Demand for family planning satisfied with modern methods and its associated factors among married women of reproductive age in rural Jordan: A cross-sectional study

Abstract

Background A novel indicator, 'percentage of women of reproductive age who are sexually active and who have their demands for FP satisfied with modern contraceptive methods (mDFPS)', was developed in 2012 to accelerate the reduction of unmet needs of family planning (FP). In Jordan, unmet needs for modern contraception remain high. To address this situation, this study measured the mDFPS and identified its associated factors in rural Jordan. Methods This cross-sectional study included married women of reproductive age (15-49 years) from ten villages in Irbid Governorate, Jordan, where advanced health facilities are difficult to reach. A two-stage stratified sampling with random sampling at the household stage was used for this field survey which was conducted between September and October 2016. Univariate analysis was used to assess the differences between mDFPS and unmet mDFPS groups. Logistic regression analysis was performed to identify the correlates of mDFPS. Results Of 1019 participants, 762 were identified as needing modern contraception. mDFPS coverage accounted for 54.7%. The most significant factors associated with mDFPS were the husband's agreement on FP (adjusted odds ratio [AOR]: 15.43, 95% confidence interval [CI]: 5.26-45.25), knowledge of modern contraceptives (AOR: 8.76, 95% CI: 5.72-13.40), and lack of awareness of the high risk of conception in the postpartum period (AOR: 2.21, 95% CI: 1.41-3.47). Duration of current residence, receipt of FP counselling at health centres and number of living children were also correlated. In addition, 95.3% of local women

What Influences Modern Contraceptive Utilisation Among Single Mothers in Nigeria? Evidence from Pooled Cross-Sectional Surveys

“…The demographic characteristics are age group (15-24, 25-34 and 35-49 years), age at sexual debut (less than 18 years or 18 or older), parity (one child, two-four children, and ve or more children) fertility desire (wanted more children or wanted no more), and child living arrangement (lives with mother or lives elsewhere). These variables are selected based on their signi cance in previous studies [33][34][56][57][58][59][60]. The control variables are nature of singlehood (premarital or post marital singlehood), sexual activity (active or inactive) and most recent sexual partner (boy/man friend, commercial worker and casual friends).…”

“…Existing studies in Nigeria and elsewhere have examined the associated factors of modern contraceptive utilisation among different segments of women such as adolescents and young people [21][22][23], never married women [24][25][26], women of advanced reproductive age [27][28][29][30]. Other studies have focused the general population of childbearing women [31][32][33][34]. However, the associated factors of modern contraceptive utilisation among single mothers have been rarely explored.…”

Midwives and women's perspectives on family planning in Jordan: human rights, gender equity, decision-making and power dynamics

“…According to a recent national survey, several factors were reported to predict the use of MFPM over traditional methods such as younger women, location in the central region, number of children, and residence in urban areas ( Almalik et al., 2018 ). However, there are documented predictors that could force Jordanian women to choose traditional methods over MFPM such as the distance from health center and number of alive children ( Komasawa et al., 2020 ).…”

Demand for Family Planning Satisfied With Modern Methods in Urban Malawi: CHAID Analysis to Identify Predictors and Women Underserved With Family Planning Services

“…Despite providing a better indication of modern contraceptive coverage and being the main FP indicator for measuring progress in the SDGs, very few studies have examined the predictors of mDFPS within LMICs and the women whose demand for FP is not being satis ed with modern methods (7,9). Many of the studies on mDFPS have focused on macro level analysis at the global level, among LMICs and also at the sub-Saharan African regional level(1, 2,7,8,10).…”

“…Many of the studies on mDFPS have focused on macro level analysis at the global level, among LMICs and also at the sub-Saharan African regional level(1, 2,7,8,10). The few studies at country level have focused on rural areas where the mDFPS coverage is generally low (9). To the best of our knowledge, no study to date has examined mDFPS in an urban setting in sub-Saharan Africa where contraceptive coverage is fairly high relative to rural areas.…”