The Family Planning Manager's Handbook

Wolff, James A.; Suttenfield, Linda J.; Binzen, Susanna

doi:10.2307/1966653

Cited by 4 publications

(3 citation statements)

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“…7 Therefore, many interventions on maternal and neonatal mortality reduction rely on preventing unintended pregnancy. 8 Generally, the global community agrees that unintended pregnancies mainly result from the unmet need for contraception, but it is not always true. 9,10 Indeed, one-third of unintended pregnancies occur among women using family planning (FP) or have a met need.…”

Section: Introductionmentioning

confidence: 99%

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The association between unmet need for contraception and unintended pregnancy among reproductive-age women in Ethiopia

Wondie

2021

Medicine Access @ Point of Care

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Objectives: An unintended pregnancy and unmet need for contraception remains a serious public health issues both in developed and developing countries. This study aimed to investigate the relation between unmet needs for contraception and unintended pregnancy, and identify other factors contributing for unintended pregnancy in Ethiopia. Methods: Data were obtained from the 2016 Ethiopian Demographic and Health Survey. A total of 7590 mothers were included. The planning status of the last pregnancy was the main outcome variable, and the unmet need for contraception was the primary explanatory variable. Bivariate and multiple logistic regressions were carried out. SPSS version 20.0 was used for data analysis. Statistical significance was declared at p < 0.05. Results: More than one-fourth of mothers (26.6%) gave either mistimed or unwanted birth. The rate of unmet need for contraception was 26.5%. Women with unmet need for contraception had (adjusted odds ratio (AOR) = 10.29, 95% confidence interval (CI) = 8.70–12.10) higher odds of experiencing unintended pregnancy than those who met their contraception need. Age, history of pregnancy termination, parity, women’s autonomy, and fertility preference were factors associated with unintended pregnancy. Conclusion: An unintended pregnancy and the unmet need for contraception remain a major public health issue in Ethiopia. A strong positive association between the unmet need for contraception and unintended pregnancy suggests that interventions targeting the unmet need for contraception could reduce unintended pregnancy. Furthermore, empowering women, promoting a clear fertility goal, and improving men’s involvement would reduce unintended pregnancy.

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Section: Introductionmentioning

confidence: 99%

“…7 Therefore, many interventions on maternal and neonatal mortality reduction rely on preventing unintended pregnancy. 8 …”

Section: Introductionmentioning

confidence: 99%

The association between unmet need for contraception and unintended pregnancy among reproductive-age women in Ethiopia

Wondie

2021

Medicine Access @ Point of Care

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“…In the development literature, sustainability is defined broadly or narrowly, depending on the author's objectives for the analysis. For example, one study describes it in general terms as an organization's ability to meet its goals, engage in strategic planning, and develop a diversified funding base (Wolff et al, 1991); a narrower definition emphasizing financial self-reliance is advanced by Haws et al (1992), whereas Williams (1993) focuses on the ability of specific nongovernmental organizations to replace funding from one important donor. Jensen (1991) argues that sustainability depends greatly on clients' willingness to pay for products and services, and, therefore, his definition underscores the importance of program income in covering recurrent costs.…”

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confidence: 99%

Three Strategies to Promote Sustainability of CEMOPLAF Clinics in Ecuador

Jh¹,

Foreit²,

T³

1998

Studies in Family Planning

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Information quality in a remote rural maternity unit in Ghana

Allotey¹

2000

Health Policy and Planning

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The collection of accurate maternal outcome data enables causes of morbidity and mortality to be identified, which in turn permits interventions to be targeted appropriately. It also allows estimates to be made about the importance of various indicators in predicting birth outcome. These indicators can then be compared between health services, across time and against programme objectives, thus ensuring a management information system that informs policy and provides for real change. A review was done of data collection at the antenatal clinic and maternity ward in a remote rural hospital in northern Ghana. The data collected came from maternity ward records and participant observation, and they highlight deficiencies in the record management procedures. It is argued that exhorting staff to greater accuracy, although obvious, may not be the only solution, because of the structural impediments that often give an illusion of accuracy. The best data need to be collected within the constraints of the equipment and the people. Furthermore, to make the task more meaningful, regular feedback needs to be provided so that the process of record keeping is relevant to those who do it. Ministries of health need to conduct regular audits, like this microanalysis, so that policies are not based on data that are analyzed under a presumption of accuracy.

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The Family Planning Manager's Handbook

Cited by 4 publications

References 0 publications

The association between unmet need for contraception and unintended pregnancy among reproductive-age women in Ethiopia

The association between unmet need for contraception and unintended pregnancy among reproductive-age women in Ethiopia

Three Strategies to Promote Sustainability of CEMOPLAF Clinics in Ecuador

Information quality in a remote rural maternity unit in Ghana

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