Standardizing Measurement of Contraceptive Use Among Unmarried Women

Fabic, Madeleine Short; Jadhav, Apoorva

doi:10.9745/ghsp-d-19-00298

Cited by 8 publications

(18 citation statements)

References 20 publications

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“…However, in some countries, higher proportions of these women use contraception than do their married counterparts of the same age, partly because many young married women are seeking their first births. Measurement issues are discussed by Fabic and Jadhay ( 7 ).…”

Section: Resultsmentioning

confidence: 99%

Contraceptive Use, Access to Methods, and Program Efforts in Urban Areas

Ross

2021

Front. Glob. Womens Health

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This article uses two large sets of internationally comparable national surveys to analyze urban patterns of contraceptive use, access to methods, and fertility. Urban areas show higher use of contraception and lower fertility rates than rural areas, with substantial differences in the method mix. Urban women tend more toward the long-term methods of the intrauterine device (IUD), implant, and sterilization and less toward short-term, resupply methods. The overall use increases with education and with higher wealth quintiles. By regions, contraceptive use is unbalanced between urban and rural sectors especially in sub-Saharan Africa, where the overall levels of use are lowest. Overall, the urban fertility rate is only 70% of the rural rate. Across countries, the fertility rate correlates negatively with contraceptive use. National family planning programs tend to raise contraceptive use and to improve access to the methods. About half of the unmarried, sexually active women use contraception, with great diversity in which method is preferred. This holds for all married women as well: regions and countries show quite different patterns of use. Therefore, planners and donors should focus on the circumstances in individual countries.

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Section: Resultsmentioning

confidence: 99%

Contraceptive Use, Access to Methods, and Program Efforts in Urban Areas

Ross

2021

Front. Glob. Womens Health

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“…6,10,11 Women who are infecund or who are unmarried and have not had sex in the last 30 days are considered to have no need for contraception. 12 A major criticism of the measure has been that the unmet need definition does not include questions about whether women want or intend to use contraception. 13 Over time, unmet need went from solely a demographic measure to a key indicator used to measure progress across global calls to action, including Millennium Development Goal 5b.…”

Section: Historical Perspective Of Need-based Measuresmentioning

confidence: 99%

Language and Measurement of Contraceptive Need and Making These Indicators More Meaningful for Measuring Fertility Intentions of Women and Girls

Speizer¹,

Bremner²,

Farid

2022

Glob Health Sci Pract

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“…The study was restricted to married or in-union women because of the assumption that they are at increased risk of pregnancy and may be more interested in limiting childbearing compared to unmarried women. Cultural sensitivity in some African settings may also result in reporting bias on contraceptive use among unmarried women which was another reason for their exclusion [71].…”

Section: Plos Onementioning

confidence: 99%

Individual- and country-level correlates of female permanent contraception use in sub-Saharan Africa

et al. 2020

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Background Female permanent contraception is a cost-effective contraceptive method that can help clients with the desire to limit childbearing achieve their reproductive intention. However, despite its benefits, the use of FPC remains low in sub-Saharan Africa (SSA), and limited studies have examined the correlates of its uptake. In this study, we assessed the individual- and country-level factors associated with the use of FPC among married or in-union women using modern contraceptive methods to limit childbearing in SSA. Methods This study was a secondary data analysis of individual- and country-level data obtained from the Demographic and Health Surveys (DHS) Program and three open data repositories. The study included 29,777 married or in-union women aged 15–49 years using modern contraceptive methods to limit childbearing from DHS conducted in 33 sub-Sahara African countries between 2010 and 2018. We performed descriptive statistics and fitted multilevel logistic regression models to determine the predisposing, enabling, and need factors associated with the use of FPC. Results Approximately 13% of the women used FPC. About 20% of the variance in the odds of using FPC was attributable to between-country differences. In the full model, the significant individual-level factors associated with the use of FPC compared with other modern contraceptive methods were: age (odds ratio [OR] = 1.10; 95%CI = 1.08–1.12), living children (OR = 1.11, 95%CI = 1.04–1.16), high household wealth (OR = 1.39, 95%CI = 1.18–1.64), rural residence (OR = 0.83, 95% CI = 0.71–0.97), joint contraceptive decision with partner (OR = 1.68, 95% = 1.43–1.99), contraceptive decision by partner and others (OR = 2.46, 95% = 1.97–3.07), and the number of living children less than the ideal number of children (OR = 1.40, 95%CI = 1.21–1.62). The significantly associated country-level factors were births attended by skilled health providers (OR = 1.03, 95%CI = 1.00–1.05) and density of medical doctors (OR = 1.37, 95%CI = 1.01–1.85). Conclusions Our results suggest that both individual- and country-level factors affect uptake of FPC in SSA. Increasing geographic, economic, and psychosocial access to FPC may improve its uptake in SSA.

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Standardizing Measurement of Contraceptive Use Among Unmarried Women

Abstract: Because contraceptive prevalence and unmet need for family planning estimates for unmarried women vary widely depending on the chosen sexual recency inclusion factor, all data platforms should adopt a 1-month window in these calculations to have comparable and actionable estimates.

Cited by 8 publications

References 20 publications

Contraceptive Use, Access to Methods, and Program Efforts in Urban Areas

Contraceptive Use, Access to Methods, and Program Efforts in Urban Areas

Language and Measurement of Contraceptive Need and Making These Indicators More Meaningful for Measuring Fertility Intentions of Women and Girls

Individual- and country-level correlates of female permanent contraception use in sub-Saharan Africa

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