Unmet need and demand for family planning among married women of Abha, Aseer Region in Saudi Arabia

Khalil, Shamsun Nahar; Alzahrani, Maha M.; Siddiqui, Aesha Farheen

doi:10.1016/j.mefs.2017.07.004

Cited by 57 publications

(79 citation statements)

References 11 publications

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“…To address the issue of unmet need promptly and to identify program options, it is imperative to examine this issues that are responsible for the nonuse of family planning methods among women. This finding is in line with research conducted in Saudi Arabia, which reported the prevalence of unmet need for family planning as 32.6% [39]. In the other hand our finding was lower than studies conducted in India and Eastern Sudan, which showed the prevalence of unmet need for family planning as 40.6% and 44,8% respectively [40,41].…”

Section: Discussionsupporting

confidence: 90%

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Prevalence unmet need for family planning and its associated factors in Ethiopia 2019: sytematic review and meta analysis

Getaneh¹,

Negesse²,

Moltot³

2019

Preprint

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Background unmet need for family planning is a common cuase of uninteded pregnancy which mostly end up with abortion. Many fragmented studies were conducted on unmet need in Ethiopia but no single evidence was present. So this meta analysis was established to estimate the pooled prevalence of unmet need for family planning in Ethiopia. Methods articles were retrived through search engines: PubMed/MEDLINE, EMBASE, CINAHL, Google Scholar, HINARI portal, and Cochrane Library using the preferred Reporting Items for Systematic Reviews and Meta-Analyses Protocols (PRISMA) checklist guidelines. Joanna Briggs Institute Meta-Analysis of Statistics Assessment and Review Instrument (JBI-MAStARI) was applied for critical appraisal of included articles. Random effect model meta analysis was done to estimate the pooled prevalence of unmet need for family planning with their respective Odds Ratio (OR) and 95% confidence interval (CI). Cochran’s Q statistic, Egger’s and Begg’s test and meta regression were carried out to assess heterogeneity, publication bias and to identify associated factors respectively. Results 15 articles and 17, 585 reproductive age women were included to estimate the polled prevalence of unmet need for family planning in Ethiopia. The pooled prevalence of unmet need for family planning in Ethiopia was 31.45% (95%CI: 26.52, 36.39). Age at first marriage <18yrs with OR=2.3 (95% CI: 1.08, 4.87), being illiterate women with OR= 0.9 (95%CI: 1.19, 3.04), illiterate partner with OR=1.78 (95%CI: 1.18, 2.68) and absence of discussion with their partner with OR=3.52 (95%CI: 2.56, 4.87) were the associated factors. Conclusion This meta analysis revealed the prevalence of unmet need for family planning in Ethiopia was high. Early marriage, illiteracy and absence of open discussion were factors affecting the prevalence of unmet ned for family planning. Therefore, the responsible body inlcuding family health guiadance should strength women empowerment interms of education (equal accessible eduaction for all), avoid early marriage (before 18yrs) and facilitate open partners discussion within house hold.

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Section: Discussionsupporting

confidence: 90%

“…Subgroup analysis was performed to compare the prevalence of unmet need for family planning using study year, sample size, region and study setting. The subgroup analysis by region showed the highest prevalence of unmet need for family planning in SNNPR, 39…”

Section: Sub Group Analysismentioning

confidence: 93%

Prevalence unmet need for family planning and its associated factors in Ethiopia 2019: sytematic review and meta analysis

Getaneh¹,

Negesse²,

Moltot³

2019

Preprint

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“…Unmet need for spacing is defined as the noncurrent use of FP despite the desire of eligible couples' desire to delay the next birth by at least 2 years while "unmet need for limiting" occurs when eligible couples are not currently using a method of contraception and want to stop childbearing. The "total unmet need" is the addition of both the unmet need for spacing and limiting (Austin, 2015;Bradley et al, 2012;Bradley, Schwandt, & Khan, 2009;Khalil et al, 2017;PATH, 2008). Source.…”

Section: Discussionmentioning

confidence: 99%

Demand and Unmet Needs of Contraception Among Sexually Active In-Union Women in Nigeria: Distribution, Associated Characteristics, Barriers, and Program Implications

2018

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It is not clear whether the 16% unmet need for contraceptives in Nigeria indicates a success story. This study assessed the contraceptive prevalence rate (CPR), total contraceptive demand, and unmet needs and determined the distribution, determinants, and barriers to contraceptive demands and unmet needs in Nigeria. The fertility, breastfeeding, and contraceptive use information provided by 27,829 women who were either currently married or in a sexual union in the 2013 Nigeria Demographic and Health Survey (NDHS) were extracted. Associations between having unmet needs and the demographic, socioeconomic, and reproductive profiles of the respondents were assessed using bivariate and multiple logistic regression at 5% significance level. Multiple response data analysis techniques were used to assess barriers to nonuse of contraceptives. Data were weighted to reflect differentials in the population of in-union women in each geographical state. The modern CPR was 9.8% while total demand for contraception was 31.2%, consisting of unmet need at 16.1% and met needs at 15.1%. Unmet need for family planning was higher among rural women compared with urban women (16.8% vs. 14.9%); younger women (adjusted odds ratio [aOR] = 4.29; confidence interval [CI] = [3. 03, 6.07]), women belonging to poorer economic status (aOR = 2.27, CI = [1.92, 2.68]), and women with no education (aOR = 3.23, CI = [2.60, 4.02]) had higher odds of unmet needs. The low unmet need should not be mistaken for a good progress in family planning programming in Nigeria; the success is better measured using the level of total demand for contraceptives and CPR. Interventions to improve the socioeconomic status of women, increase the knowledge of modern contraceptives, and improve women's decision-making power should be prioritized.

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“…Unmet need of contraception:refers to the contraceptive need of fecund and currently married women or living in union who are either not pregnant and want child latter on or not at all, or who are pregnant as result of a mistimed or unwanted pregnancy but not using any contraceptive method (19). Unmet need for spacing: -the percentages of not pregnant women who want another child after two years and who are pregnant as result of a mistimed pregnancy but not using modern any modern Data processing, management and Quality Assurance After appropriate coding, the data were entered using Epi Info version 3.5.3 software and exported to SPSS version 20 software for analysis.…”

Section: Operational Definitionsmentioning

confidence: 99%

“…respectively. This high magnitude of unmet need caused for a rapid population growth and a shortage of services particularly in less developed countries (19).…”

Section: Introductionmentioning

confidence: 99%

Unmet need for modern contraceptive method and associated factors among married women in mekelle city, Tigray, Ethiopia: Community based cross sectional study

Hailu¹,

Tekeste

Siyoum

2019

Preprint

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Background: Contraceptive use has increased markedly in the recent years in most developing countries, due to desire for smaller families; however, millions of women still want to delay or avoid pregnancy but are not using contraception to limit or to space their birth.Thus, the objective of this study is to assess unmet need for family planning among married women in Mekelle city, Tigray. Methods: Community based cross-sectional study was conducted among married reproductive age women. Data were collected from October, 15 up to Novmber, 15/ 2018. A total of 426 study participants were interviewed using a systematic random sampling technique. Structured and interviewer administered questionnaire was used to collect the data and were analyzed using SPSS version 22. Bivariate and multivariable logistic regression models were used to assess the predictors of the outcome variable. P-value of less than 0.05 was considered to test statistical significance. Results: The overall unmet need for modern contraception among the currently married women of reproductive age women was 19.7% (95% CI: 16.2%-23.7%) and of which 13.3% was unmet need for spacing and 6.4% was unmet need for limiting.Age of mother (25-34 years: AOR =2.79, 95%CI =1.03-7.60), occupational status of mother (AOR =2.72, 95%CI =1.72-4.02), number of living children (AOR =2.31 95%CI =1.09-4.84) and knowledge of mother about modern contraceptive methods (AOR =3.38, 95%CI=1.82-9.92) were independent predicators for unmet need for modern contraception. Conclusion: The prevalence of unmet need for contraception is low. Age of mother, occupational status of mother, number of children and knowledge of mother about modern contraceptive methods were the independent predicators for unmet need of modern contraception. Strong effort should be made by health care workers to reduce unmet need and policy makers should use different approaches to educate women about modern contraception and increase its utilization for spacing and limiting.

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Unmet need and demand for family planning among married women of Abha, Aseer Region in Saudi Arabia

Cited by 57 publications

References 11 publications

Prevalence unmet need for family planning and its associated factors in Ethiopia 2019: sytematic review and meta analysis

Prevalence unmet need for family planning and its associated factors in Ethiopia 2019: sytematic review and meta analysis

Demand and Unmet Needs of Contraception Among Sexually Active In-Union Women in Nigeria: Distribution, Associated Characteristics, Barriers, and Program Implications

Unmet need for modern contraceptive method and associated factors among married women in mekelle city, Tigray, Ethiopia: Community based cross sectional study

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