Unmet need for contraception and its association with unintended pregnancy in Bangladesh

BMC Pregnancy and Childbirth

Research Article

Sanni Yaya¹  Ghose Bishwajit²  Shangfeng Tang²  Zhanchun Feng² 

[1] School of International Development and Global Studies, University of Ottawa, K1N 6N5, Ottawa, ON, Canada;School of Medicine and Health Management, Tongji Medical College, Huazhong University of Science and Technology, 430030, Wuhan, Hubei, China;

关键词: Unintended pregnancy;    Unmet need for contraception;    Reproductive health;    Bangladesh;   

DOI  :  10.1186/s12884-017-1379-4

 received in 2016-03-08, accepted in 2017-06-07,  发布年份 2017

来源: Springer

【 摘 要 】

BackgroundUnmet need for contraception and unintended pregnancy are important public health concerns both in developing and developed countries. Previous researches have attempted to study the factors that influence unintended pregnancy. However, the association between unmet need for contraception and unwanted pregnancy is not studied adequately. The aim of the present study was to measure the prevalence of unmet need for contraception and unwanted pregnancy, and to explore the association between these two in a nationally representative sample in Bangladesh.MethodsData for the present study were collected from Bangladesh demographic and health survey conducted in 2011. Participants were 7338 mothers ageing between 13 and 49 years selected from both rural and urban residencies. Planning status of last pregnancy was the main outcome variable and unmet need for contraception was the explanatory variable of primary interest. Cross tabulation, chi-square tests and logistic regression (Generalised estimating equations) methods were used for data analysis.ResultsMean age of the sample population was 25.6 years (SD 6.4). Prevalence of unmet need for contraception was 13.5%, and about 30% of the women described their last pregnancy as unintended. In the adjusted model, the odds of unintended pregnancy were about 16 fold among women who reported facing unmet need for contraception compared to those who did not (95% CI = 11.63–23.79).ConclusionNational rates of unintended pregnancy and of unmet need for contraception remain considerably high and warrant increased policy attention. Findings suggests that programs targeting to reduce unmet need for contraception could contribute to a lower rate of unintended pregnancy in Bangladesh. More in-depth and qualitative studies on the underlying sociocultural causes of unmet need can help develop context specific solutions to unintended pregnancies.

【 授权许可】

CC BY   
© The Author(s). 2017