Factors affecting contraceptive use and unmet need among currently married women in Afghanistan: further analysis of the 2015 Afghanistan Demographic and Health Survey

Sabawoon, Ajmal; Idris, Anwar; Ajmal, Behzad

doi:10.29392/joghr.2.e2018037

Cited by 16 publications

(8 citation statements)

References 9 publications

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“…From the four pillars of safe motherhood, family planning is considered the first and most important pillar to reduce maternal deaths. However, a low prevalence of any method of contraceptive use in Pakistan was observed (34%) in 2017 as compared to Bangladesh (62%) in 2014, and in India (2015), it was 54% (Ajmal et al, 2018). The lower rate of contraceptive use in Pakistan suggested that the small proportion of women were using contraceptives may not yet be sufficient to determine the rest of the factors even though the individual-only model explained the maximum variation.…”

Section: Discussion/analysismentioning

confidence: 98%

Influence of Individual and Community-Level Associates of Contraceptive Use in Pakistan: A Multi-Level Mixed Effect Analysis (Pdhs 2017-18)

Kamal

Malik

Batool

et al. 2021

HSSR

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Purpose of the study: This research aims to investigate the impact of mass media exposure and women's autonomy on the use of contraceptives, along with other potential determinants at the individual level and community level among women in Pakistan. Methodology: Data was extracted from Pakistan Demographic & Health Surveys 2017-18. The sample size included 10,461 non-pregnant and married women from a total of 15,068 ever-married women. The analysis was done using two-level mixed-effects logistic regression for the binary outcome variable, i.e., current contraceptive use (yes/no). Main Findings: Significant factors positively associated with contraceptive use at the individual level were women's education, wealth index, parity, age at first cohabitation, child mortality experience, and mass media exposure. Community attributes like region (Sindh, KPK, Balochistan as compared to Punjab), residence (rural as compared to urban) had an inverse relationship with contraceptive use. At the same time, women's education and an ideal number of children were the significant positive associates. Women's empowerment has though insignificant, but it has a positive impact on the use of contraceptives at both individual and community levels. Applications of this study: Family planning programs can be extended by focusing on women residing in rural settings or in high fertility intentions communities, less educated and unprivileged younger women who had reduced the uptake of contraceptives. An increase in women's access to education, media exposure, employment, and women's empowerment can help attain Pakistan's contraceptive prevalence targets. Novelty/Originality of this study: The current study's effect of individual and community-level factors was investigated using National-level data, mainly focusing on the role of mass media and women's autonomy.

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Section: Discussion/analysismentioning

confidence: 98%

Influence of Individual and Community-Level Associates of Contraceptive Use in Pakistan: A Multi-Level Mixed Effect Analysis (Pdhs 2017-18)

Kamal

Malik

Batool

et al. 2021

HSSR

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“…The negative association between unmet need for FP and women's education was well-established in past literatures. 35,[41][42][43][44] However, this study reveals that better-educated women in India and Nepal have a higher unmet need for FP. The positive association between women's education and unmet need may be partly explained by ethnic and caste diversity, especially in the highly diverse Indian population.…”

Section: Discussionmentioning

confidence: 99%

Intimate Partner Violence and Unmet Need for Family Planning in Selected South Asian Countries

Hoo

Lai

2022

International Journal of Social Determinants of Health and Heal

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This article analyzes the relationship between various forms of intimate partner violence (IPV) and unmet need for family planning (FP) in South Asia. The data were obtained from the latest wave of the Demographic and Health Survey in Afghanistan, India, Maldives, Nepal, and Pakistan. Binary logistic regression analyses show mixed results, with a significant association between at least one type of IPV and unmet need for FP in all countries under study, except Maldives. There were also contrasting findings on the IPV–unmet need nexus, with a positive sign in some but negative sign in others. Women who experienced physical violence were associated with a higher odds of having an unmet need in Pakistan, but the opposite was true in Afghanistan and Nepal. The odds of having an unmet need were higher among Indian women who experienced IPV (sexual and emotional). In Afghanistan, women who experienced IPV (physical and emotional) have lower odds of having an unmet need. However, the interaction analysis of IPV (physical and sexual) and partners’ controlling behavior showed a positive association with unmet need. Policymakers need to develop policies and strategies to prevent IPV and reduce unmet need for FP, in line with the Sustainable Development Goals.

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“…Past studies revealed that contraceptive use was positively associated with women's social status, particularly their educational attainment (Ajmal et al, 2018;Islam et al, 2016;Majumder & Ram, 2015;Mandiwa et al, 2018;Osmani et al, 2015;Palamuleni, 2013;Rasooly et al, 2015;N. Singh & Shukla, 2017) and employment status (Hossain et al, 2018;Majumder & Ram, 2015;Mandiwa et al, 2018;Palamuleni, 2013;L.…”

Section: Literature Reviewmentioning

confidence: 99%

“…U r b a n i s a t i o n b r o u g h t h i g h e r contraceptive use in developing countries (Ajmal et al, 2018;Hossain et al, 2018;Islam, 2018;Islam et al, 2016;Mandiwa et al, 2018;Osmani et al, 2015;Palamuleni, 2013;Rasooly et al, 2015). The availability and accessibility of FP services were given greater emphasis in urban areas.…”

Section: Literature Reviewmentioning

confidence: 99%

“…These variables include age (Debebe et al, 2017;Mahato et al, 2020;Mandiwa et al, 2018;Osmani et al, 2015;L. M. Singh et al, 2020) and the number of living children (Ajmal et al, 2018;Islam, 2018;Islam et al, 2016;Lwelamira et al, 2012;Osmani et al, 2015;Rasooly et al, 2015). Women tend to achieve the desired number of children as age increases and are more likely to use contraception.…”

Section: Literature Reviewmentioning

confidence: 99%

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Factors Associated with Contraceptive Use in Malaysia and Pakistan

Hoo¹,

Lai²

2023

JSSH

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Most developing countries launched the national family planning program in the 1960s/70s. However, some countries’ contraceptive prevalence rate (CPR) remains low or stagnated. Despite having a similar religious belief, the level of contraceptive use differed between Malaysia and Pakistan. This study examines the factors associated with contraceptive use in Malaysia and Pakistan. This study used secondary data from the 2014 Malaysian Population and Family Survey and the 2017–2018 Pakistan Demographic and Health Survey. A total of 5,175 Malaysian and 14,502 Pakistani currently married women aged 15–49 were included in this study. The dependent variable is current contraceptive use. The independent variables include women’s age, age at first marriage, place of residence, women’s educational level, employment status, and the number of living children. Crosstabulations show that urban, better-educated, and working women in Pakistan reported higher modern CPR than their rural, lesser-educated, and non-working counterparts; however, the opposite was observed in Malaysia. Multinomial logistic regression analysis reveals that rural women were less likely to practice modern and traditional methods than non-use in Pakistan. In Pakistan, the odds of practising modern and traditional methods than non-use were higher among women who attained at least primary education, while working women were more likely to practice modern contraceptive methods than non-use and traditional methods. However, women’s education and employment factors were insignificant in the multivariate context of the case of Malaysia. Enhancing women’s socio-economic status and reaching out to rural, uneducated, and jobless women are essential to improving contraceptive use, especially in Pakistan.

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Factors affecting contraceptive use and unmet need among currently married women in Afghanistan: further analysis of the 2015 Afghanistan Demographic and Health Survey

Cited by 16 publications

References 9 publications

Influence of Individual and Community-Level Associates of Contraceptive Use in Pakistan: A Multi-Level Mixed Effect Analysis (Pdhs 2017-18)

Influence of Individual and Community-Level Associates of Contraceptive Use in Pakistan: A Multi-Level Mixed Effect Analysis (Pdhs 2017-18)

Intimate Partner Violence and Unmet Need for Family Planning in Selected South Asian Countries

Factors Associated with Contraceptive Use in Malaysia and Pakistan

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