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Introduction: Warranting access to modern family planning methods constitutes a basic human right and globally around 270 million women of reproductive age group have an unmet need for contraception. Objective : To estimate the knowledge, misconceptions and practices related to family planning methods among women of reproductive age group attending primary health centre. Method: A cross-sectional hospital-based study was conducted in four health centers from January to February 2019 among women of reproductive age group (15-49 years). Data regarding socio-demographic characteristics, knowledge, attitude and practices pertaining to family planning methods were collected using a pre-tested interview schedule. Descriptive and analytical statistical analyses like mean, proportions, Chi-square and Multivariable logistic regression were conducted. A p value of less than 0.05 was considered statistically significant. Results: In this study 348 women were enrolled, of which 39.4% had adequate knowledge regarding family planning methods. Most participants had a healthy attitude towards the use of family planning methods and considered them beneficial whereas 59% stated their religious faith and cultural beliefs restricted the use of contraceptives. Unmet need of contraceptives was 60.2% while 39.8% used any one of the modern contraceptive methods. Lower age (AOR-1.26), Primi-parous (AOR-2.76) and women having a lower monthly income (AOR-2.51) were more likely to have an unmet need of contraception. Conclusion: Despite easy accessibility and low cost of the contraceptives, their use was limited. The high proportion of unmet needs mandates the scaling up of activities to increase the awareness regarding modern contraceptives. Additionally, behavioral change communication strategies are in great need for implementation to counter the negative attitudes pertaining to family planning practices.
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Unmet need for family planning (UNFP) remains a public health concern in Angola. The objective of this study was to analyze the factors associated with UNFP among Angolan women aged 15-49 years in 2015-2016. This was an analytical cross-sectional study. A multiple logistic regression model using data from the Angola Demographic and Health Survey 2015-2016 was performed to determine the associated factors. In total, the study involved 8033 women, 22% of whom were between 25-29 years of age. A large number (65%) lived in urban areas and 39% had primary education. About 1/4 of the women(26%) had UNFP for birth spacing. Associated factors were multiple. Age, credible source of information on family planning were protective factors against UNFP for birth spacing while economic level, the woman's level of education were risk factors for NFP. (Afr J Reprod Health 2022;26[6]:22-26).
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Humans , Female , Pregnancy , TATA-Binding Protein Associated Factors , Family Planning Services , Birth Intervals , Public HealthABSTRACT
Background: For women living with HIV who do not want to become pregnant or who wish to delay pregnancy, contraception has the added public health benefit of reducing the number of infants who might acquire HIV. The unmet need for contraception must be addressed to prevent unintended pregnancies among HIV-positive women and consequently mother-to-child transmission of HIV. Objectives: The objectives of this study were to assess the contraceptive usage and its various determinants and to find out the unmet need for family planning among HIV-positive women. Methods: This was a cross-sectional descriptive hospital-based study conducted among 235 HIV-positive women attending the ART center of a medical college. Data were collected using a questionnaire-containing sociodemographic details, obstetric history, treatment information, contraceptive usage, and their fertility desires. Data analysis was performed using MS Excel and the SPSS version 20.0 using frequencies, Chi-squared test, and multiple logistic regression. Results: The mean (standard deviation) age of the study participants was 28.8 (5.5) years. Majority (96.6%) of them were married and were illiterate (34.4%). The prevalence of unmet need for family planning was found to be 17%, and the prevalence of consistent contraceptive use was 74.5%. The most common family planning method used by women was male condom. Not having HIV-positive children, HIV-negative partner, and discussing contraceptive with partner were observed to be significant predictor of consistent contraceptive use on multiple logistic regression. Conclusion: There is a need to boost family planning counseling and address the unmet need and contraceptive use among HIV-infected women.
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Background@#Unmet need points to the gap between reproductive intentions and contraceptive behavior. This cross sectional study aims at determining the demographic, socioeconomic and other factors underlying the unmet need for contraception among postpartum women.@*Method@#A face-to-face interview was conducted to among postpartum women admitted in a tertiary hospital and logistic regression analysis was performed to determine the significant predictors of unmet need for family planning. Descriptive analysis on their contraceptive use was also determined.@*Results@#After controlling for other respondents’ characteristics, the results indicate that the total unmet need was associated with younger women, those who were in the age range 20-30 years old during their first pregnancy and religion is Roman Catholic. The most significant association was shown in those whose partners disapprove the use of family planning. Majority have heard of contraception but are not using any method. The major sources of contraceptives and contraceptive information on family planning are still the public health sector. Most have contraceptive plans and they prefer oral pills and implants.@*Conclusion@#Unmet need for family planning is associated with partner’s approval. With low family planning utilization among postpartum women, future programs on family planning should focus on these problems.
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Female , Family Planning Services , Sex Education , Postpartum PeriodABSTRACT
Background: Knowing the prevalence of unintended pregnancy, unmet need in family planning and the associated factors in cape coast, is important for ensuring that all women have access to the most effective methods of family planning in order to reduce the occurrence of unintended pregnancies. This study aims to determine the prevalence of unintended pregnancies, unmet need in family planning and the associated factors among women attending antenatal clinics at the Cape Coast Teaching Hospital, Republic of Ghana.Methods: A prospective cross-sectional study with descriptive and analytical components was carried out from 20th April 2015 to 20th June 2015 to simultaneously measure the prevalence of unmet need for family planning and related factors. All clients reporting for ANC at the Cape Coast Teaching Hospital during the study period were recruited into the study.Results: A total of 324 clients were recruited. The mean age was 29.98±5.86 years, 85.80% were married, 46.58% had tertiary education and 79.94% had a source of income. Up to 54.94% of the clients had not planned their index pregnancy. Among subjects who had not planned their index pregnancies, 74.71% had not used a family planning method. There is a significant association between age, educational level, the presence of a source of income, marital status and the occurrence of unplanned pregnancy.Conclusions: There were high prevalence of unplanned pregnancy and unmet need for family planning. There is a significant association between age, educational level, the presence of a source of income, marital status and the occurrence of unplanned pregnancy.
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Background: Unmet need of family planning affects the society by uncontrolled population explosion. Tribal population being socioeconomic deprived group requires special attention for contraceptive needs. This study was planned to study the determinants of contraceptive practices and impact of intervention in the form of counselling over the family planning acceptance behaviour.Methods: This community based longitudinal study was conducted for duration of six months in selected areas of Udaipur district, by two stage sampling method. Baseline data was collected followed by counselling of non-users of contraception and later on collection of post intervention data for comparison.Results: Out of total 422 study subjects, 193 (45.7%) were contraceptive users and 229 (54.3%) were non-users. All the participants had knowledge about permanent method (100%) of sterilization followed by barrier methods (62%). Non-users of contraception were counselled and their practices improved significantly (p<0.001) afterwards.Conclusions: The knowledge of family planning methods is present inadequately among tribal and non-tribal eligible couples and actual practice of contraceptive use is lacking which requires efforts of health workers thorough counselling to change their attitude towards adoption of family planning practices.
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Background: The concept of unmet need for family planning points to the gap between some women’s reproductive intentions and their contraceptive behaviour. The National Population policy (NPP) 2000 states that the immediate objective is to address the unmet need for contraceptive services. Unintended pregnancy related to unmet need is a worldwide problem that affects women and their families and societies at large.Methods: A community based cross-sectional study was conducted from November 2016 to October 2017 in Maralur and Maralur Dinne, urban localities under urban health Training Centre of Sri Siddhartha Medical College. 260 Married women (15–49 years) were interviewed by house to house survey. The questionnaire was used to collect data to assess their reproductive intentions and contraceptive behaviour.Results: Out of 260 participants, 144 (55.4%) of them belonged to the group where their contraceptive needs were met for spacing and limiting births, 59 (22.69%) of them of did not have any need for contraceptives, 16 (6.15%) had unmet need for spacing births and 41 (15.77%) of the participants had unmet need for limiting births.Conclusions: The unmet need for contraceptives was 21.92% in the study which is much higher compared to NFHS-4 data for urban India (12.1%). The reasons and the factors associated with the unmet need should be addressed.
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Background: Family planning program was implemented in India since 1952 so that the couples can exercise control over their own fertility. As per NFHS-4, unmet need for family planning in our country was 13%. However, in rural areas, this prevalence might be high. Objectives: The objective of this study was to assess the prevalence of unmet need for family planning method and its associated factors among the rural married women. Materials and Methods: This cross-sectional study was conducted in the rural community of South India for 1 year. By the cluster sampling method, 1024 married women in the reproductive age group were selected. After written informed consent, each subject was interviewed using a pre-tested questionnaire and the data were collected. Results: The mean age of the study subjects was 31.07 ± 4.6 years. Unmet need for the permanent method of family planning was 34%, and for spacing, it was 69.7%. Factors such as age, parity, and education of participant and husband influenced the unmet need for the permanent method; for the temporary method, socioeconomic status was significantly associated. Conclusion: Unmet need for family planning was high among the rural women in this community and many factors were related to this. Health education and motivation by community health workers are needed to bring a positive change in this regard.
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Background: Modern family planning (FP) methods remain the most effective means of reducing unmet need and its consequences including unplanned pregnancies. Objective: The objective of this study was to determine the contraceptive practice and unmet need for FP among 15–49-year-old ever-married women in estate sector in Ratnapura district. Materials and Methods: A community-based descriptive cross-sectional study was conducted using interviewer-administered questionnaire to assess contraceptive behavior among 15–49-year-old ever-married women in estate sector. Results: Contraceptive prevalence for the study group (n = 818) was 67.7% (95% confidence interval [CI]: 64.5–71.5) with the prevalence of 65.4% (95% CI: 62.0–68.7) for modern methods and 2.3% (95% CI: 1.5–3.4) for natural and traditional methods. The prevalence individual methods were 22.75% for female sterilization, 14.91% for injectables, 14.06% for oral contraceptives, 6.36% for intrauterine devices, 5.38% for subdermal implants, 1.85% for condoms, and 0.01% male sterilization. The prevalence of unmet need for FP was 16.3% (95% CI: 13.8–18.7) (n = 133) while that for spacing was 6.6% (95% CI: 5.4–7.8) (n = 53) and for limiting was 9.7 (95% CI: 8.2–11.2) (n = 80). Unmet need for modern methods was 18.8% (95% CI: 15.9–21.3) (n = 152). Reasons for unmet need were infrequent sex (21.5%), fear of side effects (18.6%), and low perceived risk of pregnancy (16.6%). Conclusions: Although contraceptive prevalence is high in estates, existence of high level of unmet need with reasons related to lack of awareness indicates the need of intervention studies to reduce unmet need and its consequences.
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Background: Unmet need for family planning, which refers to the condition in which there is the desire to avoid or post-pone child bearing, without the use of any means of contraception, has been a core concept in the field of international population. This study aimed to determine the factors affecting for unmet need for family planning among married women in the age group of 15-49 years of rural areas of Kalaburagi. By multiple logistic regression model and stepwise forward logistic regression model to estimate the parameters of the model, odds ratios and log likelihood values are computed. Testing of hypothesis of goodness of fit of the model is carried out by Hosmer and Lemeshow test.Methods: 600 married women in the age group of 15-49 years were the study participants who were selected randomly from the 7 taluks of rural areas by using multistage sampling techniques.Results: Total of 26 explanatory variables are included in the model, in which only 5 explanatory variables (19.00%) are found to be significant regression coefficients i.e., education of married women, abortion, physical deformities baby, ideal gap between children, contraceptive used in past normal level of significance (p<0.05).Conclusions: The test statistic of all five models, only model 4 and model 5 fit well with response variable for the rural sample data.
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Background: Unmet need for family planning refers to the percentage of fecund women of reproductive age either married or in union, women who either wish to postpone the next birth (spacers) or who wish to stop child bearing (limiters) but are not using a contraceptive method. This clearly indicates a gap between a woman’s reproductive intention and current contraceptive behaviour. The objectives of the present study was to determine the prevalence of unmet need for family planning, to assess the association between socio-demographic characteristics and unmet need of family planning, to identify the reasons for unmet need.Methods: It was a cross-sectional study conducted from June to August 2018 in Ankuli (UHTC). A total of 188 ever married women in the reproductive age group were selected by simple random sampling.Results: Out of 188 women, 41 (21.8%) had no need for contraception and needs for family planning of 78 (41.5%) women had been met. The prevalence of unmet need for family planning was 36.7% consists of 24 (12.8%) spacing need and 45 (23.9%) limiting need. It was found that age, education of women, age at marriage, number of living children, contraceptive knowledge and inter-spousal communication were significantly associated with unmet need for family planning. The most common reason for not using any contraceptive method was fear of side effects (40.6%).Conclusions: The unmet need for family planning was high and in order to reduce the gap, the program should address the above reasons.
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@#<p><strong>BACKGROUND:</strong> The sociodemographic shift in sexual initiation, low contraceptive and family planning use pose threat in the reproductive health and well-being of young people. Despite the rise in sexual activity among<br />young people before reaching the age of 18, prevalence of contraceptive use remains low while unmet need for family planning among married and sexually active women is consistently highest among women 15-19 years old compared to any other age group.</p><p><strong>OBJECTIVE:</strong> The observed trend in the reproductive health practices of young people, as well as the paucity of literature on adolescent reproductive health, warrant the need for studies that focus on family planning and sexual behavior of young people. This study aims to determine the factors associated with unmet need for family planning among sexually active women aged 15-19 years in the Philippines.</p><p><strong>METHODS:</strong> This study used the data from the National Demographic Health Survey 2017. The analysis included only the fecund and sexually active women aged 15-19 years old. Logistic regression was performed in order to determine the significant predictors of unmet need for family planning among young women.</p><p><strong>RESULTS:</strong> Sixty-eight percent of women reported secondary education as the highest level of education attended. Knowledge on modern family planning method is high at 99% while the proportion of women with<br />knowledge of ovulatory cycle, and knowledge on possibility of getting pregnant after giving birth and before the return of menstrual cycle are 21% and 61%, respectively. The proportion of women who responded that<br />their husbands/partners desire the same number of children is 68%. Multiple logistic regression and stepwise selection procedure showed that husband's fertility preference is a significant predictor of having unmet need.</p><p><strong>CONCLUSION:</strong> Addressing the issue on low family planning and contraceptive use among young women in the Philippines requires concerted efforts that aim to cater to the needs of both men and women in this age group.<br />The consistently low family planning practice among young people despite the overall improvement in the proportion of family planning users among women indicates the need for variability in strategies that target<br />young and older age groups. Further research should be conducted in order to gain better understanding of the determinants of unmet need for family planning among young people.</p>
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Contraceptive Agents , Family Planning ServicesABSTRACT
Given the magnitude of the family planning programme in India, there is a need to strengthen the coordination of all its aspects, focusing on planning, programmes, monitoring, training and procurement. The quality of care in family planning must be a major focus area to ensure the success of family planning programmes. Despite serious efforts and progress, India has yet to achieve its family planning goals. Furthermore, there is a need for greater male participation both as enablers and beneficiaries and also address the sexual and reproductive needs of the youth. It is imperative for the government to ensure the prioritization of family planning in the national development agenda. Family planning is crucial for the achievement of the sustainable development goals, and subsequent efforts need to be made to improve access and strengthen quality of family planning services.
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Background: The continuously growing population not only hampers the socio-economic development but the health of mothers and newborns. Progress made in improving social development in addition to strengthening the ongoing family planning programme will contribute towards the future pace of fertility and decline in unmet need. Objective of present study to assess the unmet need for family planning and role of socio-demographic factors among rural women.Methods: The present study was community based cross-sectional study conducted in rural area of Haryana from September 2015 to August 2016 among 500 currently married women (18-49 years).Results: The unmet need for family planning was 19.2% (4.8% spacing and 14.4% limiting). Education, occupation and SES were significantly associated with unmet need for family planning. The commonest reason for not using contraception among those with unmet need was fear of side-effects (37.5%) followed by in-laws disapproval (21.9%).Conclusions: The unmet need for family planning was high. Women education and empowerment by protecting their health, wellbeing and rights, including their reproductive rights would prove to be beneficial.
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Objective To provide a basis to satisfy the need for family planning of women of reproductive age,according to the analysis and estimation of family planning status of married or in union women of reproductive age among China,Japan,India,South Africa and the United States of America.Methods U test and Chi-square test were applied to analyze the current situation (1970-2016) and tendency (2017-2030) of family planning indicators of the five countries from 1970 to 2030,which were selected from open database of World Contraceptive Use 2016.Results Compared with the family planning status in 1970,there was a significant change in total demand for family planning,contraceptive prevalence and unmet need for family planning (P＜0.001).To be specific,in 2016,contraceptive prevalence of married or in-union women of reproductive age in China,Japan,India,South Africa and the United States of America was 83.35％,59.9％,56.4％,64.9％ and 73.7％,respectively;unmet need for family planning was 3.8％,13.1％,15.5％,12.2％ and 7.2％,respectively.Besides,contraceptive methods composition in the five countries were changed in 2016 (P＜0.001) and the prevalence of modern methods was higher than traditional methods.Meanwhile,the percentage of demand for family planning satisfied with modern methods were increasing from 1970 to 2016.On the other hand,the projections of total demand for family planning,contraceptive prevalence,unmet need for family planning,composition of contraceptive methods and unmet need for modern methods would change from 2017 to 2030 (P＜0.001).It was estimated that,in 2030,China would have the largest number of people using contraceptive methods and India would have the largest number of people with unmet need for family planning.Moreover,China and India might be the countries with most users of modern methods,and India might be associated with the most users of traditional methods.Conclusions Considering current and projected status of huge total demand for family planning,high contraceptive prevalence,low unmet need for family planning,it is essential to supply approximate contraceptive methods.
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As the elderly population increases, they are increasingly affected by oral health problems. Therefore, efforts are being made to improve the oral health of older people, alleviate mental discomfort, and reduce unmet dental needs. This study was conducted to confirm the relationship between the National Health Insurance Elderly Denture Coverage and the unmet dental need for the edentulous elderly, as part of the protection policy. We analyzed the 2011 and 2013 Community Health Survey data of the edentulous elderly, aged 75 years or older, before 2012. In order to more precisely confirm the effects of the denture donation policy on unmet dental care, basic life recipients who were subject to the free elderly prosthetic project were excluded from the analysis. The final analysis included 20,400 subjects. According to our investigation of the factors that affect the unmet dental needs of the elderly, the National Health Insurance Elderly Denture Coverage did not affect unmet dental needs. The statistically significant variables that affected the unmet dental needs of the elderly were education and income levels, which are representative socioeconomic status variables. The lower the level of education, the unhealthier the dental care experience, and income levels showed a similar tendency. The elderly who have a low socioeconomic status are more likely to experience unmet dental needs because they lack the knowledge and socioeconomic ability to pay for dental care. Therefore, the policy for health protection of the entire elderly population should be continuously expanded. In addition, the socioeconomically vulnerable groups may have health problems due to the restriction of medical use, which may lead to quality of life deterioration.
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Aged , Humans , Dental Care , Dentures , Education , Health Surveys , National Health Programs , Oral Health , Quality of Life , Social ClassABSTRACT
The mainstay of treatment of depression relies on pharmacological and psychological treatments. On top of that, evidence also recognizes the vital role of spirituality for human wellness which leads to growing interest in its utilization to treat depression. However, research on spirituality among Muslims in relation to depression is relatively scarce. The aim of this study is to explore the understanding of spirituality among Muslim patients with depression, and to explore their spiritual needs. Methods: This is a qualitative study conducted on 10 depressed Muslim patients at the UKM Medical Centre. Purposive sampling was done to ensure diversity of subjects. Individual in-depth interviews were conducted using semistructured questionnaire guidelines. The data were transcribed verbatim and analysed using a thematic approach. Result: Out of 10 patients, almost all of them expressed spiritual needs. Two major themes emerged in relation to the spiritual needs which are (i) religious needs; need for worship, religious knowledge and guidance, religious reminders, and (ii) existential needs; need for calmness, sensitivity and empathy, self-discipline, certainty, hope , physical help, ventilate and meaning of illness. These needs are essential for patients during the time of crisis. Conclusion: The majority of patients expressed spiritual needs which are required during the process of recovery and this provides an opportunity to incorporate spiritual approaches in the treatment of depression. However, more studies are needed to demonstrate its scientific basis and to design an effective psycho-spiritual treatment modality so that the ‘holistic’ or ‘biopsychosocial-spiritual’ treatment can be integrated by health care professionals to those in need.
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Background: Contraception is a key measure at the primary level of prevention of maternal mortality and morbidity. It is an important tool for pregnancy spacing, limiting and timing for prevention of adverse perinatal and maternal health outcomes. Objective: contraceptive practice as a means of preventing unintended pregnancy was assessed among Nigerian women attending prenatal care. The findings were to contribute in defining the current contraceptive practices in the country, proffer suggestions for reproductive health planning and services. Method: This was a cross-sectional study of 701 prenatal clinic attendees at a missionary Hospital in Benin-city, Nigeria. Structured pretested questionnaire was administered to each consenting client. Database was raised on relevant information and analyzed, setting the level of statistical significance at p-value <.05 Results: Approximately 89% of the respondents demonstrated awareness of modern contraception, about 66% ever used a modern contraception and only a minority 24.1% was using it just prior to the index pregnancy. Leading sources of information were mass media, friends/peers, school and hospital in that order. The most used methods were male condom (54.8%) and pill (21.8%). About three fifths (56.2%) of the respondents have had at least a premarital termination of unintended pregnancy. More than 71% of previous users and approximately 42% of nonusers were willing to uptake a method of modern contraception in postpartum. Women empowerment; education, quality employment and social class significantly influenced contraception use (P<.05). Key barriers to use of modern contraception were fear of unpleasant side effects, socio-cultural and religious concerns. Conclusion: There was a wide gap between contraceptive awareness and utilization, a large unmet need of contraception among the prenatal attendees. A renewed concerted contraceptive campaign is advised.
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Introduction: Population of India has jumped to 1,290,974,613 (1.29 billion) on Dec 07, 2015. There are certain demographic factors, which affect the acceptance of family planning methods. Therefore this study was conducted to determine the extent of felt need of family planning methods and to assess the demographic factors influencing the contraceptive acceptance. Materials and Methods: This cross-sectional study was conducted in J.N. Medical College, AMU, Aligarh, for a period of two and half year. Only the mothers in the post partum period were interviewed. Those mothers who had already accepted family planning methods were not included in the study. 1383 mothers were interviewed. Data were tabulated and analysed using SPSS version 20. Chi-square test (χ2) was applied to know the statistical significance. Results: Significant number of mothers (39.6%) had planned to adopt family planning methods. Majority of the mothers (71.4%) were in the age group of 21-30 years. In this age group, 39.7% mothers wanted to adopt family methods. As the age of the mothers increased, the acceptance rate also increased. Majority of mothers (52.9%) admitted in the hospital were Hindus. Among Muslims, 40.3 per cent mothers had felt need of family planning methods. Mostly the mothers were illiterate (50.8%). 30.8 per cent of these illiterate mothers wanted to accept family planning methods. Similar felt need (36.4%) was observed in mothers with education up to primary level (V standard). As the birth order increased, felt need also increased. Conclusion: It may be concluded that significant number of mothers had planned to adopt family planning methods. Though the campaign to promote family planning methods in our country is being carried out, the message should be given more vigorously through information, education and communication (IEC) activities and involvement of non-governmental organisations (NGO). Concerted efforts are needed to find out the reasons for unmet need and its solution
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Background & objectives: Domestic violence is identified as a public heath problem. it is associated with adverse maternal health. This study examined the prevalence and determinants of domestic violence among women in urban slums of Mumbai, India. Methods: A community based cross-sectional household survey was carried out among eligible women for the study during September 2012 to January 2013. A total of 1137 currently married women aged 18-39 yr with unmet need for family planning and having at least one child were selected using cluster systematic random sampling from two urban slums. Information on socio-demographic, reproductive and domestic violence was collected through face-to-face interview using a pretested structured questionnaire after obtaining informed written consent. Bivariate and multivariate analyses were carried out to find the socio-demographic factors associated with ever experienced domestic violence among women. Results: The prevalence of women ever experiencing domestic violence in the community was 21.2 per cent. Women whose husband consumed alcohol [RR: 2.17, (95% CI: 1.58-2.98)] were significantly at an increased risk of ever experiencing domestic violence than their counterparts. Risk of domestic violence was twice [RR: 2.00, (95% CI: 1.35-2.96)] for women who justified wife beating than women who did not justify wife beating. Interpretation & conclusions: The findings showed that domestic violence was prevalent in urban slums. Factors like early marriage, working status, justified wife beating and husbands use of alcohol were significantly associated with domestic violence.