Unmet need for postpartum family planning in Alexandria, Egypt

Elweshahi, Heba; Gewaifel, Gihan; Sadek, Sameh; El-Sharkawy, Omnia Galal

doi:10.1016/j.ajme.2017.03.003

Cited by 31 publications

(38 citation statements)

References 8 publications

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“…The main reasons for unmet need for contraceptives were found to be no menses since last birth, it is up to god and/or fatalistic, health concerns, fear of side effects and not having sex. This were supported with different cross-sectional studies in Saudi Arabia in 2018 found fear of side effect, in Egypt in 2017 discontinuation due to health concerns and in Dangila town, Awi Zone, Amhara regional state of Ethiopia in 2015 identified religious prohibition as main reasons for non-use of contraception [16, 19, 20].…”

Section: Discussionmentioning

confidence: 56%

“…The major reasons for not using contraceptives was inaccessibility of family planning methods, lack of knowledge, religious belief, fear of side effects of contraceptives they had suffered in the past, and opposition by husband [19], discontinuation due to health concerns and pressure from the surroundings were the most common cited reasons for non-use [20], less perceived risk of pregnancy due to breast feeding, religious prohibition [16].…”

Section: Introductionmentioning

confidence: 99%

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Predictors of unmet need for family planning among all women of reproductive age in Ethiopia

Tadele

Angaw

Ali

2019

Contracept Reprod Med

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Introduction Contraception is a good indicator of the extent to which couples have access to reproductive health services. Survey data on unmet need can provide overall direction by helping to pinpoint the obstacles in society and weaknesses in services that need to be overcome. This study is significant as it provides strong policy recommendations for the design and implementation of economic and non-economic interventions into family planning utilization by all eligible women. Objective To Identify Predictors of Unmet Need of Family Planning in Ethiopia. Methods A national level survey by performance monitoring and accountability (PMA 2020), which conducted between March and April 2016 among 7552 all women of 15–49 years were utilized. Stata® version13 were used for survey data for analysis using weighted frequency to give equal chances for enumeration areas represented. Binary and multivariate logistic regression employed. P -value < 0.05 were used to declare independent predictors of unmet need for family planning in Ethiopia. Result 7494 women responded to the interview giving response rate of 99.2%. Overall unmet need for family planning was 1, 214 (16.2%) of which 772 (10.3%) was for spacing and 450 (6.0%) for limiting. Overall unmet need was 540 (7.2%) in urban and 1431(19.1%) in rural areas of the Ethiopia. Statistically significant predictors with this were found to be women’s age 0.73 AOR [95% C.I 0.6–0.9], being lower wealth 0.22 AOR [95% C.I 0.07–0.6] as compared to lowest, parity 2.1 AOR [95% C.I 1.4–2.9], number of children at first use of contraceptive 1.1 AOR [95% C.I 1.03–1.19], having final say with provider 0.03 AOR [95% C.I 0.003–0.23] as compared with own decision making. Conclusion Unmet need of family planning in Ethiopia was generally high especially with significant disparity in residence and regional states. Socio-demographic factors (age and wealth status) and obstetric factor (parity) were found to be significant factor. Informed decision making for provision of contraceptives and enhancing women’s awareness starting their childbearing life with family planning were recommended.

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Section: Discussionmentioning

confidence: 56%

Section: Introductionmentioning

confidence: 99%

Predictors of unmet need for family planning among all women of reproductive age in Ethiopia

Tadele

Angaw

Ali

2019

Contracept Reprod Med

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“…In this study even if they are not significant Husband’s disapproval, prohibition from religion and fear of side effects were found to be the common reasons behind the unmet need for family planning among the respondents of the present study. This is supported by the studies in Pakistan, Sudan, Uganda and Bangladesh [4, 10, 15, 17]. The study in Saudi Arabia reveals that major reason why women do not go in for use of a contraceptive despite their desire to do so revealed lack of knowledge and lack of access to family planning methods, fear of side effect of contraceptives, religious prohibition, and husband’s disapproval as commonly stated reasons [18].…”

Section: Discussionmentioning

confidence: 80%

“…Unintended pregnancy and births have grave consequences to the mother and family and are global social and health burdens. It is much more likely to end in potentially unsafe abortion [4].…”

Section: Introductionmentioning

confidence: 99%

Unmet need for family planning and its associated factor among women of reproductive age in Debre Berhan Town, Amhara, Ethiopia

2019

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ObjectiveUnmet need refers to fecund women who either wish to postpone the next birth (spacers) or who wish to stop childbearing (limiters) but are not using a contraceptive method. The aim of this study was to assess the unmet needs of family planning and identify associated factors in Debre Berhan town among women in reproductive age. The community-based cross-sectional study design was used among 411 study participants (women with reproductive age) at Debre Berhan town. A systematic sampling technique was used to select the households. Bivariate and multivariable analyses were done to determine the association of each independent variable with the dependent variable.ResultsThe overall unmet need for family planning among women in reproductive age groups was found to be 30.9%. Occupational status AOR = 13.992 (1.054–185.833), from whom the respondents got information about family planning AOR = 0.018 (0.002–0.170), having a discussion with husband AOR = 16.692 (2.911–95.713) and support from husband AOR = 0.005 (0.001–0.025) was significantly associated with the outcome variable. The level of unmet need for family planning in the study area is still high compared to the target set (10%) in the national family planning guide plan for Ethiopia.

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“…19 Lower rates of unmet need in comparison to our study were also reported by the studies conducted in Ethiopia 20 and Egypt. 21 The most popular modern contraceptive methods used by postpartum women were condoms (37.1%), Depo-Provera (29.3%) and pills (20.0%). This indicates that there was a skewed methods mix of postpartum women.…”

Section: Discussionmentioning

confidence: 99%

<p>Utilization of Family Planning Methods Among Postpartum Mothers in Kailali District, Nepal</p>

Joshi

Tiwari

Poudyal

et al. 2020

IJWH

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Background: Postpartum contraceptives use offers a distinctive opportunity to maintain appropriate birth spacing for health benefits to both mother and child. However, the concept of postpartum family planning (PPFP) is poorly understood and contraceptives use during the postpartum period remains low in Nepal. Therefore, this study aimed to assess the factors affecting the utilization of family planning (FP) methods among postpartum mothers in the Kailali district, Nepal. Methods: A community-based cross-sectional study was conducted between September and October 2013 among postpartum mothers in Kailali district. Simple random sampling was applied to select a total of 427 study participants. A pre-tested standard semi-structured questionnaire was used for gathering data. Data were analyzed using Statistical Package for Social Sciences (SPSS) version 20.0. Results: Overall, 32.8% of the postpartum women used different types of contraceptives. Condoms (37.1%) followed by Depo-Provera 29.3% were the most used postpartum contraceptives. Half (50%) of the postpartum women had an unmet need for family planning. Multiple logistic regression model revealed that the occupation of husband [AOR=3.2 (95% CI: 2.0-6.00], past use of family planning methods [AOR=4.0 (95% CI:2.4-6.5)] and resumption of menstruation [AOR=2.5 (95% CI:1.6-4.1)] were significantly associated with the use of modern contraceptives during the first year of the postpartum period. Conclusion: Contraceptive uptake within the first year of postpartum was found to be low among women in the Kailali district, Nepal. Previous experience with the use of family planning methods, occupation of the husbands, and resumption of menstruation are important factors in the PPFP decisions of women in this population. Therefore, the family planning program should work on improving couples' knowledge of the risk of pregnancy, fertility returning time and modern contraceptives use during the postpartum period targeting women whose husbands are in migrant occupations, who are not menstruating and who have not used FP before.

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Unmet need for postpartum family planning in Alexandria, Egypt

Cited by 31 publications

References 8 publications

Predictors of unmet need for family planning among all women of reproductive age in Ethiopia

Predictors of unmet need for family planning among all women of reproductive age in Ethiopia

Unmet need for family planning and its associated factor among women of reproductive age in Debre Berhan Town, Amhara, Ethiopia

<p>Utilization of Family Planning Methods Among Postpartum Mothers in Kailali District, Nepal</p>

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