DOI: http://dx.doi.org/10.18203/2320-1770.ijrcog20190865

Profile of unmet needs of family planning in an urban slum of Ganjam district, Odisha, India: a cross-sectional study

Smaranita Sabat, Dhaneswari Jena, Durga Madhab Satapathy, Sithun Patro, Radhamadhab Tripathy

Abstract


Background: Unmet need for family planning refers to the percentage of fecund women of reproductive age either married or in union, women who either wish to postpone the next birth (spacers) or who wish to stop child bearing (limiters) but are not using a contraceptive method. This clearly indicates a gap between a woman’s reproductive intention and current contraceptive behaviour. The objectives of the present study was to determine the prevalence of unmet need for family planning, to assess the association between socio-demographic characteristics and unmet need of family planning, to identify the reasons for unmet need.

Methods: It was a cross-sectional study conducted from June to August 2018 in Ankuli (UHTC). A total of 188 ever married women in the reproductive age group were selected by simple random sampling.

Results: Out of 188 women, 41 (21.8%) had no need for contraception and needs for family planning of 78 (41.5%) women had been met. The prevalence of unmet need for family planning was 36.7% consists of 24 (12.8%)  spacing need and 45 (23.9%)  limiting need. It was found that age, education of women, age at marriage, number of living children, contraceptive knowledge and inter-spousal communication were significantly associated with unmet need for family planning. The most common reason for not using any contraceptive method was fear of side effects (40.6%).

Conclusions: The unmet need for family planning was high and in order to reduce the gap, the program should address the above reasons.


Keywords


Contraception, Family planning, Limiting, Spacing, Unmet need

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References


WHO | Family planning/Contraception. WHO [Internet]. 2017 [cited 2017 Oct 12]; Available from: http://www.who.int/mediacentre/factsheets/fs351/en/

Family Planning : Background - Governnment of India. Available from: http://nhm.gov.in/nrhm-components/rmnch-a/family-planning/background.html

WHO. WHO | Unmet need for family planning [Internet]. Who. World Health Organization; 2016 Available from: http://www.who.int/reproductivehealth/topics/family_planning/unmet_need_fp/en/ Welfare) I (Health & F.

National Family Health Survey. India Fact Sheet. 2015. Available from: http://rchiips.org/NFHS/pdf/NFHS4/India.pdf

Pradesh H. Ministry of Health and Family Welfare State Fact Sheet. Available from: http://rchiips.org/NFHS/pdf/NFHS4/OR_FactSheet.pdf

Vital Statistics Division, Office of the Registrar General & Census Commissioner I, New Delhi. Annual health survey 2012-13 fact sheet, Vital Statistics Division Office of the Registrar General & Census Commissioner, India New Delhi. 2012; Available from: www.censusindia.gov.in

Pal A, Mohan U, Idris MZ, Masood J. Factors affecting unmet need for family planning in married women of reproductive age group in urban slums of Lucknow. Indian J Community Heal. 2014;26(1):44-9.

Begum S, Nair S, Donta B, Prakasam C. Prevalence of unmet need for contraception in urban slum communities, Mumbai. Int J Reprod Contraception, Obstet Gynecol. 2014;3(3):627-30.

Mane A, Chawla P, Pandve H, Valekar S. Assessment of Unmet Needs of Family Planning and Reasons for Non-Use of Contraceptive Methods among Women in Reproductive Age in Rural Community. J Community Med Health Educ. 2017;7(4):2-5.

Raveendran R, Vijayakumar B. Unmet need for family planning in South India. Int J Biomed Adv Res. 2017;8(3):82-6.

Mm J, Nm S, Haveri SP, Nath AS. Unmet needs for family planning in a municipal area in North Kerala , India. Int J Reprod Contraception, Obstet Gynecol. 2016;5(7):2322-7.

Nazir S, Mittal A, K Anand B, Goel R, Singh J, Arshad R. Determinants of Unmet Need for Family Planning In a Developing Country: An Observational Cross Sectional Study. Natl J Community Med. 2015;6(1):86-91.

Patel BH, Gandha KM, Koringa HT, Mehta JP, Parmar D V, Sudha B Yadav. A Community Based Cross-Sectional Study to Assess the Unmet Need of Family Planning in Urban Slums and It’s Determinants in Western Part of India. Natl J Med Res. 2014;4(1):7-9.

Vasudevan K, Soundarya C. Assessment of unmet need for contraception in an urban area of Pondicherry. Natl J Res Community Med. 2016;5(4):223-8.

Singh S, Kalhan M, Malik JS, Jangra A, Sharma N, Singh S. Assessment of unmet need for family planning and its determinants in a rural block of Haryana. Int J Community Med Public Heal. 2018;5(5):1968-73.

Rasheed N, Khan Z, Khalique N, Siddiqui AR, Hakim S. Unmet need of contraception among married women of reproductive age group in Uttar Pradesh, India. Int J Med Heal Sci Res. 2016;5(1):14-9.

Vohra R, Vohra A, Rathore M, Sharma S, Sharma B, Sharma M. Determinants of the unmet need for family planning among women of Jaipur, Rajasthan. Int J Adv Med Res. 2014;1(1):20.

Relwani NR, Saoji A V, Kulkarni M, Kasturwar N, Zade R, Wadke R. Revealing unmet need for contraception among married women in an urban slum of Nagpur. J Med Sci Pub Health. 2015;4(8):2-6.

Vishnu Prasad R, Venkatachalam J, Singh Z. Unmet Needs of Family Planning Among Women: A Cross-Sectional Study in a Rural Area of Kanchipuram District, Tamil Nadu, South India. J Obstet Gynecol India. 2016;66(1):1-6.

Bhattathiry MM, Ethirajan N. Unmet need for family planning among married women of reproductive age group in urban Tamil Nadu. J Fam Community Med. 2014;21(1):53.