Background: Unintended pregnancy is a worldwide problem which affects women, their families, and society. Aim: to determine the prevalence and determinant of the unmet need of family planning among married women in the child bearing period in Nefesha Village in Ismailia. Subjects and methods: This cross-sectional study was conducted on 823 married women in reproductive age (15-49 years). Data were collected through a structured interview questionnaire sheet. The sample size was estimated according to the standard Egypt Demographic and Health Survey 2008 important risk factor affecting unmet need of family planning. Results: the prevalence of unmet need for contraception was 15.7%. The percentage of illiteracy was higher in the women with unmet need and their husbands (22.5% and 28.7% respectively) compared to women with unmet need. The percentage of working husbands was higher among contraceptive users (97.9%). Family planning counselling was lower in women with unmet need (42.3%). Shared decision taking of contraception between women with unmet need and their husbands was lower than contraceptive users (48.1%). The main reasons for never using any family planning methods were the fear of the side effects in 25%, women and husband disapproval in 21.9% of them. Reasons for discontinuation of using contraceptive methods were the experience of side effects (59.4%) and method failure (15.5%). Conclusion: The rate of unmet need for family planning is still high. Family planning services must be more explicit and purposeful in their efforts to address low knowledge levels and health concerns among current and potential users. Husband involvement in family planning counseling should be considered.

Risk communication is a dynamic and interactive process involving exchanges between different groups of key players and audiences. It allows people at risk to understand and adopt protective behaviors and allows authorities to listen and address people's concerns in a relevant, trusted and acceptable manner. This is a qualitative study aiming to provide recommendations that might help national decision makers to enhance and promote the currently adopted risk communication measures, especially in communicable diseases. The study examined the already adopted risk communication measures in communicable diseases taking avian influenza epidemic (Influenza season 2014-2015) as an example, also the public perception regarding these measures was evaluated through 12 focus groups in 3 Egyptian Governorates. Results suggested that the adopted risk communication measures are proper. However, further strengthening of certain aspects is needed. The suggested recommendations were building trust and feedback channels with the community in alignment with better health care services, capacity building of officials dealing with risk information and communicating with the Public.

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