Unmet need for contraception among human immunodeficiency virus-positive women in Jos, Nigeria: A call to integrate family planning and human immunodeficiency virus services

2016 ◽  
Vol 4 (1) ◽  
pp. 13 ◽  
Author(s):  
Tinuade Oyebode ◽  
Atiene Sagay ◽  
Jonah Musa ◽  
Chinedu Ekwempu ◽  
Patricia Agaba ◽  
...  
Keyword(s):  
Human Immunodeficiency Virus ◽  
Family Planning ◽  
Unmet Need ◽  
Immunodeficiency Virus ◽  
Unmet Need For Contraception

UNMET NEED FOR CONTRACEPTION AMONG HIV-POSITIVE WOMEN IN LESOTHO AND IMPLICATIONS FOR MOTHER-TO-CHILD TRANSMISSION

2009 ◽  
Vol 41 (2) ◽  
pp. 269-278 ◽  
Author(s):  
TIMOTHY ADAIR
Keyword(s):  
Family Planning ◽  
Unmet Need ◽  
Hiv Positive ◽  
Mother To Child Transmission ◽  
Hiv Status ◽  
Child Transmission ◽  
Childbearing Age ◽  
Hiv Positive Women ◽  
Mother To Child ◽  
Unmet Need For Contraception

SummaryIn Lesotho, the risk of mother-to-child-transmission (MTCT) of HIV is substantial; women of childbearing age have a high HIV prevalence rate (26·4%), low knowledge of HIV status and a total fertility rate of 3·5 births per woman. An effective means of preventing MTCT is to reduce unwanted fertility. This paper examines the unmet need for contraception to limit and space births among HIV-positive women in Lesotho aged 15–49 years, using the 2004 Lesotho Demographic and Health Survey. HIV-positive women have their need for contraception unmet in almost one-third of cases, and multivariate analysis reveals this unmet need is most likely amongst the poor and amongst those not approving of family planning. Urgent action is needed to lower the level of unmet need and reduce MTCT. A constructive strategy is to improve access to family planning for all women in Lesotho, irrespective of HIV status, and, more specifically, integrate family planning with MTCT prevention and voluntary counselling and testing services.

scholarly journals The case for investing in family planning in the Pacific: costs and benefits of reducing unmet need for contraception in Vanuatu and the Solomon Islands

2013 ◽  
Vol 10 (1) ◽  
Author(s):  
Elissa C Kennedy ◽  
Sean Mackesy-Buckley ◽  
Sumi Subramaniam ◽  
Andreas Demmke ◽  
Rufina Latu ◽  
...  
Keyword(s):  
Family Planning ◽  
Solomon Islands ◽  
Unmet Need ◽  
Costs And Benefits ◽  
The Pacific ◽  
Unmet Need For Contraception

scholarly journals Husband Fertility Preferences And Unmet Need for Family Planning on Eligible Couples: Indonesian DHS Analysis 2007

2017 ◽  
Vol 11 (1) ◽  
pp. 49
Author(s):  
Nurul Fitriyah
Keyword(s):  
Family Planning ◽  
Unmet Need ◽  
Analysis Data ◽  
Chi Square ◽  
Fertility Preferences ◽  
Regression Test ◽  
Contraceptive Prevalence ◽  
Data Subject ◽  
Logistic Regression Test ◽  
Unmet Need For Contraception

Family planning programs in Indonesia is one of the most successful programs in the world . Achievement of the Contraceptive Prevalence Rate (CPR) has increased until this year. In 1971 Indonesia’s CPR less than 5 % . The numbers continued to rise sharply until 2007, for modern contraception has reached 61.4 %. However, based on data unmet need for contraception exists each year. The objective of this research is to analyze the relationships between husbands fertility preferences and unmet need family planning in Indonesia. This research used 2007  Indonesia Demografi and Health Survei (IDHS) data. Subject of research were monogamous couples. Chi square statistical test and logistic regression test were used with Confidence Interval (CI) 95% and p<0,05. Based on the results of the analysis data found that from 7464 couples, it was 8,1% found unmet need for contraception (wife). Unmet need for contraception (wife) was significantly related to husbands fertility preferences (OR=1,4; CI95%=1,08-1,90), knowledge gap and occupational gap. In conclution, husband fertility preferences were likely to be greater and have more chances of causing wives unmet need for contraception than wife fertility preferences. 

scholarly journals Unmet need for contraception among urban women: a cross sectional study in Puducherry

2017 ◽  
Vol 4 (5) ◽  
pp. 1494 ◽  
Author(s):  
Sudha V. ◽  
Vrushabhendra H. N. ◽  
Srikanth S. ◽  
Suganya E.
Keyword(s):  
Family Planning ◽  
Unwanted Pregnancy ◽  
Unmet Need ◽  
Cross Sectional Study ◽  
Married Women ◽  
Research Centre ◽  
Sectional Study ◽  
Cross Sectional ◽  
Universal Family ◽  
Unmet Need For Contraception

Background: Providing universal family planning services is an important strategy to reduce maternal morbidity and to control population growth. Worldwide, when contraception is used properly and effectively to avoid unwanted pregnancy it can reduce 25–35% of maternal deaths. The present study aimed at measuring the proportion of married women with unmet need for family planning in an urban area of Puducherry.Methods: A cross sectional study was conducted among 235 married women in the urban field practice area of Sri Venkateshwara Medical College Hospital & Research Centre, Puducherry. Participants were selected based on predetermined eligibility criteria using systematic random sampling method. SPSS version 23.0 was used for statistical analysis. Proportion, Mean, Standard deviation and Logistic regression were applied to interpret the results.Results: Mean age of the participants was 33.3 ±6 years, Nearly 77 %( 181) of the participants reported having used any method of contraceptive at least once and 34.5 %( 81) were found to have unmet need for family planning. The most common reason for unmet need for contraception was fear of side effects (39.5%) and others were infrequent sex (12.3%),insisted by family members (12.3%) and religious reasons (12.3%).Conclusions: Unmet need for family planning was found to be fairly high in our study population. Health care personnel, preferably field staff should be trained to give an informed choice of contraception to the eligible couples to reduce the unmet need for contraception.

scholarly journals Persisting Regional Disparities in Modern Contraceptive Use and Unmet Need for Contraception among Nigerian Women

2019 ◽  
Vol 2019 ◽  
pp. 1-9
Author(s):  
Chao Wang ◽  
Huimin Cao
Keyword(s):  
Family Planning ◽  
Contraceptive Use ◽  
Unmet Need ◽  
Universal Coverage ◽  
Regional Disparities ◽  
Demographic And Health Surveys ◽  
Modern Contraceptive ◽  
Cross Sectional ◽  
Modern Contraceptives ◽  
Unmet Need For Contraception

Background. Evidence suggests that equitable provision of contraceptive services can help women achieve their reproductive goals and has significant impact on reducing the rates abortion and unintended pregnancy at large. However, regional disparities continue to persist on top of low family planning prevalence which is a critical public health challenge for fast growing populations like Nigeria. Objectives. The present study aimed to explore the prevalence of (1) nonuse of modern contraceptives, (2) unmet need for contraception, and (3) regional disparities in these two. Methods. The present study used cross-sectional data obtained from the Nigeria Demographic and Health Surveys conducted in 2003, 2008, and 2013. Participants were women of reproductive of age (15-49 years) regardless of marital status. Regional disparities of nonuse of modern contraceptives and unmet need were analysed by descriptive and multivariate regression methods. Results. In the pooled sample of 79,656 participants during 2003, 2008, and 2013, 88.6% reported not using any modern methods, and 13.5% reported having unmet need for contraception. The prevalence rates of nonuse were, respectively, 91.8%, 90.6%, and 88.6% and those of unmet need were 14.2%, 16.6%, and 13.5% in the years 2003, 2008, and 2013. Significant differences were observed in the odds of reporting nonuse and unmet need for contraception across the geopolitical zones. Conclusions. The rates of nonuse of contraception are remarkably high among women in Nigeria with significant disparities across the six geopolitical zones. Efforts should be made to address the regional disparities in order to achieve the goals of universal coverage of family planning services in the country.

scholarly journals Prevalence and determinants of unmet need for contraception in North Gonja District, Ghana

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Anthony Wemakor ◽  
Humphrey Garti ◽  
Nawaf Saeed ◽  
Obed Asumadu ◽  
Bede Anyoka
Keyword(s):  
Family Planning ◽  
Child Outcomes ◽  
Unmet Need ◽  
Educational Status ◽  
Childbearing Age ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Exact Test ◽  
Study Population ◽  
Unmet Need For Contraception

Abstract Background Unmet need for contraception contributes to the burden of unwanted pregnancies, which are correlated with a host of adverse maternal and child outcomes. The aim of this study was to determine the prevalence and identify the determinants of unmet need for contraception in North Gonja District, Ghana. Methods A cross-sectional survey involving 386 randomly selected women of childbearing age was conducted in North Gonja district, Ghana, with the use of a questionnaire in household interviews. Women were classified as having unmet need for contraception if they were fecund, sexually active and wished to postpone the next birth or halt childbearing completely but were not using any form of contraception. Chi-square/Fisher’s exact test and logistic regression analysis were used to identify the determinants of unmet need. Results The mean age of the study population was 26.1 (±8.4) years and awareness on contraception was almost universal in the district (95.9%). The overall prevalence of unmet need for contraception was 38.9%, with 27.5% having unmet need for limiting and 12.2% unmet need for spacing. In multivariate analysis, compared to women aged 25–29 years, those aged 20–24 years [Adjusted Odds Ratio (AOR) 0.26; 95% Confidence Interval (CI) 0.11–0.58] and 30 years and above (AOR 0.25; 95% CI 0.09–0.73) were less likely to have unmet need for contraception. However, uneducated women (AOR 5.06; 95% CI 1.07–24.01) compared with those educated to tertiary level; those unaware of family planning (AOR 3.93; 95% CI 1.12–13.80) compared to those aware; and those who had not previously practised contraception (AOR 1.81; 95% CI 1.09–3.00) compared to those who did were more likely to have unmet need. Conclusions The present study found high prevalence of both awareness on and unmet need for contraception among the study population. Unmet need for contraception is associated with age, educational status, awareness on family planning and previous contraception practice. Educational campaigns to promote contraception should prioritize women of middle age and low educational status. Further studies are needed to understand the low correlation between awareness on and unmet need for contraception.

scholarly journals Currently married women with an unmet need for contraception in Eritrea: Profile and determinants

2011 ◽  
Vol 38 (1-2) ◽  
pp. 61 ◽  
Author(s):  
Gebremariam Woldemicael ◽  
Roderic Beaujot
Keyword(s):  
Family Planning ◽  
Contraceptive Use ◽  
Economic Status ◽  
Unmet Need ◽  
Married Women ◽  
Sub Saharan Africa ◽  
The Status ◽  
Sub Saharan ◽  
Using Data ◽  
Unmet Need For Contraception

Eritrea’s contraceptive prevalence rate is one of the lowest in sub-Saharan Africa and its fertility has only started to decline. Using data from the 2002 Eritrea Demographic and Health Survey (EDHS), this study examines the determinants of unmet need for family planning that is the discrepancy between fertility goals and actual contraceptive use. More than one-quarter of currently married women are estimated to have an unmet need, and this has remained unchanged since 1995. The most important reason for unmet need is lack of knowledge of methods or of a source of supply. Currently married women with higher parity, and low autonomy, low or medium household economic status, and who know no method of contraception or source of supply are identified as the most likely to have an unmet need. Addressing the unmet need for family planning entails not merely greater knowledge of or access to contraceptive services, but also the enhancement of the status of women.

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