Spatial pattern and determinants of unmet need of family planning in Nigeria

Alaba, Oluwayemisi Oyeronke; Olaomi, John Olutunji; Olubusoye, Olusanya E.

doi:10.1080/20786190.2015.1071536

Cited by 21 publications

(13 citation statements)

References 19 publications

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“…This strongly supports our hypothesis, and it is expected because this category of women has no economic power to access and patronize family planning services, unlike their rich counterparts. In consistent with the findings of this study, the role of household wealth status in unmet need for family planning has also been well-documented in the extant literature (Alaba et al, 2015;Ayele, Tesfaye, Gebreyes, & Gebreselassie, 2013;Nzokirishaka & Itua, 2018). Furthermore, marital status has some association with unmet need for family planning as women who were widowed, divorced or separated are considerably advantaged than married women and women who were never married.…”

Section: Discussionsupporting

confidence: 88%

“…There is also evidence of marked ethnic background disparities in the risk of unmet need for family planning with Ga-Dangme and Ewe women having a higher risk of unmet need whereas Mole-Dagbani women have a lower risk of unmet need than their Akan counterparts. Analogously, considerable ethnic disparities in unmet need for family planning have been observed elsewhere in Nigeria (Alaba et al, 2015). It is, therefore, unclear why this may be the case.…”

Section: Discussionmentioning

confidence: 99%

“…Women with formal education have a considerably higher unmet need for family planning than their counterparts with secondary or higher education, which provides support for our hypothesis. Consequently, secondary school or higher education is a protective factor against the unmet need for family planning (Alaba, Olaomi, & Olubusoye, 2015;Nzokirishaka & Itua, 2018). Predictably, household wealth is found to be strongly associated with unmet need for family planning and women from poor households are considerably disadvantaged concerning the unmet need for family planning than those from rich households.…”

Section: Discussionmentioning

confidence: 99%

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Spatio-temporal variations in unmet need for family planning in Ghana: 2003–2014

Nyarko

Sparks

Bitew

2019

Genus

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Ghana has long prioritized family planning as a key strategy for improving health and socioeconomic development. However, despite the heavy investments in the sector over the last decade, the family planning program has not successfully improved the country's family planning indicators. In this study, we describe the spatial and temporal patterns of unmet need for family planning from 2003 to 2014 and mainly estimate the socioeconomic factors affecting it. Using data from the 2003, 2008, and 2014 Ghana Demographic and Health Surveys, we map the regional and temporal trends in unmet need for family planning and used Bayesian multilevel logistic regression models to estimate the effects of individual-level socioeconomic characteristics on unmet need for family planning. The results show that there are considerable regional disparities in unmet need for family planning for the study period. These disparities show diverse trends among the ten regions in the country over the study period. The patterns of unmet need for family planning are considerably affected by socioeconomic factors such as educational attainment, household wealth, marital, and work status, as well as age, ethnicity, parity, and time (year). Both socioeconomic and demographic factors play a significant role in the patterns of unmet need for family planning in Ghana. There is the need to formulate consistently effective family planning policies focusing mainly on the higher risk groups of women in the country.

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Section: Discussionsupporting

confidence: 88%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Spatio-temporal variations in unmet need for family planning in Ghana: 2003–2014

Nyarko

Sparks

Bitew

2019

Genus

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“…The only significant community-level variable is a region. This is also similar to previous studies conducted in Ghana and Nigeria [51,54,58,59]. Despites different strengths: consider the clustering effect, using a large sample size for analysis, it is not without limitation.…”

Section: Discussionsupporting

confidence: 88%

Individual and community-level factors associated with unmet need for contraception among reproductive-age women in Ethiopia. A multi-level analysis of 2016 Ethiopia Demographic and Health Survey

Yalew

Adane

Kefale

et al. 2020

Preprint

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Background: There is limited evidence on the unmet need for contraceptives among married reproductive-age women especially in developing countries like Ethiopia. Thus, this study aimed to assess individual and community-level factors associated with unmet need for contraception among reproductive-age women in Ethiopia. Method: A secondary analysis was done on the 2016 Ethiopian Demographic and Health Survey (EDHS) dataset which were collected cross-sectional. A total of 9,056 women who were fecund, married and/or sexually active were included in the analysis. Multi-level mixed-effect logistic regression analysis was done by STATA version 14.0 to identify individual and community-level factors. Adjusted odds ratio with 95% confidence interval was used to show the strength and direction of the association and statistical significance was declared at P value less than 0.05. Result: Factors significantly associated with unmet need were; ages of women between 45-49 years [AOR=2.25, 95% CI: (1.34, 3.79)], greater than or equal to three living children [AOR=1.87, 95 % CI: (1.40, 2.49)], belong to richer household [AOR=0.73, 95% CI: (0.54, 0.97)], Muslim followers [AOR=1.37, 95% CI: (1.02, 1.83)], married more than once [AOR=1.31, 95 % CI: (1.06, 1.62)]. From community level variables, belong to Somali region [AOR=0.34, 95% CI: (0.19, 0.61)] were significantly associated with unmet need. Conclusion: Both individual and community-level factors were significant determinants of unmet need. From individual-level factors: advanced ages of women, many total numbers of living children, live in the richer wealth quintile, being Muslim follower and married more than once and from community-level variables: belong to the Somali region were significantly associated with unmet need for contraception. The findings suggested that health care providers should mainly focus on women nearly on menopauses, who live in the poorest household and who had many numbers of living children and married more than once to decrease the unmet need for contraceptives.

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“…This has made further investigation of the socio-demographic drivers of unmet need for family planning imperative in the regions. Several studies across developing countries have examined the determinants of unmet need for family planning [22][23][24][25][26][27][28][29][30][31][32][33][34][35][36]. These studies observed varying prevalence of unmet need for family planning in different countries, identified key determinants of unmet need for family planning (such as women's education, decision-making autonomy, parity, access to mass media, partner desire for more children, spousal violence and place of residence), and also provided context relevant information for the development of appropriate interventions for reducing unmet need for family planning.…”

Section: Introductionmentioning

confidence: 99%

Drivers of Unmet Need for Family Planning among Women of Advanced Reproductive Age in Urban Western Africa

Solanke¹

2018

Family Planning

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Studies have examined unmet need for family planning among urban women in a number of countries, but women of advanced reproductive age have not been explicitly examined. This chapter examined drivers of unmet need for family planning among urban women of advanced reproductive age in selected West African countries. Data were extracted from individual recode of the most recent Demographic and Health Survey (DHS) implemented in the selected countries. The study analysed weighted sample sizes of 800 women in Guinea, 4928 women in Nigeria and 1253 women in the Gambia. The outcome variable was unmet need for family planning. Key explanatory variables are sets of individual and community characteristics. Three multilevel logistic regression models were fitted using Stata 12. Results showed that among urban women of advanced reproductive age, unmet need for limiting was dominant. Results further revealed that individual and community characteristics significantly drive variations in unmet need for family planning in the studied countries. Urban interventions to reduce unmet need for family planning in West African countries should target women of advanced reproductive age.

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Spatial pattern and determinants of unmet need of family planning in Nigeria

Cited by 21 publications

References 19 publications

Spatio-temporal variations in unmet need for family planning in Ghana: 2003–2014

Spatio-temporal variations in unmet need for family planning in Ghana: 2003–2014

Individual and community-level factors associated with unmet need for contraception among reproductive-age women in Ethiopia. A multi-level analysis of 2016 Ethiopia Demographic and Health Survey

Drivers of Unmet Need for Family Planning among Women of Advanced Reproductive Age in Urban Western Africa

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