scholarly journals Family Planning Unmet Need; Determinant Factors and Strategy Design through Health Management Approach and Fishbone Analysis in Riau Province, Indonesia

2021 ◽  
Vol 26 ◽  
pp. 749-760
Author(s):  
Hetty Ismainar ◽  
Mishbahuddin Mishbahuddin
Keyword(s):  
Family Planning ◽  
Unmet Needs ◽  
Planning Process ◽  
Health Management ◽  
Unmet Need ◽  
Secondary Data ◽  
Service Planning ◽  
Management Approach ◽  
Program Performance ◽  
Determinant Factors

The high number of unmet needs for Family Planning (FP) in Indonesia has an effect on birth spacing and the number of parities so that there is a high risk of maternal and infant mortality. Based on data from the Family-Program Performance and Accountability Survey (PPAS) from the National Population and Family Planning Board (NPFPB) in 2019, 51% of Fertile Age Women (FAW) were not willing to use FP. This study aims to describe the determinant factors and strategies to reduce the incidence of unmet needs for FP.  The method used was a quantitative descriptive study conducted in July-September 2021. The data collection technique analyzed the program performance and accountability survey report data from NPFPB in 2019 (secondary data). The result was that the determinant factors of the unmet need for FP include: age 30-49 years (60.1%), parity having 6 or more children (73.6%), reasons for fertility (32.89%), being against using (7.9%), lack of knowledge about 8 modern FP tools/methods (15.5%), reasons for FP tools/methods (34.65%). Meanwhile, the majority of information on FP was obtained through television (91.9%), direct information through midwives/nurses (77.5%). The strategy to reduce the number of unmet need for FP was through a health management approach with five stages, namely: 1. Assessment to identify the number of Fertile Age Couple (FAC) unmet need for FP, demographic characteristics, and reasons for not using contraceptive tools/methods: 2. Mapping step, case mapping per region, 3. Planning, service planning process, 4. action, service delivery based on planning, 5. Evaluation monitoring stage, monitoring process, and activity evaluation. Six management elements are used for fishbone analysis, namely: man, money, method, material, machine, and market. It requires a high commitment to all stakeholders so that the implementation of the strategy can be realized.

scholarly journals Self-injected Depot–Medroxyprogesterone Acetate Subcutaneous (DMPA-SC) Uptake in Nigeria: A Paradigm Shift

2021 ◽  
Vol 8 (3) ◽  
pp. 80-101
Author(s):  
Kehinde Osinowo
Keyword(s):  
Family Planning ◽  
Health Management ◽  
Unmet Need ◽  
Secondary Data ◽  
Planning Method ◽  
Family Planning Method ◽  
Health Management Information System ◽  
Modern Contraceptive ◽  
National Family Planning ◽  
The Government

Self-injection of DMPA-SC method is one of the Government of Nigeria’s (GON) national family planning goals to address the unmet need for contraception. Some studies on DMPA-SC/SI have demonstrated its feasibility to improve modern contraceptive uptake. However, there is a gap in the predictors of method uptake and continuation across self-injecting and provider-administered in Nigeria. This study explored the uptake of self-injection DMPA-SC contraceptives among women in two geopolitical zones of Nigeria. The study employed 20 focused group discussions (FGDs) and 40 In-depth interviews (IDIs). Self-structured pretested questionnaire to elicit information from 844 women registered for Family Planning in selected health facilities. Descriptive statistics were calculated and multivariate logistic regression was used to model determinants of DMPA-SC/SI family planning uptake. Six months of Secondary Data from the Health Management Information system (HMIS) was used to triangulate the trends in uptake. About 97.6% reported ever heard DMPA-SC/SI family planning method; 78.4% reported its uptake; while 88.5% reported ever heard of self-injection as an option of family planning method. Data for each State showed a remarkable increase in uptake of DMPA-SC/SI. The motivations to use DMPA-SC/Self Injection were ease of accessibility, convenience, and self-administer/care. Factors that encourage the uptake of DMPA-SC/SI were; health benefits, the prevailing economic situation and its effectiveness. Findings from the study showed that interventions that deploy health education, awareness, social mobilization, advocacy, policy implementation, and public sensitization, making contraceptive services available for free, will increase the uptake of Keywords: Determinants, DMPA-SC/SI, Practice, Self-injection, Uptake. DMPA-SC/SI in the study areas.

scholarly journals Sumber daya kesehatan dan unmet need: analisis tingkat provinsi

2017 ◽  
Vol 33 (1) ◽  
pp. 49
Author(s):  
Lilik Ariyanti ◽  
Djaswadi Dasuki ◽  
Siswanto Agus Wilopo
Keyword(s):  
Family Planning ◽  
Linear Regression ◽  
Unmet Needs ◽  
Unmet Need ◽  
Health Resources ◽  
Secondary Data ◽  
Research Report ◽  
Family Planning Programs ◽  
Contraceptive Services ◽  
Regression Tests

Availability of health resources and unmet needs: a provincial level analysisPurposeThis study aimed to analyze the association between the availability of health and percentage of unmet needs in every province in Indonesia.MethodsThis study used secondary data of the Indonesian demographic and health survey 2012, health facilities research report 2011, Board of Population and Family Planning contraceptive services report 2012 and reports from Indonesian Central Bureau of Statistics 2012. The sample was all provinces in Indonesia. Linear regression tests were used to examine the correlation between the availability of health resources and unmet needs.ResultsStatistically, there was no association between the ratio of health resources by 10,000 population with unmet needs for family planning. But, there was an association between the ratio of health resources based on the area with unmet needs for family planning. The higher ratio of health resources by 1000 km2, the lower unmet need percentage for family planning.ConclusionsAvailability (quantity and distribution) of health resources based on the area plays an important role in family planning programs especially unmet needs for family planning. Planning of health resources provision should not be only based on the ratio by 10,000 population, but also consider the area of services.

scholarly journals Predictors of modern contraceptive use among women and men in Uganda: a population-level analysis

BMJ Open ◽  
2020 ◽  
Vol 10 (2) ◽  
pp. e034675 ◽  
Author(s):  
Amrita Namasivayam ◽  
Sarah Lovell ◽  
Sarah Namutamba ◽  
Philip J Schluter
Keyword(s):  
Family Planning ◽  
Contraceptive Use ◽  
Unmet Need ◽  
Secondary Data ◽  
Population Level ◽  
Modern Contraceptive ◽  
Cross Sectional ◽  
Factors Affecting ◽  
Logistic Regression Models ◽  
Modern Contraceptive Use

Objective(s)Despite substantial and rapid improvements in contraceptive uptake in Uganda, many women continue to have unmet need for contraception. As factors affecting contraceptive use are dynamic and complex, this study seeks to identify current predictors and provide effect size estimates of contraceptive use among women and men in Uganda.Study designA nationally representative cross-sectional population survey, using secondary data from Uganda’s 2016 Demographic and Health Survey. Stratified by sex, weighted bivariable and multivariable logistic regression models were derived from a suite of potential predictor variables. Predictive abilities were assessed via 10-fold cross-validated area under the receiver operating characteristic curves (AUCs).SettingUganda.ParticipantsAll women aged 15–49 years who were permanent residents of the selected households or stayed in the household the night before the survey were eligible to participate. In one-third of the sampled households, all men aged 15–54 years who met the same residence criteria were also eligible.Primary outcome measuresModern contraceptive use.ResultsOverall, 4914 (26.6%) women and 1897 (35.6%) men reported using a modern contraceptive method. For women and men, both demographic and proximate variables were significantly associated with contraceptive use, although notable differences in effect sizes existed between sexes—especially for age, level of education and parity. Predictively, the multivariable model was acceptable for women with AUC=0.714 (95% CI 0.704 to 0.720) but less so for men with AUC=0.654 (95% CI 0.636 to 0.666).Conclusion(s)Contemporary significant predictors of contraceptive use among women and men were reported, thereby enabling key Ugandan subpopulations who would benefit from more targeted family planning initiatives to be identified. However, the acceptable AUC for women and modest AUC for men suggest that other important unmeasured predictors may exist. Nonetheless, these evidence-based findings remain important for informing future programmatic and policy directions for family planning in Uganda.

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 Characteristics of reproductive-aged women with unmet need for family planning

2021 ◽  
Vol 129 (s2) ◽  
Author(s):  
Nadia Rochmaya ◽  
Uning Marlina ◽  
Nova Primadina
Keyword(s):  
Family Planning ◽  
Unmet Needs ◽  
Unmet Need ◽  
Reproductive Aged Women

Introduction: One factor that led to the increase in population was the unfulfilled need for family planning or unmet needs. The number of unmet needs in Indonesia is still high, at 10.50 %. This study aims to determine the differences between unmet needs in reproductive-aged women for family planning.

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 Stunting among Under Five Years Old Children in Rwanda: Influences of Family Planning Status and Household Size and Composition

2021 ◽  
Vol 4 (1) ◽  
pp. 112-130
Author(s):  
Jean Bosco Bigirimana
Keyword(s):  
Family Planning ◽  
Unmet Need ◽  
Secondary Data ◽  
Household Size ◽  
Cross Sectional ◽  
Mortality And Morbidity ◽  
Children Under Five ◽  
Under Five ◽  
Log Odds ◽  
Planning Status

Background Stunting is one of the main challenges resulting in high child mortality and morbidity thought out the world, especially in many developing countries, including Rwanda. The overall prevalence rate of stunting is estimated at around 38% of under five years old children in Rwanda. Objective To examine the influences of household size and composition and family planning status on stunting among children under five in Rwanda. Methods The current study is a nationally representative cross-sectional study that used the secondary data analysis of Rwanda Demographic and Health Survey (DHS) 2014-2015. Logistic regression analysis was used to examine the association between family planning and household size and composition. Results The sum-total of children under five in the household (log odds=0.373(p<.05), CI=0.0577, 0.689), maternal age at childbirth (log odds=-0.682(p<.05), CI=-1.222, -0.141), fertility preference (log odds =-0.296(p<.05), CI=-0.549, -0.0427), and unmet need for family planning (log odds = 0.297(p<.05), CI= 0.0193, 0.574) were statistically significant associated with stunting among studied children. Conclusion The findings of this study suggest a significant association between stunting and family planning and household size and composition.   Rwanda J Med Health Sci 2021;4(1):112-130

scholarly journals Magnitude and associated factors of unmet need for family planning among rural women in Ethiopia: a multilevel cross-sectional analysis

BMJ Open ◽  
2021 ◽  
Vol 11 (4) ◽  
pp. e044060
Author(s):  
Adugnaw Zeleke Alem ◽  
Chilot Desta Agegnehu
Keyword(s):  
Family Planning ◽  
Rural Women ◽  
Associated Factors ◽  
Unmet Needs ◽  
Unmet Need ◽  
Media Exposure ◽  
Cross Sectional ◽  
Number Of Children ◽  
Working Status ◽  
Status Of Women

ObjectiveThis study was aimed to assess the magnitude and associated factors of unmet need for family planning among rural women in Ethiopia.DesignCross-sectional study.SettingEthiopia.ParticipantsReproductive age group women.Primary outcomeUnmet need for family planning.MethodsThis study drew data from Ethiopian Demographic and Health Survey, which was conducted from 18 January to 27 June 2016. A total of 8327 rural reproductive-aged (15–49 years) women were included. A two-level multivariable logistic regression model was carried out to identify individual and community-level factors associated with unmet need for family planning. Adjusted OR (AOR) with a 95% CI was used to assess the strength of association between independent and dependent variables.ResultsThe overall unmet need for family planning among rural women was 24.08% (95% CI 23.17 to 25.01), of which 14.79% was for spacing and 9.29% for limiting. Number of children (AOR=1.15; 95% CI 1.07 to 1.24) and working status of women (AOR=1.18; 95% CI 1.02 to 1.37) were significantly associated with a higher odds of unmet need for family planning. However, women with primary education (AOR=0.87; 95% CI 0.74 to 0.94), women married at age 18 or later (AOR=0.82; 95% CI 0.70 to 0.96), women from households with high wealth index (AOR=0.77; 95% CI 0.64 to 0.94), women who deem distance to a health facility as not a big problem (AOR=0.85; 95% CI 0.73 to 0.99), women from communities with a high percentage of educated women (AOR=0.73; 95% CI 0.59 to 0.89) and women who live in communities with high media exposure (AOR=0.81, 95% CI 0.68 to 0.98) were significantly associated with a lower odds of unmet needs for family planning.ConclusionUnmet need for family planning among reproductive-aged women in rural Ethiopia was high. Number of children, working status of women, women’s education, age at first marriage, household wealth, distance to a health facility, community women’s education and community media exposure were significantly associated with unmet needs for family planning. Therefore, to reduce unmet need for family planning, public health policymakers should consider both individual and community-level factors when designing FP programmes and emphasis should be given to high-risk populations.

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 family planning and its associated factors among ever married women in selected villages of Anekal taluk, Karnataka: a community based cross sectional study

2018 ◽  
Vol 5 (5) ◽  
pp. 2048 ◽  
Author(s):  
Neethu George ◽  
Sulekha T. ◽  
Adithya Ramachandran ◽  
Andrean Peters ◽  
Pretesh Rohan Kiran
Keyword(s):  
Family Planning ◽  
Associated Factors ◽  
Unmet Needs ◽  
Unmet Need ◽  
Structured Interview ◽  
Cross Sectional Study ◽  
Married Women ◽  
Economic Life ◽  
Sectional Study ◽  
Cross Sectional

Background: According to the United Nations, India will become the most populated country by 2050.This will lead to further strain in social and economic life. Family planning plays a major role in bridging this rapid population growth. But unmet needs for family planning prevent women from availing this benefit. Aims of the study were to determine the prevalence of unmet needs for family planning and its associated factors among ever married women in selected villages of Anekal taluk, Karnataka.Methods: This was a cross sectional study conducted during a period of two months among ever married women in selected villages of Anekal. A structured interview schedule consisting of questions about unmet needs for family planning and its determinants was administered to 133 ever married women.Results: Of the 133 study participants 127 (95.5%) were aware of at least one contraceptive method. The prevalence of unmet needs for family planning was 11.3%. Younger age (18-24 years), <5 years active years of married life, women having a single live child and who were a sole decision maker had higher unmet needs for family planning. Among the women who had unmet needs for family planning, the major reason reported was family and cultural problems.Conclusions: The unmet need for family planning was found to be 11.3% which is more than the state value of 8.8% (rural Karnataka NFHS 4). So there is a need to create increased awareness among the women in the study area regarding the importance of contraceptive measures in the family and the society.

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