Demand for family planning satisfied with modern methods among sexually active women in low- and middle-income countries: who is lagging behind?

Ewerling, Fernanda; Victora, Cesar G; Raj, Anita; Coll, Carolina de Vargas Nunes; Hellwig, Franciele; Barros, Aluísio J. D.

doi:10.1186/s12978-018-0483-x

Cited by 102 publications

(177 citation statements)

References 36 publications

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“…A limitation is that sexually active unmarried women and those not in unions, e.g. adolescents, are not included in the UN data (for a study including these categories and also traditional contraceptive methods in 77 countries, see [59]). We only included modern methods, as they are most effective and emphasized.…”

Section: Regions and Countriesmentioning

confidence: 99%

Human fertility in relation to education, economy, religion, contraception, and family planning programs

Götmark

Andersson

2020

BMC Public Health

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Background: The world population is expected to increase greatly this century, aggravating current problems related to climate, health, food security, biodiversity, energy and other vital resources. Population growth depends strongly on total fertility rate (TFR), but the relative importance of factors that influence fertility needs more study. Methods: We analyze recent levels of fertility in relation to five factors: education (mean school years for females), economy (Gross Domestic Product, GDP, per capita), religiosity, contraceptive prevalence rate (CPR), and strength of family planning programs. We compare six global regions: E Europe, W Europe and related countries, Latin America and the Caribbean, the Arab States, Sub-Saharan Africa, and Asia. In total, 141 countries are included in the analysis. We estimate the strength of relationships between TFR and the five factors by correlation or regression and present the results graphically. Results: In decreasing order of strength, fertility (TFR) correlates negatively with education, CPR, and GDP per capita, and positively with religiosity. Europe deviates from other regions in several ways, e.g. TFR increases with education and decreases with religiosity in W Europe. TFR decreases with increasing strength of family planning programs in three regions, but only weakly so in a fourth, Sub-Saharan Africa (the two European regions lacked such programs). Most factors correlated with TFR are also correlated with each other. In particular, education correlates positively with GDP per capita but negatively with religiosity, which is also negatively related to contraception and GDP per capita. Conclusions: These results help identify factors of likely importance for TFR in global regions and countries. More work is needed to establish causality and relative importance of the factors. Our novel quantitative analysis of TFR suggests that religiosity may counteract the ongoing decline of fertility in some regions and countries.

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Section: Regions and Countriesmentioning

confidence: 99%

Human fertility in relation to education, economy, religion, contraception, and family planning programs

Götmark

Andersson

2020

BMC Public Health

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“…Most of the studies done in the area of family planning focus on contraceptive use, the contraceptive methods used, and socioeconomic and demographic determinants of contraceptive use [20,22]. Studies of demand for family planning tend to focus on demand by method [23] and in the postpartum period [24,25]. However, little research has been done on the factors that determine demand for family planning by wealth quintile, speci cally among poor women.…”

Section: Introductionmentioning

confidence: 99%

Demand for Family Planning among Poor Women in Uganda: Analysis of the Uganda Demographic and Health Surveys

Kabagenyi

Kakande²,

Owayezu

2020

Preprint

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Abstract Background: Family planning is one of the major cost-effective interventions to improve maternal health, reduce maternal and child mortality, and prevent unplanned pregnancies, yet its use remains low in sub-Saharan Africa, especially among the poor. In Uganda, little is known about the factors influencing the demand for family planning among the poor. This study examines the determinants of demand for family planning among poor women in a limited-resource setting.Methods: The study is based on data from the 2006, 2011, and 2016 Uganda Demographic and Health Surveys (UDHS). Multilevel binary logistic regressions were used to examine the influence of different demographic, behavioral, and socioeconomic factors on poor women’s demand for family planning.Results: Our findings showed demand for family planning was 56% in 2006, 60% in 2011, and 65% in 2016 among women in the poorest and poorer household health quintiles who were married or in union. In all three surveys, women age 25-39 had higher odds of demand for family planning compared with women age 15-24. Women with no education had lower odds of demand for family planning compared with those with secondary education. Also, in the 2011 UDHS, women who had heard about family planning on the radio had higher odds of demand for family planning compared with those who had not, and in the 2006 survey women who had discussed family planning at a health facility had higher odds of demand for family planning compared with women who had not done so.Conclusions: Demand for family planning is influenced by a woman’s age, educational attainment, religion, exposure to family planning messages on the radio, and discussion on family planning at a health facility. This study underscores the need for increased family planning counseling by health workers and more discussion about family planning at the health facility. The findings further suggest the need to provide increased adequate family planning services and information for the poor, uneducated, and rural women to meet the demand for family planning.

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“…These speci c challenges to meeting the contraceptive needs among the Guinean adolescents and young women are also recognized by the MoH (15). Other studies reported also a large gap in relation to effectively meet the contraceptive needs and family planning goals of adolescents (33)(34)(35). Moreover, overall, the satis ed demand for modern FP methods remained at 51.7% in the urban areas and was 47.0% for adolescents and young women aged 15-19 years and 46.7% for those aged 20-24 years (18).…”

Section: Dhsmentioning

confidence: 98%

Levels and trends in family planning method use among urban adolescents and young women in Guinea: analysis of Demographic and Health Surveys from 1999 to 2018

Sidibé¹,

Délamou²,

Camara³

et al. 2020

Preprint

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Background Despite improvements, adolescent fertility remains high in Africa. In Guinea, high fertility among adolescents and young women in urban areas remains a public health concern. This study aims to describe levels and trends in, and factors associated with using modern family planning (FP) methods among urban adolescents and young women in Guinea.Methods We used four Guinea Demographic and Health Surveys (DHS) conducted in 1999, 2005, 2012, and 2018. Among urban adolescents and young women (15–24 years), we examined trends over time in four key indicators: 1. Contraceptive use (% using any using any FP method among all and among those in need for FP), 2. Unmet need for FP (% not using any FP method among all and among those in need for FP) and 3.Modern contraceptive use (% of using modern FP methods and among those in need of FP), and 4. % using modern FP method (demand satisfied). We multivariable logistic regression to examine association between socio-demographic factors and modern FP use (indicator 2) on the most recent DHS dataset (2018).Results We found a statistically significant changes over the time period exmained in modern contracetive use (8.4% in 1999 to 12.8% in 2018, p < 0.01), demand satisfied (29.0% in 1999, 54.1% in 2018, p < 0.001), and halving of unmet need for FP (from 15.8% in 1999 to 8.6% in 2018, p < 0.001). The most important changes in these two indicators occurred between 1999 and 2005.. Compared to those 15–19 years, young women (20–24) more likely to use modern FP methods. Those living in Faranah and Kankan more likely to use modern FP method than those in Conakry. Middle and richer wealth quintile households were more likely to use modern FP compared to poorer. Married women compared to nevever married and those from the Peulh and Malinke ethnic groups compared to Soussou were less likely to use modern FP methods.Conclusion Despite some progress, efforts are still needed to improve FP method use among urban adolescent and you women. Future policies and intervention programs should emphasize on improving adolescents’ reproductive health knowledge and increasing awareness of FP method use. The focus should also be on adolescents aged 15–19 years, disparities of urban administrative regions, ethnic groups, and wealth index, especially the poor quintiles.

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Demand for family planning satisfied with modern methods among sexually active women in low- and middle-income countries: who is lagging behind?

Cited by 102 publications

References 36 publications

Human fertility in relation to education, economy, religion, contraception, and family planning programs

Human fertility in relation to education, economy, religion, contraception, and family planning programs

Demand for Family Planning among Poor Women in Uganda: Analysis of the Uganda Demographic and Health Surveys

Levels and trends in family planning method use among urban adolescents and young women in Guinea: analysis of Demographic and Health Surveys from 1999 to 2018

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