scholarly journals Reducing the unmet needs of family planning among women of reproductive age in Northern Region of Ghana

2020 ◽  
Vol 3 (2) ◽  
pp. 99-109
Author(s):  
Hikimatu Tuntei-ya Mohammed ◽  
Zaffar Ullah
Keyword(s):  
Family Planning ◽  
Unmet Needs ◽  
Unmet Need ◽  
Belief System ◽  
Northern Region ◽  
Reproductive Age ◽  
Northern Ghana ◽  
High Fertility ◽  
Family Planning Services ◽  
Health Directorate

The recent Ghana Demographic and Health Survey 2014, estimated that 30 % of currently married women have an unmet need for family planning services, with 17% having an unmet need for spacing and 13% having an unmet need for limiting. The objective of the study was to review the unmet need of family planning in order to make appropriate recommendation to improve family planning use in the Northern Region of Ghana. A conceptual framework which outlines the factors that interplay to determine the use of family planning services in Northern Region of Ghana was designed and used for the study. The data were sought from unpublished documents from the Regional Health Directorate of Northern Ghana, websites of Ghana Health Service, online international publications and University of Leeds Library. The unmet needs of family planning in the region was found to result from a number of factors including inaccessibility to family planning services, non-availability of some type of contraceptive methods in the communities, religious beliefs that contradict the use of family planning, traditional and cultural belief system which promotes high fertility preferences, high illiteracy level, non-approval of family planning by men who are the decision makers, misconception about the use of contraception and high poverty in the region. The identified possible strategies for tackling the factors responsible for unmet need of family planning in the Northern Region, community-based family planning services, family planning health education outreach, peer education and religious-based education were found to be considerably effective, feasible and sustainable.

scholarly journals Unmet needs for family planning in Sunsari, eastern Nepal

1970 ◽  
Vol 9 (3) ◽  
pp. 148-151 ◽  
Author(s):  
IS Paudel ◽  
SS Budhathoki
Keyword(s):  
Family Planning ◽  
Unmet Needs ◽  
Unmet Need ◽  
Developed Countries ◽  
Cross Sectional Study ◽  
Married Women ◽  
Reproductive Age ◽  
Family Type ◽  
Women Of Reproductive Age ◽  
Cross Sectional

Introduction: The unmet need for family planning is a very useful tool in measuring and predicting the contraceptive needs of a population. Seventeen percent of all married women would prefer to avoid pregnancy but are not using any form of family planning. In less developed countries, about one forth of pregnancies is unintended. Objective: To determine the level of unmet need for family planning and evaluate the factors that influences the unmet needs in Married Women of Reproductive Age (MRWA). Methods: A cross-sectional study of 410 women attending the immunization clinic of B.P.Koirala Institute of Health Sciences, a teaching hospital in Dharan was carried out over 3 months. Results: MRWA had 22%, 15% and 8% unmet needs for family planning, spacing and limiting births respectively. Health concerns and side effects (30.5%), husband and family opposition (14%), uncertainty about child bearing (12.2%) and inconvenience (10%) were among the major constraints to the use of contraception. Unmet need has significant association between parity & education. Age and family type had no significant effect on unmet needs. Conclusion: In spite of high level of awareness about family planning method, a significant level of unmet need exists among women of reproductive age. Keywords: unmet needs; family planning; married women of reproductive age; MRWA DOI: http://dx.doi.org/10.3126/hren.v9i3.5581   HR 2011; 9(3): 148-151

scholarly journals Unmet needs for family planning and its socio-demographic correlates among women in the reproductive age group in central rural India

2020 ◽  
Vol 7 (2) ◽  
pp. 659
Author(s):  
Ramesh Devidas Pawar ◽  
Shital Pratapsing Solanke
Keyword(s):  
Family Planning ◽  
Unmet Needs ◽  
Unmet Need ◽  
Educational Status ◽  
Married Women ◽  
Reproductive Age ◽  
Age Group ◽  
Community Based ◽  
Reproductive Age Group ◽  
Status Of Women

Background: Unmet need is the discrepancy between reproductive intentions and birth control practices. If the unmet needs remained neglected it leads to population explosion which is one of the greatest threats to India’s economic, social and political development.  A community-based study was carried out in rural areas with the objective to find the prevalence of unmet need for family planning and its socio-demographic determinants among married women of reproductive age.Methods: A community based cross sectional study was conducted between January to June 2019. After calculation of sample size 670 participants were selected by simple random sampling method.  Predesign and semi structured Performa was used for data collection. Data was collected and analyse using Epi Info 7.Results: Unmet needs of family planning among the study subject was 31.19% (57.58% for the spacer and 42.42% for limiter). It was significantly higher among the Muslim (66.67%) and Boudh (40.38) religion. It was higher among Illiterate (40.82%), women residing in joint families (72.16%). Unmet need of family planning was significantly associated with age of women, religion, educational status of women and their husbands, occupation, type of family, no of children the women have and age at marriage.Conclusions: Unmet needs among married women in the reproductive age group was still high and was significantly associated with age of women, religion, educational status of women as well as their husband, occupation, type of family, number of children the women had and age at marriage.

scholarly journals Holistic Approach is the Only Way to Increase Uptake of Family Planning Services

2018 ◽  
Vol 3 (2) ◽  
Keyword(s):  
Family Planning ◽  
Unmet Need ◽  
Holistic Approach ◽  
Reproductive Age ◽  
Health Seeking ◽  
Family Planning Services ◽  
Enabling Environment ◽  
Leadership Management ◽  
Latent Demand ◽  
Seeking Behavior

Holistic care is a comprehensive model for caring and proper guidance. Use of Family Planning (FP) services is still a question mark nowadays. One MWRA (Married women of reproductive age) in four (4) has an unmet need for contraception, which is the highest such rate in the region. Meeting unmet need for limiting can be accomplish by increasing the holistic approach, for family planning, three major components can be highlighted: Supply, the enabling environment and demand. Uptake of Family planning services can be enhancing, more successful and sustainable if multifaceted determinates included in interventions. Availability and quality of services and other supply-related issues is a major factor for not availing FP services. Improvement in family planning cannot be achieved without quality services. Quality is considered good when adequate infrastructure, supplies, and equipment are in place, and when well-trained, skilled, motivated, and supported staffs are available. Besides that, an enabling environment for health-seeking behavior is another factor for increasing services. An enabling environment requires adequate resources; effective leadership, management, and accountability. Engagement of governments, communities, and other members of civil society is critical to fostering an enabling environment. Furthermore, Improve knowledge of Family planning and cultivate a demand for services. The demand for FP exists in different forms: actual use and latent demand. Holistic, client-centered approach is the only way to make FP programming effective and successful ultimately, support health system.

scholarly journals THE USE OF CONTRACEPTION IN COUPLES OF REPRODUCTIVE AGE DURING THE COVID-19 PANDEMIC IN INDONESIA : LITERATURE REVIEW

2021 ◽  
Vol 16 (2) ◽  
pp. 53-63
Author(s):  
Nurmalia Ermi
Keyword(s):  
Family Planning ◽  
Literature Review ◽  
Contraceptive Use ◽  
Unmet Need ◽  
Dropout Rate ◽  
Drop Out ◽  
Reproductive Age ◽  
Childbearing Age ◽  
Family Planning Services ◽  
The Government

Background: The use of contraception is one of the benchmarks for the success of family planning programs. The COVID-19 pandemic has had an impact on people to limit activities outside the home. The appeal from the government also has an impact on the possibility of hampering access to family planning services. The delay in family planning services will lead to a decrease in the use of contraception will ultimately have an impact on the uncontrolled birth rate (Baby Boom). The purpose of this study was to see how the use of contraception in couples of childbearing age during the COVID-19 pandemic. Methods: This study is a literature review related to the use of EFA contraceptives during the COVID-19 pandemic through the Google Scholar database, PubMed, government publication data. Results: Contraceptive use among new family planning participants decreased in general as well as among MKJP participants in the NTB area. The prevalence of contraceptive use in Indonesia has increased but has not yet reached the national target of 61.8%. In the DIY region, there was a decrease in contraceptive use among active family planning participants, as well as a decrease in the use of pill and injectable contraception. The research conducted in the Kalimantan region found that most women of childbearing age used the contraceptive method with the highest dropout rate, namely the pill. The number of unmet need for family planning in the NTB area has decreased, but the drop out rate for family planning in the early days of the COVID-19 pandemi has increased. Conclusion: The use of contraception during the COVID-19 pandemi in several regions in Indonesia is still fluctuating, but has a tendency to decrease.

scholarly journals Analysis of Improvement of Pregnancy During Pandemic at Pondok Gede Health Centre Bekasi City in 2021

2021 ◽  
Vol 1 (1) ◽  
pp. 69-72
Author(s):  
Andi Julia Rifiana ◽  
Ratna Sari
Keyword(s):  
At Risk ◽  
Family Planning ◽  
Pregnant Women ◽  
Health Center ◽  
Health Centre ◽  
Unmet Need ◽  
Reproductive Age ◽  
P Value ◽  
Family Planning Services ◽  
Pregnancy Anxiety

Pregnant women at Pondok Gede Health Center experienced an increase in visits to pregnancies of at-risk mothers in 2019 which consisted of 23 people, while in 2020 there were 103 people. The main cause of pregnancy at risk age is the non- compliance of family planning, the work of WFH during the pandemic. Efforts to reduce risky age pregnancies, BKKBN urges couples of reproductive age to plan pregnancy, using contraception (condoms). The analysis of the causes of increased pregnancy at risk is a large picture of pregnant women with maternal age ≤ 20 years and ≥ 35 years. This research aimed to determine the analysis of the causes of increased pregnancies at risky ages during the pandemic at Pondok Gede Health Center, Bekasi City in 2021. Research analytic by using the method cross-sectional. Sample were 82 respondents with accidental sampling technique. The instrument research was a questionnaire. Data analyzed using univariat and bivariat by test statistic chi square. The result is pregnant women with age ≥ 35 years were 75.6%, who had good knowledge was 54.9%. who have access to family planning services was 53.7%, who were planned was 56.1%, anxiety was 54.9%, who have unmet need pregnancy was 51.2%, and who work WFH was 72,0%. There was no significant relationship between knowledge, access to family planning services, planned pregnancy, anxiety, unmet need pregnancy, work during the pandemic and pregnancy at the age of mothers at risk at Pondok Gede Health Center, Bekasi City with a p value <0.05.

scholarly journals Unmet Need For Family Planning Among Married Women In Sub-Sahara Africa: A Meta-Analysis of DHS Data (1995 – 2020)

2021 ◽  
Author(s):  
Million Phiri ◽  
Clifford Odimegwu ◽  
Chester Kalinda
Keyword(s):  
Family Planning ◽  
Unmet Needs ◽  
Unmet Need ◽  
Central Africa ◽  
Married Women ◽  
Reproductive Age ◽  
Sub Saharan Africa ◽  
Demographic And Health Surveys ◽  
Women Of Reproductive Age ◽  
Sub Saharan

Abstract Background: Closing the gap of unmet needs for family planning (FP) in sub-Saharan Africa remains critical in improving maternal and child health outcomes. Determining the prevalence of unmet needs for family planning among married women in the reproductive age is vital for designing effective sexual reproductive health interventions and programmes. Here, we use nationally representative data drawn from sub-Saharan countries to estimate and examine heterogeneity of unmet needs for family planning among currently married women of reproductive age. Methods: This study used secondary data from Demographic and Health Surveys (DHS) conducted between January 1, 1995 to December 31, 2020 from 37 countries in sub-Saharan African. An Inverse Heterogeneity model (IVhet) in MetaXL application was used to estimate country and sub-regional level pooled estimates and confidence intervals of unmet needs for FP in SSA. Results: The overall prevalence of unmet need for family planning among married women of reproductive age in the sub-region for the period under study was 22.9% (95% CI: 20.9–25.0). The prevalence varied across countries from 10% (95% CI: 10–11%) in Zimbabwe to 38% (95% CI: 35–40) and 38 (95% CI: 37–39) (I2 = 99.8% and p-value < 0.0001) in Sao Tome and Principe and Angola, respectively. Unmet needs due to limiting ranged from 6%; (95% CI: 3–9) in Central Africa to 9%; (95% CI: 8–11) in East Africa. On the other hand, the prevalence of unmet needs due to spacing was highest in Central Africa (Prev: 18; 95% CI: 16–21) and lowest in Southern Africa (Prev: 12%; 95% CI: 8–16). Our study indicates that there was no publication bias because the Luis Furuya-Kanamori index (0.79) was within the symmetry range of -1 and +1. Conclusion: The prevalence of unmet need for FP remains high in sub-Saharan Africa suggesting the need for health policymakers to consider re-evaluating the current SRH policies and programmes with the view of redesigning the present successful strategies to address the problem.

scholarly journals The unmet needs for modern family planning methods among postpartum women in Sub-Saharan Africa: a systematic review of the literature

2021 ◽  
Vol 18 (1) ◽  
Author(s):  
Jumaine Gahungu ◽  
Mariam Vahdaninia ◽  
Pramod R. Regmi
Keyword(s):  
Systematic Review ◽  
Family Planning ◽  
Unmet Needs ◽  
Unmet Need ◽  
Reproductive Age ◽  
Sub Saharan Africa ◽  
Modern Contraceptive ◽  
Contraceptive Methods ◽  
Factors Affecting ◽  
Sub Saharan

Abstract Background Sub-Saharan Africa has the highest fertility rate in the world, with the highest unmet need for family planning (FP). Yet, there is a lack of knowledge about the determinants for non-utilisation of modern contraceptive methods among women of reproductive age. This systematic review of literature assessed factors affecting the unmet need and reasons for non-utilisation of modern contraceptive methods during the postpartum period in Sub-Saharan African women. Methods An online literature search was conducted in several databases: MEDLINE, Cochrane Review, PubMed, Elsevier's Science Direct and Web of Science. The search was completed by hand searching. Data were extracted and summarised using the Arksey and O’Malley methodology. Results In total, 19 studies were included; one qualitative study, seventeen quantitative, and one used a mixed-methods approach. Studies were conducted in Ethiopia (n = 11), Nigeria (n = 3), Kenya (n = 2), Malawi (n = 2) and Uganda (n = 1). Factors affecting the unmet need for modern contraceptive methods were described at three levels: (a) individual; (b) household; and (c) healthcare facility level. Reasons for non-use of FP included: fear of side effects; husband’s disapproval; the absence of menses; abstinence; and low perception of risk of pregnancy. Conclusion Unmet needs in postpartum FP in women from Sub-Saharan Africa were associated with health-system and socio-demographic determinants. We suggest that there is a need to improve the awareness of modern contraceptive methods through effective interventions. Further research is needed for under-studied countries in this continent.

Family planning services for incarcerated women: models for filling an unmet need

2017 ◽  
Vol 13 (1) ◽  
pp. 10-18 ◽  
Author(s):  
Carolyn Sufrin ◽  
Sara Baird ◽  
Jennifer Clarke ◽  
Elizabeth Feldman
Keyword(s):  
Family Planning ◽  
Unintended Pregnancy ◽  
Unmet Need ◽  
Incarcerated Women ◽  
Policy Implications ◽  
Reproductive Age ◽  
Correctional Facilities ◽  
Family Planning Services ◽  
Content Type ◽  
Contraceptive Services

Purpose Incarcerated women around the globe are predominantly of reproductive age. Most of these women have been pregnant before, and many want to be sexually active and avoid pregnancy upon release. Yet few of these women are on a regular method of contraception. Providing contraceptive services for women in custody benefits individual and public health goals of reducing unintended pregnancy. This policy briefing reviews evidence for an unmet need for family planning in the correctional setting, and policy implications for expanding services. The paper aims to discuss these issues. Design/methodology/approach The authors describe four model programs in the USA with established contraceptive services on site, highlighting practical steps other facilities can implement. Findings Correctional facilities health administrators, providers, advocates, and legislators should advance policies which should counsel women on family planning and should make a range of contraceptive methods available before release, while remaining sensitive to the potential pressure these women may feel to use birth control in this unique environment. Practical implications Family planning services for incarcerated women benefits individuals, facilities, and the community. Social implications Policies which enable correctional facilities to provide comprehensive family planning to incarcerated women – including reproductive life goals counseling and contraceptive method provision – promote equity in access to critical reproductive health services and also provide broad scale population level benefits in preventing unintended pregnancy or enabling counseling for healthy pregnancies for a group of women who often have limited access to such services. Originality/value This policy briefing highlights an area of health care in prisons and jails which gets little attention in research and in policy circles: family planning services for incarcerated women. In addition to reviewing the importance of such services for this population, the authors also highlight model family planning programs in correctional facilities. These provide actionable insights for other administrators and providers.

scholarly journals HUBUNGAN TINGKAT PENDIDIKAN, TEMPAT TINGGAL DAN INFORMASIPETUGAS LAPANGAN KELUARGA BERENCANA (PLKB) TERHADAP UNMET NEED KB PADA WANITA KAWIN

2019 ◽  
Vol 14 (2) ◽  
pp. 150
Author(s):  
Hanum Kholida Zia
Keyword(s):  
Family Planning ◽  
Unmet Needs ◽  
Health Centre ◽  
Unmet Need ◽  
Education Level ◽  
Family Planning Services ◽  
Cross Sectional ◽  
Field Officer ◽  
Cross Sectional Design ◽  
Indicators Of Success

Family Planning Program has some indicators of success; one of the indicators is unmet needs of family planning services. The success of the unmet need indicator services is the decrease of unmet need to 9.9% in 2019. In 2012, the number of unmet need for family planning amounted to 11.4%. This study aims to identify whether there is a correlation of the education level, residence, and information of family planning field officers with unmet needs for family planning in East Java. This research was conducted with a cross-sectional design with the data from the 2012 Indonesian Demographic and Health Survey. There is a correlation of the education level (p=0.000), residence (p=0.010), and information of family planning field officer (p = 0.048) with the unmet needs for family planning. The research cocludes that education level, residence, and information from health centre affect the unmet need for family planning.

scholarly journals Unmet need for family planning and associated factors among currently married women of reproductive age in Bishoftu town, Eastern Ethiopia

PLoS ONE ◽  
2021 ◽  
Vol 16 (12) ◽  
pp. e0260972
Author(s):  
Megersa Girma Garo ◽  
Sileshi Garoma Abe ◽  
Worku Dugasa Girsha ◽  
Dawit Wolde Daka
Keyword(s):  
Family Planning ◽  
Statistical Significance ◽  
Unmet Need ◽  
Married Women ◽  
Reproductive Age ◽  
Outcome Variable ◽  
Family Planning Services ◽  
Rapid Urbanization ◽  
Eastern Ethiopia ◽  
Factors Associated

Background Unmet family planning is one of the common causes for low contraceptive prevalence rates in developing countries, including Ethiopia. Rapid urbanization had profound effect on population health, however, little is known about the unmet need of family planning in settings where there was increased industrializations and internal migrations in Ethiopia. This study aims to determine the unmet need for family planning services among currently married women and identify factors associated with it in Bishoftu town, Eastern Ethiopia. Methods Community-based cross-sectional study was conducted from 1st January to 28th February, 2021 among 847 randomly sampled currently married women of the reproductive age group. Data were collected using semi structured interviewer administered questionnaire. Multivariate logistic regression was used to identify factors associated with the outcome variable and a 95% confidence interval was used to declare the presence of statistical significance associations. Results Eight hundred twenty-eight women were participated in the study. The prevalence of unmet need for family planning among currently married women was 26% [95% CI: 23,29]. Maternal age [AOR, 3.00, 95% CI:1.51–5.95], educational status [AOR, 2.49, 95% CI:1.22–5.07], occupational status of self-employee [AOR, 1.98, 95% CI:1.15–3.39] and housewife [AOR, 1.78, 95% CI:1.02–3.12], being visited by health care provider in the last 12 months [AOR, 1.81, 95% CI: 1.26–2.60] and desired number of children less than two [AOR, 1.53, 95% CI:1.01–2.30] were significantly associated with unmet need for family planning. Conclusions Unmet need for family planning was higher in the study area compared with the United Nations sphere standard of unmet need for family planning and the national average, and slightly lower than the regional average. Socio-demographic, economic, and health institution factors were determinants of the unmet need for family planning in the study area. Therefore, health education and behaviour change communication related to family planning services should be strengthened and access to family planning services should be improved.

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