Determinants of unmet need for family planning in rural Burkina Faso: a multilevel logistic regression analysis
Abstract Background Unmet 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 ex...
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| Format: | Article |
| Language: | English |
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BMC
2017-12-01
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| Series: | BMC Pregnancy and Childbirth |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1186/s12884-017-1614-z |
| _version_ | 1818487028258439168 |
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| author | Joseph K. Wulifan Albrecht Jahn Hervé Hien Patrick Christian Ilboudo Nicolas Meda Paul Jacob Robyn T. Saidou Hamadou Ousmane Haidara Manuela De Allegri |
| author_facet | Joseph K. Wulifan Albrecht Jahn Hervé Hien Patrick Christian Ilboudo Nicolas Meda Paul Jacob Robyn T. Saidou Hamadou Ousmane Haidara Manuela De Allegri |
| author_sort | Joseph K. Wulifan |
| collection | DOAJ |
| description | Abstract Background Unmet 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. Method We 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. Results Of 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. Conclusion Findings 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. |
| first_indexed | 2024-12-10T16:31:38Z |
| format | Article |
| id | doaj.art-4ae1feee408e4fcbbb2627685ddec6ab |
| institution | Directory Open Access Journal |
| issn | 1471-2393 |
| language | English |
| last_indexed | 2024-12-10T16:31:38Z |
| publishDate | 2017-12-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Pregnancy and Childbirth |
| spelling | doaj.art-4ae1feee408e4fcbbb2627685ddec6ab2022-12-22T01:41:31ZengBMCBMC Pregnancy and Childbirth1471-23932017-12-0117111110.1186/s12884-017-1614-zDeterminants of unmet need for family planning in rural Burkina Faso: a multilevel logistic regression analysisJoseph K. Wulifan0Albrecht Jahn1Hervé Hien2Patrick Christian Ilboudo3Nicolas Meda4Paul Jacob Robyn5T. Saidou Hamadou6Ousmane Haidara7Manuela De Allegri8Faculty of Medicine, Institute of Public Health, University of HeidelbergFaculty of Medicine, Institute of Public Health, University of HeidelbergCentre MurazCentre MurazCentre MurazWorld BankWorld BankWorld BankFaculty of Medicine, Institute of Public Health, University of HeidelbergAbstract Background Unmet 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. Method We 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. Results Of 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. Conclusion Findings 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.http://link.springer.com/article/10.1186/s12884-017-1614-zUnmet needUnintended pregnancyFamily planningRural districtsBurkina Faso |
| spellingShingle | Joseph K. Wulifan Albrecht Jahn Hervé Hien Patrick Christian Ilboudo Nicolas Meda Paul Jacob Robyn T. Saidou Hamadou Ousmane Haidara Manuela De Allegri Determinants of unmet need for family planning in rural Burkina Faso: a multilevel logistic regression analysis BMC Pregnancy and Childbirth Unmet need Unintended pregnancy Family planning Rural districts Burkina Faso |
| title | Determinants of unmet need for family planning in rural Burkina Faso: a multilevel logistic regression analysis |
| title_full | Determinants of unmet need for family planning in rural Burkina Faso: a multilevel logistic regression analysis |
| title_fullStr | Determinants of unmet need for family planning in rural Burkina Faso: a multilevel logistic regression analysis |
| title_full_unstemmed | Determinants of unmet need for family planning in rural Burkina Faso: a multilevel logistic regression analysis |
| title_short | Determinants of unmet need for family planning in rural Burkina Faso: a multilevel logistic regression analysis |
| title_sort | determinants of unmet need for family planning in rural burkina faso a multilevel logistic regression analysis |
| topic | Unmet need Unintended pregnancy Family planning Rural districts Burkina Faso |
| url | http://link.springer.com/article/10.1186/s12884-017-1614-z |
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