Assessing the unmet need for modern contraceptives among reproductive-aged women in rural Nepal

Purpose – The purpose of this research was to determine the extent of the unmet need for modern contraceptives (MC) and its associated factors. Design/methodology/approach – This community-based cross-sectional survey was conducted via interview among 306 women. Percentages, means, standard deviatio...

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Main Authors: Samyukta Chand, Kanittha Chamroonsawasdi, Paranee Vatanasomboon, Natkamol Chansatitporn
Format: Article
Language:English
Published: College of Public Health Sciences, Chulalongkorn University 2022-04-01
Series:Journal of Health Research
Subjects:
Online Access:https://www.emerald.com/insight/content/doi/10.1108/JHR-06-2020-0193/full/pdf?title=assessing-the-unmet-need-for-modern-contraceptives-among-reproductive-aged-women-in-rural-nepal
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author Samyukta Chand
Kanittha Chamroonsawasdi
Paranee Vatanasomboon
Natkamol Chansatitporn
author_facet Samyukta Chand
Kanittha Chamroonsawasdi
Paranee Vatanasomboon
Natkamol Chansatitporn
author_sort Samyukta Chand
collection DOAJ
description Purpose – The purpose of this research was to determine the extent of the unmet need for modern contraceptives (MC) and its associated factors. Design/methodology/approach – This community-based cross-sectional survey was conducted via interview among 306 women. Percentages, means, standard deviations, Chi-square tests and multiple logistic regression were completed for data analysis. Findings – In total, 46.7% of respondents had total unmet need (24.8% spacing and 21.9% limiting). Multiple logistic regression for spacing showed the number of living children (AOR = 40.893, 95% CI = 6.930–241.292), no previous experience of MC (AOR = 30.149, 95% CI = 11.572–78.548) and level of knowledge (AOR = 5.587, 95% CI = 1.366–22.851). With regard to limiting pregnancies, respondent's age (AOR = 12.470, 95% CI = 1.264–86.734), number of living children (AOR = 21.257, 95% CI = 4.825–93.639) and no previous experience of MC (AOR = 120.542, 95% CI = 31.044–486.062) were recorded. Findings revealed that no previous experience of MC (AOR = 714.511, 95% CI = 160.646–3177.955) was a significant predictor of total unmet need. Originality/value – Experience and knowledge of MC play a vital role in the unmet need of MC use. A comprehensive education program to promote decision-making on MC choice and integrated family planning services at local communities by capacity building of service providers should be scaled up.
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spelling doaj.art-787c4cd69489423a9feffb77d69ee86c2023-08-02T08:52:10ZengCollege of Public Health Sciences, Chulalongkorn UniversityJournal of Health Research0857-44212586-940X2022-04-0136339040310.1108/JHR-06-2020-0193657441Assessing the unmet need for modern contraceptives among reproductive-aged women in rural NepalSamyukta Chand0Kanittha Chamroonsawasdi1Paranee Vatanasomboon2Natkamol Chansatitporn3Faculty of Public Health, Mahidol University, Bangkok, ThailandDepartment of Family Health, Faculty of Public Health, Mahidol University, Bangkok, ThailandDepartment of Behavioral Science, Faculty of Public Health, Mahidol University, Bangkok, ThailandDepartment of Biostatistics, Faculty of Public Health, Mahidol University, Bangkok, ThailandPurpose – The purpose of this research was to determine the extent of the unmet need for modern contraceptives (MC) and its associated factors. Design/methodology/approach – This community-based cross-sectional survey was conducted via interview among 306 women. Percentages, means, standard deviations, Chi-square tests and multiple logistic regression were completed for data analysis. Findings – In total, 46.7% of respondents had total unmet need (24.8% spacing and 21.9% limiting). Multiple logistic regression for spacing showed the number of living children (AOR = 40.893, 95% CI = 6.930–241.292), no previous experience of MC (AOR = 30.149, 95% CI = 11.572–78.548) and level of knowledge (AOR = 5.587, 95% CI = 1.366–22.851). With regard to limiting pregnancies, respondent's age (AOR = 12.470, 95% CI = 1.264–86.734), number of living children (AOR = 21.257, 95% CI = 4.825–93.639) and no previous experience of MC (AOR = 120.542, 95% CI = 31.044–486.062) were recorded. Findings revealed that no previous experience of MC (AOR = 714.511, 95% CI = 160.646–3177.955) was a significant predictor of total unmet need. Originality/value – Experience and knowledge of MC play a vital role in the unmet need of MC use. A comprehensive education program to promote decision-making on MC choice and integrated family planning services at local communities by capacity building of service providers should be scaled up.https://www.emerald.com/insight/content/doi/10.1108/JHR-06-2020-0193/full/pdf?title=assessing-the-unmet-need-for-modern-contraceptives-among-reproductive-aged-women-in-rural-nepalmodern contraceptivesrural communitiesunmet needfamily planningnepal
spellingShingle Samyukta Chand
Kanittha Chamroonsawasdi
Paranee Vatanasomboon
Natkamol Chansatitporn
Assessing the unmet need for modern contraceptives among reproductive-aged women in rural Nepal
Journal of Health Research
modern contraceptives
rural communities
unmet need
family planning
nepal
title Assessing the unmet need for modern contraceptives among reproductive-aged women in rural Nepal
title_full Assessing the unmet need for modern contraceptives among reproductive-aged women in rural Nepal
title_fullStr Assessing the unmet need for modern contraceptives among reproductive-aged women in rural Nepal
title_full_unstemmed Assessing the unmet need for modern contraceptives among reproductive-aged women in rural Nepal
title_short Assessing the unmet need for modern contraceptives among reproductive-aged women in rural Nepal
title_sort assessing the unmet need for modern contraceptives among reproductive aged women in rural nepal
topic modern contraceptives
rural communities
unmet need
family planning
nepal
url https://www.emerald.com/insight/content/doi/10.1108/JHR-06-2020-0193/full/pdf?title=assessing-the-unmet-need-for-modern-contraceptives-among-reproductive-aged-women-in-rural-nepal
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