Determinants Of Unmet Need for Family Planning in A Developing Country: An Observational Cross-Sectional Study

Authors

  • Saima Nazir MMIMSR, Mullana, India
  • Anshu Mittal MMIMSR, Mullana, India
  • Bhupinder K Anand Career Institute of Medical Sciences Ghailla, Lucknow, India
  • RKD Goel MMIMSR, Mullana, India
  • Jagjeet Singh MMIMSR, Mullana, India
  • Arshad Rashid MMIMSR, Mullana, India

Keywords:

Unmet Need, Family Planning, Contraceptive, Population, Methods, Usage

Abstract

Background: Understanding the characteristics of women with unmet need can helpplanners strengthen the population control programs. The aim of this study was to assess the unmet need of contraception and its determinant factors.

Methods: This observational cross-sectional study was carried out in urban and rural field practice areas of a medical college hospital in India over a period of one year and included 2000 married women. Data was collected using a pre-tested questionnaire during a face-to-face interview.

Results: The overall unmet need for family planning was 7.5% (9.1% in rural area and 5.9% in urban area, P - value = 0.0002). Lowest unmet need was seen in the age group 15 – 19 years. Unmet need was higher in illiterate, unemployed women belonging to the low socio-economic group. Respondents whose husbands were illiterates or involved in menial jobs also had a higher unmet need. Unmet need was highest (11.6% rural, 10% urban) in the respondents having three or more children. Among reasons for not using contraception, family inhibition, scare of infertility, cost constraints and unhappiness with health services were significantly associated with unmet need.

Conclusion: Education, income, occupation, knowledge about contraception, communication with partner regarding family planning, media accessibility, gender preference were identified as the contributing factors for Unmet Need.

References

Potts M. The unmet need for family planning. Sci Am 2000;282:88-93.

Indu D. Unmet needs for family planning in urban slums of Trivandrum corporation area - A cross sec-tional study. Calicut Med J 2011;9:e5.

Vernon R. Meeting the family planning needs of post-partum women. Frontlers Programme Brief No. 10. Washington DC: Population Council [Internet]. 2008 [cited 2014 Jan 27]. Available from: www.popcouncil.org/pdfs/frontlers/pbriefs/PB10.pdf

Srivastava DK, Gautam P, Gautam R, Gour N, Bansal M. A study to assess the unmet needs of fami-ly planning in Gwalior district and to study the fac-tors that helps in determining it. Nat J Commun Med 2011;2:28-31.

Kishore J. National Health Programs of India. 7th ed. New Delhi: Century Publication; 2007. pp 93-197.

Ashford L. Unmet need for family planning: recent trends and their implications for programs. Popula-tion Reference Bureau; 2003. pp 1-7.

Family Planning [Internet] 2013. [cited on 2014 Jan 27]. Available from: hetv.org/india/nfhs/nfhs3/NFHS-3-Chapter-05-Family-Planning.pdf

Alkema L, Kantorova V, Menozzi C, Biddlecom A. National, regional, and global rates and trends in con-traceptive prevalence and unmet need for family planning between 1990 and 2015: a systematic and comprehensive analysis. Lancet 2013;381:1642-1652.

Devi DR, Rastogi SR, Retherford RD. Unmet Need for Family Planning in Uttar Pradesh. National Family Health Survey Subject Reports Number 1; 1996:1-27.

Islam R, Islam ZA, Rahman M. Unmet Need for Fam-ily Planning: Experience from Urban and Rural Areas in Bangladesh. Public Health Research 2013;3:37-42.

Shrivastava PS, Saurabh RS. Contraceptive practices adopted by women attending an urban health centre. Afr Health Sci 2012;12:416-421.

Khokhar A, Mehra M. Contraceptive Use in Women From a Resettlement Area in Delhi. Ind J Commun Med 2005;30:21-23

Downloads

Published

2015-03-31

How to Cite

1.
Nazir S, Mittal A, Anand BK, Goel R, Singh J, Rashid A. Determinants Of Unmet Need for Family Planning in A Developing Country: An Observational Cross-Sectional Study. Natl J Community Med [Internet]. 2015 Mar. 31 [cited 2024 Mar. 28];6(01):86-91. Available from: https://njcmindia.com/index.php/file/article/view/1137

Issue

Section

Original Research Articles