly journals Level and determinants of long-acting family planning utilization among reproductive age women in Harar, Eastern Ethiopia

2021 ◽  
Vol 17 ◽  
pp. 174550652110632
Author(s):  
Astawus Alemayehu ◽  
Abebaw Demissee ◽  
Dereje Feleke ◽  
Maruf Abdella
Keyword(s):  
Family Planning ◽  
Multivariate Logistic Regression Analysis ◽  
Population Expansion ◽  
Planning Method ◽  
Family Planning Method ◽  
Reproductive Age ◽  
P Value ◽  
Eastern Ethiopia ◽  
Reproductive Age Women ◽  
Long Acting

Background: Ethiopia’s population is currently estimated to be 117,814,659 people and continues to have countries with the highest maternal mortality rates. Family planning is one of the most effective techniques for lowering mother and child mortality, in addition to limiting rapid population expansion. Objective: The aim of this study was to assess level and determinants of long-acting family planning method among reproductive age women in Harar, Eastern Ethiopia, 2021 Method: Community-based cross-sectional study was conducted among 845 randomly selected reproductive age women. Data were collected by trained data collector using pretested structured questionnaire. Data were coded and entered into Epidata v.3 and analyzed using SPSS v.26 software. Descriptive statistics, bivariate and multivariate logistic regression analysis was used. Variable with p-value less than 0.05 was declared as statistically significant. Result: The prevalence of long-acting family planning method was 74.7%, while 53.6% and 46.4% was from rural and urban, respectively. The mean age of participants was 28.5 (± 5.6) years. Married women four times (AOR: 4.1; 95% CI: 1.6, 10.4) more likely to use long-acting family planning method than single women. Women with educated husband four times (AOR: 4.4; 95% CI: 1.8, 10.6) more likely to use long-acting family planning method than women with illiterate husband. Conclusion: There is high level of utilization of long-acting family planning. The women’s marital status, increased education level of husbands, increasing in age of women, intention to spacing birth, and having less than five children were found to significantly increase the utilization of long-acting family planning.

scholarly journals Unmet need for family planning among reproductive-age women living with HIV in Ethiopia: A systematic review and meta-analysis

PLoS ONE ◽  
2021 ◽  
Vol 16 (8) ◽  
pp. e0255566
Author(s):  
Bereket Kefale ◽  
Bezawit Adane ◽  
Yitayish Damtie ◽  
Mastewal Arefaynie ◽  
Melaku Yalew ◽  
...  
Keyword(s):  
Systematic Review ◽  
Family Planning ◽  
Meta Analysis ◽  
Unmet Need ◽  
Reproductive Age ◽  
Cochrane Library ◽  
Women Living With Hiv ◽  
Reproductive Age Women ◽  
Pooled Prevalence ◽  
Living With Hiv

Background Closing the gap of unmet for family planning is crucial to eliminate new pediatric HIV infections likewise to improve maternal and child health among reproductive-age women living with HIV. However, studies conducted on unmet need for family planning among reproductive-age women living with HIV showed inconsistent and non-conclusive findings on the magnitude of the problem. Moreover, there was no meta-analysis conducted in this area. So this systematic review and meta-analysis were conducted to estimate the pooled prevalence unmet need for family planning among reproductive-age women living with HIV in Ethiopia. Methods The Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guideline was followed to review both published and unpublished studies in Ethiopia. All studies in PubMed, Cochrane Library, Hinari, Google Scholar, CINAHL, and Global Health databases were searched. Meta-analysis was performed using STATA 14 software. The heterogeneity and publication bias were assessed using the I2 statistics and Egger regression asymmetry test, respectively. Forest plots were used to present the pooled prevalence with a 95% confidence interval (CI). Results This review included 7 studies, and 3333 study participants. The pooled prevalence of unmet need for family planning among reproductive-age women living with HIV in Ethiopia was 25.13% (95%CI: 19.97, 30.29). The pooled prevalence of unmet need for spacing and limiting was 13.91% (95%CI: 10.11, 17.72) and 9.11% (95%CI: 6.43, 11.78), respectively. Conclusions One-fourths of reproductive-age women living with HIV had an unmet need for family planning. A variety of programmatic investments are needed to achieve more meaningful progress toward the reduction of unmet need for family planning among reproductive-age women living with HIV.

scholarly journals Trend and predictors of change of unmet need for family planning among reproductive age group women in Ethiopia, based on Ethiopian demographic and health survey from 2005-2016: Multivariate decomposition analysis

2021 ◽  
Author(s):  
Abiyu Abadi Tareke ◽  
Ermias Bekele
Keyword(s):  
Family Planning ◽  
Birth Order ◽  
Unmet Need ◽  
Decomposition Analysis ◽  
Educational Status ◽  
Reproductive Age ◽  
Remarkable Change ◽  
Number Of Children ◽  
Reproductive Age Women ◽  
Predictors Of Change

Abstract Background: Family planning is a key method for reducing population growth and improving maternal and child health by spacing births and preventing unwanted pregnancies. have an unmet need for family planning is defined as women believed to be sexually involved but are not using some form of contraception, either do not want to have more children (Limiting) or want to delay their next birth for at least two years, (Spacing).Methods: The data for this study arrived from the Ethiopia Demographic Health Surveys (EDHS) in20005, 2011, and 2016 to investigate trends and Predictors of change of unmet need for family planning among reproductive age women in Ethiopia. A pooled weighted sample of 26,230 (7,761 in EDHS 2005, 9,136 in EDHS 2011 and 9,333 in EDHS 2016) reproductive-age women used for this study. For the overall trend (2005-2016) multivariate decomposition analysis for non-linear response outcome was calibrated to identify the factors contributed to the change of unmet need for family planning across the two surveys. The Logit based multivariate decomposition analysis utilizes the output from the logistic regression model to assign the observed change in in unmet need for family planning over time into components. Stata version 16.0 was used to analysis the data.Result: among reproductive age women in Ethiopia the magnitude of unmet need for family planning decreased from 39.6% in 2005 to 23.6% in 2016. From the decomposition analysis change of unmet need for family planning was due to change in characteristics and coefficients. About nine in ten changes in unmet need for family planning was attributable to the difference in coefficients. Factors that associated with the change of unmet need for family planning over the last 11 years were educational status, birth order, and desired number of children.Conclusion: Remarkable change in unmet need for FP was observed between the period of 2005 and 2016. Both change in characteristics and coefficient were the contributing to observed change. Majority of the change in unmet need for FP was due to difference in coefficient over the study period. Mainly the change of unmet need for FP was due to change in women having birth order of five and above, having secondary education and women who desired number of children below five.

scholarly journals Assessment of the awareness and usages of family planning methods in the Lebanese community

2019 ◽  
Vol 45 (4) ◽  
pp. 269-274
Author(s):  
Ghada El Khoury ◽  
Pascale Salameh
Keyword(s):  
Family Planning ◽  
Contraceptive Use ◽  
National Level ◽  
Unmet Need ◽  
Reproductive Age ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Contraception Use ◽  
Planning Methods ◽  
National Prevalence

BackgroundWorldwide, one in three women has unmet family planning (FP) needs because of difficulties in accessing or using contraceptives. In Lebanon, information from the scientific literature on the national prevalence of contraceptive use appears scarce.ObjectiveIn view of this, we measured the current Lebanese national prevalence of FP methods’ uptake among women and men of reproductive age, and we assessed barriers for potential unmet need.MethodsWe conducted a cross-sectional survey on a nationally representative sample of 825 married women (aged 15–49 years) and men of reproductive age (aged 18+ years). We used the validated Demographic & Health Survey (DHS) data collection tool and analysed data with SPSS Version 22.0 with p values <0.05 considered statistically significant.ResultsWe found that the current prevalence of contraceptive use is 55.6%, the unmet need is 11.4%, the total demand for FP is 67% and the percentage of satisfied demand for FP is 83%. Despite favourable knowledge of and access to FP methods as well as positive attitudes towards FP; there is a clear stagnation in the rate of contraception use over the past four decades. The identified major factors hindering the use of FP methods in Lebanon appear to be religion, age and lower educational levels.ConclusionWe suggest the implementation of effective interventions at the national level to promote and encourage the uptake of modern FP methods among couples. The latter will further promote maternal and child health, as well as empower women to fulfil their equal function in society.

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