Unmet Need for Family Planning and Spousal Separation in Nepal: A Spatial and Multilevel Analysis
Objectives: In Nepal, where increasing numbers of married couples live apart due to migration, progress in reducing unmet need for family planning (UMN) is stagnant. This study aims to identify spatial patterns of UMN of married women and spousal separation in Nepal and explore associations between...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2023-12-01
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| Series: | International Journal of Public Health |
| Subjects: | |
| Online Access: | https://www.ssph-journal.org/articles/10.3389/ijph.2023.1606395/full |
| _version_ | 1797401828612112384 |
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| author | Yoona Kim Zoé Mistrale Hendrickson Manju Shakya Young Su Park Myunggu Jung |
| author_facet | Yoona Kim Zoé Mistrale Hendrickson Manju Shakya Young Su Park Myunggu Jung |
| author_sort | Yoona Kim |
| collection | DOAJ |
| description | Objectives: In Nepal, where increasing numbers of married couples live apart due to migration, progress in reducing unmet need for family planning (UMN) is stagnant. This study aims to identify spatial patterns of UMN of married women and spousal separation in Nepal and explore associations between UMN and spousal separation at individual- and district-levels.Methods: We used 2016 Nepal Demographic and Health Surveys data to conduct spatial and multilevel logistic analyses.Results: This study shows evidence of similar geographical patterns in UMN of married women and spousal separation. At the individual level, women living with their spouses had 88% (aOR = 0.12, 95% CI 0.11–0.13) decreased odds of experiencing UMN compared to those living apart from their spouses. While not statistically significant, increasing odds of UMN were observed with higher prevalence of spousal separation at the district level.Conclusion: This study contributes to the existing literature by showing similar geographical patterns of UMN and spousal separation across Nepal and demonstrating both individual and contextual effects of spousal separation on UMN among married women. Theoretical and policy implications are discussed. |
| first_indexed | 2024-03-09T02:15:58Z |
| format | Article |
| id | doaj.art-8aeb7b71def644f188ffa657d85d05ac |
| institution | Directory Open Access Journal |
| issn | 1661-8564 |
| language | English |
| last_indexed | 2024-03-09T02:15:58Z |
| publishDate | 2023-12-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | International Journal of Public Health |
| spelling | doaj.art-8aeb7b71def644f188ffa657d85d05ac2023-12-07T04:11:28ZengFrontiers Media S.A.International Journal of Public Health1661-85642023-12-016810.3389/ijph.2023.16063951606395Unmet Need for Family Planning and Spousal Separation in Nepal: A Spatial and Multilevel AnalysisYoona Kim0Zoé Mistrale Hendrickson1Manju Shakya2Young Su Park3Myunggu Jung4Moon Soul Graduate School of Future Strategy, College of Liberal Arts and Convergence Science, Korea Advanced Institute of Science and Technology, Daejeon, Republic of KoreaBloomberg School of Public Health, Johns Hopkins University, Baltimore, MD, United StatesInternational Development Studies, Hankuk University of Foreign Studies, Seoul, Republic of KoreaDepartment of the History of Medicine and Medical Humanities, College of Medicine, Seoul National University, Seoul, Republic of KoreaMoon Soul Graduate School of Future Strategy, College of Liberal Arts and Convergence Science, Korea Advanced Institute of Science and Technology, Daejeon, Republic of KoreaObjectives: In Nepal, where increasing numbers of married couples live apart due to migration, progress in reducing unmet need for family planning (UMN) is stagnant. This study aims to identify spatial patterns of UMN of married women and spousal separation in Nepal and explore associations between UMN and spousal separation at individual- and district-levels.Methods: We used 2016 Nepal Demographic and Health Surveys data to conduct spatial and multilevel logistic analyses.Results: This study shows evidence of similar geographical patterns in UMN of married women and spousal separation. At the individual level, women living with their spouses had 88% (aOR = 0.12, 95% CI 0.11–0.13) decreased odds of experiencing UMN compared to those living apart from their spouses. While not statistically significant, increasing odds of UMN were observed with higher prevalence of spousal separation at the district level.Conclusion: This study contributes to the existing literature by showing similar geographical patterns of UMN and spousal separation across Nepal and demonstrating both individual and contextual effects of spousal separation on UMN among married women. Theoretical and policy implications are discussed.https://www.ssph-journal.org/articles/10.3389/ijph.2023.1606395/fullmigrationNepalreproductive healthspousal separationunmet need for family planning |
| spellingShingle | Yoona Kim Zoé Mistrale Hendrickson Manju Shakya Young Su Park Myunggu Jung Unmet Need for Family Planning and Spousal Separation in Nepal: A Spatial and Multilevel Analysis International Journal of Public Health migration Nepal reproductive health spousal separation unmet need for family planning |
| title | Unmet Need for Family Planning and Spousal Separation in Nepal: A Spatial and Multilevel Analysis |
| title_full | Unmet Need for Family Planning and Spousal Separation in Nepal: A Spatial and Multilevel Analysis |
| title_fullStr | Unmet Need for Family Planning and Spousal Separation in Nepal: A Spatial and Multilevel Analysis |
| title_full_unstemmed | Unmet Need for Family Planning and Spousal Separation in Nepal: A Spatial and Multilevel Analysis |
| title_short | Unmet Need for Family Planning and Spousal Separation in Nepal: A Spatial and Multilevel Analysis |
| title_sort | unmet need for family planning and spousal separation in nepal a spatial and multilevel analysis |
| topic | migration Nepal reproductive health spousal separation unmet need for family planning |
| url | https://www.ssph-journal.org/articles/10.3389/ijph.2023.1606395/full |
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