Unmet Family Planning Need Globally: A Clarion Call for Sharpening Current Research Frame Works

Pillai, Vijayan K.; Nagoshi, Julieann

doi:10.2147/oajc.s378042

Cited by 8 publications

(4 citation statements)

References 57 publications

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“…In Africa an estimated 5 million adolescents aged below 19 years who would prefer to delay or avoid pregnancy but continue to lack access to safe and effective contraception, [1].Thus along with providing skilled maternal care, offering family planning is crucial to averting maternal deaths. Satisfying the unmet need for family planning alone could cut the number of maternal deaths by almost a third, ( [1,[12][13][14]. Although many United Nations member countries, particularly those in the developed world, have strong family planning programs, this is not the case in East Africa, where despite a rise in contraceptive prevalence, many teenage adolescents continue to have unmet need for contraception, [1,15].…”

Section: Issn: 2579-0730 ©Idosr Publicationsmentioning

confidence: 99%

Understanding Multifaceted Determinants of Contraceptive Utilization among Adolescent Females: Insights from Wakiso District, Uganda

James

2024

IDOSR-JBCP

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Despite global efforts to enhance contraceptive utilization, adolescent females in Uganda face persistent challenges accessing and utilizing modern contraceptive methods, resulting in high fertility rates and maternal mortality. This cross-sectional study investigated the intricate factors influencing contraceptive usage among adolescent females attending Kasangati Health Center IV in Wakiso District, Uganda. Employing questionnaire-based surveys, the study targeted adolescent females attending the health center, utilizing simple random sampling to select 220 participants, as determined by Fisher's formula. Data analysis was conducted using Microsoft Excel and SPSS version 20, presenting comprehensive findings through tables, pie charts, bar graphs, and narratives. The study uncovered a concerning contraceptive prevalence rate (CPR) of 19% among adolescent females, despite existing awareness of family planning methods. Key determinants of contraceptive usage included limited knowledge about contraception, constrained access to services, entrenched societal norms, and gender dynamics. The findings highlight the urgent need to address these multifaceted barriers to enhance contraceptive utilization and mitigate unmet needs among adolescent females. The study's recommendations encompass targeted educational campaigns, improved accessibility of family planning services, and fostering the engagement of both genders in reproductive health decision-making processes. Ethical considerations were meticulously observed, with informed consent obtained from participants and ethical approval secured from relevant authorities. This study contributes seminal insights into the complex landscape of contraceptive utilization among adolescent females in Uganda, offering critical guidance for policy formulation and programmatic interventions aimed at improving reproductive health outcomes and curtailing maternal mortality rates. Keywords: Contraceptive utilization, Adolescent females, Reproductive health, Family planning, Wakiso District and Uganda

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Section: Issn: 2579-0730 ©Idosr Publicationsmentioning

confidence: 99%

Understanding Multifaceted Determinants of Contraceptive Utilization among Adolescent Females: Insights from Wakiso District, Uganda

James

2024

IDOSR-JBCP

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“…In terms of family planning and the desire for parenthood during a pandemic, there is a lack of capacity for social, psychological, and medical support. Future studies should also examine the psychological effects of COVID-19 on people's desires for parenthood and starting families [119,120].…”

Section: Psychological Stress and Family Planningmentioning

confidence: 99%

The Multi-faceted Effects of COVID-19 on Female Reproductive Health: An Updated Narrative Review

Al-Bdairi,

Makki,

Shawki

et al. 2024

Cureus

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Concerns about the SARS-CoV-2 pandemic's possible impact on sexual and reproductive health have grown significantly. In this narrative review, the latest research on the effects of SARS-CoV-2 infection on several facets of sexual and reproductive health is reviewed.The review starts initially by going through the possible consequences of SARS-CoV-2 on female menstrual cycles. The virus may interfere with the menstrual cycle, which could affect hormone synthesis and endometrial reactions, according to newly available evidence. Menstrual blood loss may be impacted by COVID-19's potential to influence endothelial cell function and systemic hemostasis. Hypothalamic amenorrhea may be brought on by severe COVID-19 disease. There is little research on this subject, although most women resume their regular menstrual cycles after 1-2 months of recuperation.The review also examines how SARS-CoV-2 infection may affect assisted reproductive technology (ART) treatments. There are few clinical data, although some research points to potential effects on embryo quality. Overall, ART results, however, did not materially change from the time before the epidemic.Obstetric problems are more likely when SARS-CoV-2 infection occurs during pregnancy, especially in the third trimester. Even though the maternal death rate is still low, pregnant women, especially those with comorbidities, are more likely to experience serious sickness.The review emphasizes how the COVID-19 vaccine affects menstrual cycles, showing brief, modest modifications without serious health hazards. Also included are the psychological effects of family planning choices during the pandemic.In conclusion, this narrative review offers a thorough assessment of the complicated and changing effects of SARS-CoV-2 on sexual and reproductive health. The different requirements of people and couples during and after the pandemic are highlighted, underscoring the necessity for ongoing study and specialized healthcare practices.

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“…The conference also recognized that reproductive rights and the reproductive health of women can only be realized with adequate access to family planning services, including education and contraception. These services empower women to make well-informed choices, leading to improved reproductive health outcomes [ 7 ].…”

Section: Introductionmentioning

confidence: 99%

Trends in prevalence of unmet need for family planning in India: patterns of change across 36 States and Union Territories, 1993–2021

Devaraj,

Gausman,

Mishra

et al. 2024

Reprod Health

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Background Eliminating unmet need for family planning by 2030 is a global priority for ensuring healthy lives and promoting well-being for all at all ages. We estimate the sub-national trends in prevalence of unmet need for family planning over 30 years in India and study differences based on socio-economic and demographic factors. Methods We used data from five National Family Health Surveys (NFHS) conducted between 1993 to 2021 for the 36 states/Union Territories (UTs) of India. The study population included women of ages 15–49 years who were married or in a union at the time of the survey. The outcome was unmet need for family planning which captures the prevalence of fecund and sexually active women not using contraception, who want to delay or limit childbearing. We calculated the standardized absolute change to estimate the change in prevalence on an annual basis across all states/UTs. We examined the patterning of prevalence of across demographic and socioeconomic characteristics and estimated the headcount of women with unmet need in 2021. Results The prevalence of unmet need in India decreased from 20·6% (95% CI: 20·1– 21·2%) in 1993, to 9·4% (95% CI: 9·3–9·6%) in 2021. Median unmet need prevalence across states/UTs decreased from 17·80% in 1993 to 8·95% in 2021. The north-eastern states of Meghalaya (26·9%, 95% CI: 25·3–28·6%) and Mizoram (18·9%, 95% CI: 17·2–20·6%), followed by the northern states of Bihar (13·6%, 95% CI: 13·1–14·1%) and Uttar Pradesh (12·9%, 95% CI: 12·5–13·2%), had the highest unmet need prevalence in 2021. As of 2021, the estimated number of women with an unmet need for family planning was 24,194,428. Uttar Pradesh, Bihar, Maharashtra, and West Bengal accounted for half of this headcount. Women of ages 15–19 and those belonging the poorest wealth quintile had a relatively high prevalence of unmet need in 2021. Conclusions The existing initiatives under the National Family Planning Programme should be strengthened, and new policies should be developed with a focus on states/UTs with high prevalence, to ensure unmet need for family planning is eliminated by 2030.

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Unmet Family Planning Need Globally: A Clarion Call for Sharpening Current Research Frame Works

Cited by 8 publications

References 57 publications

Understanding Multifaceted Determinants of Contraceptive Utilization among Adolescent Females: Insights from Wakiso District, Uganda

Understanding Multifaceted Determinants of Contraceptive Utilization among Adolescent Females: Insights from Wakiso District, Uganda

The Multi-faceted Effects of COVID-19 on Female Reproductive Health: An Updated Narrative Review

Trends in prevalence of unmet need for family planning in India: patterns of change across 36 States and Union Territories, 1993–2021

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