Factors affecting unmet need for family planning in Eastern Sudan

BMC Public Health

Amira Okud¹  Abdel Aziem A Ali² 

[1] Faculty of Medicine, Kassala University, Kassala, Sudan;Department of Obstetrics and Gynecology, Faculty of Medicine, Kassala University, P.O. Box 496m, Kassala, Sudan

关键词: Sudan;    Contraception;    Family planning;    Unmet need;   

Others  :  1162577
DOI  :  10.1186/1471-2458-13-102

 received in 2012-07-12, accepted in 2013-01-31,  发布年份 2013

【 摘 要 】

Background

In the developing countries millions of women in the reproductive age who don’t use contraceptives prefer to postpone or limit their birth. This indicates their failure to take necessary decision to prevent and avoid unwanted pregnancy.

Methods

A community-based cross sectional household survey was conducted to investigate unmet need for family planning and associated factors and total demand for family planning in Kassala, Eastern Sudan between 1^st May and 31^st July 2012.

Results

A total of 812 married women were enrolled in this study. Their mean age and parity was 31.8 (7.3) and 3.4 (1.8) respectively. Ever use of contraception was 25.4% (206/812) and 26.2% (213/812) were currently using contraception. Unmet need for spacing was 15.1% while unmet need for limiting was 0.7%. The pregnant and amenorrheic women whose the pregnancy or birth was unwanted and mistimed were 105 (13%) and 130 (16%) respectively. Using Westoff model the total unmet need was estimated as 44.8%. The total demand for family planning was 71%.

In logistic regression model, while age, age at marriage, parity, residence and experience of child death were not associated with total unmet need for family planning, women education < secondary level (OR=7.8; CI=5.6-10.9; P=0.00), husband education < secondary level (OR=1.9; CI=1.3-2.6, P = 0.00) and woman’s occupation; housewife (OR=4.3; CI=2.5-7.2; P=0.00) were associated with the total unmet need.

Conclusions

Unmet need for family planning in Eastern Sudan was significantly higher among women with less than secondary education. Also; it is influenced by couple’s educational status and woman’s occupation. The results of this study necessitate the need for the programme managers to take into account the concept of reproductive health education.

【 授权许可】

   
2013 Ali and Okud; licensee BioMed Central Ltd.

【 图 表 】

Figure 1.

【 参考文献 】

• [1]Malwenna LI, Jayawardana PL, Balasuriya A: Effectiveness of a community based health educational intervention in reducing unmet for moderen methods of family planning among ever married reproductive age women in the Kalutara district Siri Lanka. Int J Collabarative Res Intern Med Public Health 2012, 4(6):1097-1114.
• [2]United Nations: Department of economic and social affairs, population division world contraceptive Use2009. 2009. Viewed on 13th Febraury 2010, POP/DB/CP/Rev 2009. http://www.un.org/esa/population/publications/contraceptive2009/contracept2009_wallchart_front.pdf webcite.
• [3]World Health Organization: unsafe abortion. Global and regional estimates of the incidence of unsafe abortion in 2008. Sixth edition. WHO, Department of Reproductive Health and Research, World Health Organization; 2011.
• [4]World Health Organization: Reducing risk, promoting healthy life. Geneva: WHO Report, Statistical annex; 2002.
• [5]WHO/UNIFPA/UNICEF: Study Group on Programming for Adolescent Health. Programming for Adolescent Health; 1995. (Discussion paper). http://www.pathfind.org/focus.htm webcite
• [6]Government of Sudan: Sudan house hold and health survey 2010. Federal Ministry of Health (FMoH) and Central Bureau of Statistics (CBS) Council of Child Welfare and National Corporation; 2010. http://reliefweb.int/report/sudan/sudan-household-and-health-survey- second-round-2010-summary-report webcite. Published August 2011.
• [7]Mohammed AA, Elnour MH, Mohammed EE, Ahmed SA, Abdelfattah AI: Maternal mortality in Kassala State-Eastern Sudan: community-based study using Reproductive age mortality survey (RAMOS). BMC Pregnancy Childbirth 2011, 11:102. BioMed Central Full Text
• [8]Ali AA, Rayis DA, Mamoun M, Adam I: Use of family planning methods in Kassala. Eastern Sudan. BMC Res Notes 2011, 4(1):43. BioMed Central Full Text
• [9]Ibnouf AH, Borne HW, Maarse JA: M: utilization of family planning services by married Sudanese women of reproductive age. East Mediterr Health J 2007, 13(6):1372-1381.
• [10]Ali AA, Siddig MF: Poor Practice and Knowledge among Traditional Birth Attendants in Eastern Sudan. J Obstet Gynaecol 2012, 32:767-769.
• [11]Westoff CF: New estimate of unmet need and the demand for family planning. DHS comparative reports No. 14. Calverton, Maryland, USA: Marco International Inc; 2006.
• [12]Umbeli T, Mukhtar A, Abusalab MA: Study of unmet need for family planning in Dar Assalam, Sudan. East Mediterr Health J 2001, 11(4):594-600.
• [13]Mekonnen W, Worku A: Determinants of low family planning use and high unmet ne in Butajira District South central Ethiopia. Reprod Heal 2011, 8:37. BioMed Central Full Text
• [14]United Nations Children's Fund: UNICEF strategies for girls' education. Available at: http://www.ungei.org webcite. Accessed February 22, 2006
• [15]Hailemariam A, Haddis F: Factors affecting unmet need for family planning in southern nations, nationalities and peoples region, Ethiopia. Ethio J Health Sci 2011, 21(2):77-89.
• [16]Khan S, Sara EK, Bradley JF, Mishra V: Unmet Need and the Demand for family planning in Uganda: Further Analysis of the Uganda Demographic and Health Surveys 1995- 2006. Calverton, Maryland, USA: X`Macro International Inc; 2008.
• [17]Wafula S, Ikamari L: Patterns, levels and trends in unmet need for contraception: a case study of Kenya. arusha, Tanzania: Paper presented at the fifth African population Conference; 2007.
• [18]Omo-Aghoja LO, Omo-aghoja VW, Aghoja CO, Okonofua FE, Aghedo O, Umueri C, Otayohwo R, Feyi-Waboso P, Onowhakpor EA, Inikori KA: Factors associated with the knowledge, practice and perceptions of contraception in rural Southern Nigeria. Ghana Med J 2009, 43:115-121.
• [19]Hassan AA, Abubaker MS, Radi EA, Adam I: Education, prenatal care, and poor perinatal outcome in Khartoum, Sudan. Int J Gynaecol Obstet 2009, 105:66-7.
• [20]Ali AA, Adam I: Lack of antenatal care, education and high maternal mortality in Kassala hospital, eastern Sudan during 2005 – 2009. J Matern Fetal Neonatal Med 2010. on line
• [21]Ahmed S, Creanga AA, Gillespie DG, Tsui AO: Economic status, education and empowerment: implications for maternal health services utilization in developing countries. PLoS One 2010, 5(6):e11190.