Determinants of unmet need for family planning in rural Burkina Faso: a multilevel logistic regression analysis

BMC Pregnancy and Childbirth

Research Article

Hervé Hien¹  Patrick Christian Ilboudo¹  Nicolas Meda¹  Manuela De Allegri²  Albrecht Jahn²  Joseph K. Wulifan³  Paul Jacob Robyn⁴  T. Saidou Hamadou⁴  Ousmane Haidara⁴ 

[1] Centre Muraz, Avenue Mamadou Konate, Bobo-Dioulasso, Burkina Faso;Faculty of Medicine, Institute of Public Health, University of Heidelberg, Heidelberg, Germany;Faculty of Medicine, Institute of Public Health, University of Heidelberg, Heidelberg, Germany;School of Business & Law, University for Development Studies, Wa, Ghana;World Bank, 179 Avenue du President Saye Zerbo, Ouagadougou, Burkina Faso;

关键词: Unmet need;    Unintended pregnancy;    Family planning;    Rural districts;    Burkina Faso;   

DOI  :  10.1186/s12884-017-1614-z

 received in 2016-04-08, accepted in 2017-12-07,  发布年份 2017

来源: Springer

【 摘 要 】

BackgroundUnmet need for family planning has implications for women and their families, such as unsafe abortion, physical abuse, and poor maternal health. Contraceptive knowledge has increased across low-income settings, yet unmet need remains high with little information on the factors explaining it. This study assessed factors associated with unmet need among pregnant women in rural Burkina Faso.MethodWe collected data on pregnant women through a population-based survey conducted in 24 rural districts between October 2013 and March 2014. Multivariate multilevel logistic regression was used to assess the association between unmet need for family planning and a selection of relevant demand- and supply-side factors.ResultsOf the 1309 pregnant women covered in the survey, 239 (18.26%) reported experiencing unmet need for family planning. Pregnant women with more than three living children [OR = 1.80; 95% CI (1.11–2.91)], those with a child younger than 1 year [OR = 1.75; 95% CI (1.04–2.97)], pregnant women whose partners disapproves contraceptive use [OR = 1.51; 95% CI (1.03–2.21)] and women who desired fewer children compared to their partners preferred number of children [OR = 1.907; 95% CI (1.361–2.672)] were significantly more likely to experience unmet need for family planning, while health staff training in family planning logistics management (OR = 0.46; 95% CI (0.24–0.73)] was associated with a lower probability of experiencing unmet need for family planning.ConclusionFindings suggest the need to strengthen family planning interventions in Burkina Faso to ensure greater uptake of contraceptive use and thus reduce unmet need for family planning.

【 授权许可】

CC BY   
© The Author(s). 2017