Trends in contraceptive need and use in developing countries in 2003, 2008, and 2012: an analysis of national surveys

Darroch, Jacqueline E.; Singh, Susheela

doi:10.1016/s0140-6736(13)60597-8

Cited by 281 publications

(288 citation statements)

References 4 publications

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“…However, many African women who need to avoid pregnancy and plan their families lack adequate access to modern contraceptive services. Modern contraceptive services are essential to women so that they can determine the size of their families, regulate childbirth and help to reduce maternal deaths and illnesses [3] [4].…”

Section: Introductionmentioning

confidence: 99%

Extent of Awareness of Birth Control Methods and Their Use by Women in a Peri-Urban Area of Accra, Ghana

Anaman¹,

Okai²

2016

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The rapid population growth and economic expansion in Ghana over the last decade have made the management of its population increasingly important necessitating detailed confidential studies on use of birth control methods. This paper reports a highly confidential survey-based study undertaken to assess the extent of awareness of and factors influencing the use of birth control methods among 120 women aged between 15 and 49 years, in their reproductive lifespan, at Abokobi, a suburb of Accra, Ghana. The analysis showed that age was the main factor responsible for the general level of awareness of birth control methods. The use of birth control methods was positively related to the level of awareness of birth control methods, being in a current sexual relationship, and the number of children that the woman had. Students were less likely to use birth control methods than non-students suggesting the need for more recognition of abstinence as an alternative birth control method.

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Section: Introductionmentioning

confidence: 99%

Extent of Awareness of Birth Control Methods and Their Use by Women in a Peri-Urban Area of Accra, Ghana

Anaman¹,

Okai²

2016

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“…Sexually active women who wish to prevent or delay future pregnancy but are not using any method of contraception experience an unmet need for family planning [1][2][3]. In Kenya, approximately 39 percent of reproductive age women married or in union use modern contraceptive methods while another 26 percent have an unmet need for family planning.…”

Section: Introductionmentioning

confidence: 99%

Provider barriers to family planning access in urban Kenya

Tumlinson

Okigbo²,

Speizer³

2014

Contraception

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Objective-A better understanding of the prevalence of service provider-imposed barriers to family planning can inform programs intended to increase contraceptive use. This study, based on data from urban Kenya, describes the frequency of provider self-reported restrictions related to clients' age, parity, marital status, and third party consent, and considers the impact of facility type and training on restrictive practices.Study Design-Trained data collectors interviewed 676 service providers at 273 health care facilities in five Kenyan cities. Service providers were asked questions about their background and training and were also asked about age, marital, parity, or consent requirements for providing family planning services.Results-More than half of providers (58%) reported imposing minimum age restrictions on one or more methods. These restrictions were commonly imposed on clients seeking injectables, a popular method in urban Kenya, with large numbers refusing to offer injectables to women younger than twenty years. Forty-one percent of providers reported they would not offer one or more methods to nulliparous women and more than one in four providers reported they would not offer the injectable to women without at least one child. Providers at private facilities were significantly more likely to impose barriers, across all method types, and those without in-service training on family planning provision had a significantly higher prevalence of imposing parity, marital, and consent barriers across most methods.Conclusion-Programs need to address provider-imposed barriers that reduce access to contraceptive methods particularly among young, lower parity, and single women. Promising strategies include targeting private facility providers and increasing the prevalence of in-service training.

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“…An estimated unmet need for 222 million women had been documented in the developing world. [7] It has been a matter of discussion that reproductive and child health program should focus on individual aspiration which may increase the contraceptive prevalence.…”

Section: Discussionmentioning

confidence: 99%

The pattern of unmet need of contraceptive use in married couples attending a tertiary care hospital in Eastern India

Dash¹,

Tripathy²,

Thakur³

et al. 2017

Natl J Physiol Pharm Pharmacol

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Background: Knowledge regarding contraceptives and practice of their use or nonuse decide the health outcomes of married women. There appears to be an unmet need of contraceptive use making a gap between the reproductive intentions and women's contraceptive behaviour. This has led to many women being deprived of their needs of contraception as well as exposing them to unnecessary child birth. Aims and Objectives: The aims of this study were (1) to determine the knowledge and practice of various contraceptive methods in married couples attending a tertiary care teaching hospital, (2) to know about their use, nonuse, or discontinuation among them, and (3) to suggest methods to improve their use and making them more safe and effective. Materials and Methods: A cross-sectional observational study was conducted for 6 months. Married women (n = 200) attending the obstetrics and gynecology outpatient department of KIMS hospital Bhubaneswar participated in the study. They were given a questionnaire after obtaining their informed consent. The information from them on sociodemographic variables, awareness, and knowledge was documented, and the practices of their use/nonuse were analyzed. Results: Majority of women were aware of contraceptive usage (87%). The main reason for discontinuing of contraceptives was to get a child (49.2%). Among the nonusers, 29% attributed the reason to apprehension of side effects. Media (64.5%) was the most common source of information. 5% of women used medical termination of pregnancy kit to terminate the pregnancy without knowing the grave consequences of such usage. Conclusion: The knowledge for contraceptives was high, but their usage was low. Hence, there is a need for improving the contraceptive use among married women. The approach to contraception should be designed taking into consideration of the patient's reproductive intentions so that child birth could be a planned process and unwanted pregnancies can be avoided.

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Trends in contraceptive need and use in developing countries in 2003, 2008, and 2012: an analysis of national surveys

Cited by 281 publications

References 4 publications

Extent of Awareness of Birth Control Methods and Their Use by Women in a Peri-Urban Area of Accra, Ghana

Extent of Awareness of Birth Control Methods and Their Use by Women in a Peri-Urban Area of Accra, Ghana

Provider barriers to family planning access in urban Kenya

The pattern of unmet need of contraceptive use in married couples attending a tertiary care hospital in Eastern India

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