Investigating changes in unintended pregnancies before and after the changes in the family planning policies in Iran: A multivariate decomposition analysis

Abstract

According to the results of a meta-analysis, the rate of unintended pregnancies was 27.9% in the period of the family planning program implementation in Iran. Demographic and socioeconomic factors and women's contraception behaviors have had a significant association with unintended pregnancy. →What this article adds: Unintended pregnancies declined among Iranian married women during 2000-2015, but its reduction was slowed down after the changes in the family planning policies. An increase in pregnant women's parity was the main factor having a counteracting effect on unintended pregnancy reduction in this period.

Trend, multivariate decomposition and spatial variations of unintended pregnancy among reproductive-age women in Ethiopia: evidence from demographic and health surveys

“…In this study, a decrease in the composition of grand multiparous, a woman who has given birth 5 or more times women contributes to the decrement of unintended pregnancy, and also an increase in the composition of multiparous women contributes to the increment of unintended pregnancy. This is in line with the study conducted in Iran [ 51 ] and a study conducted in Ethiopia [ 52 , 53 ]. This may be related to the number of children a woman would have, the more the number of the child, the more it becomes unintended pregnancy.…”

Non-Hormonal Contraception

“…It is important to note the various influences that affect a person's contraceptive method selection [41,42]. Many have their options limited by accessibility, with contraceptive use prohibited by direct barriers like legislative constraints [43,44] or high costs [45] Additional indirect barriers such as stigmatization and lack of education also reduce utilization of highly efficacious contraceptives [46,47]. Misconceptions and anecdotes regarding the safety and side-effects of modern contraceptives are prevalent globally and can affect uptake and adherence [48].…”