PDF(Pubmed)
Abstract：
BACKGROUND: Unmet need for family planning is a proportion of women among reproductive age group who want to stop or delay childbearing but are not using any method of contraception. One in ten married women face unmet need for family planning world-wide whereas, one in five women in Africa. Thus, by understanding factors associated with unmet need specific to the study area; the study contributes to planning and intervention of programs, gives additional finding for controversies in earlier studies, and also helps as a baseline for other researchers conducting studies on similar topics.
METHODS: A community-based unmatched case-control study was conducted from March 29-April 25, 2021 G.C on 462 currently married reproductive age women (154 cases and 308 controls) in Dewa Chefa District. Currently married reproductive-age women who were fecund, and wanted to limit or delay childbearing but were not using any contraceptive methods were taken as cases and currently married reproductive-age women who were using family planning or did not want to use were taken as controls. A structured and pre-tested questionnaire was used to collect data. Collected data were entered into Epi-data 3.1 and exported to SPSS 23 for analysis. Binary Logistic regression was conducted and variables with p-value < 0.05 were taken as statistically significant.
RESULTS: A total of 462 women participated in this study, with 100% response rate. The mean age of the respondents was 27.92 years (with SD of ± 6.3) Age of woman 35-49 [AOR = 6.6 (1.1-39)], having poor knowledge on family planning [AOR = 1.9 (1.1-3.1)], using family planning decided by husband [AOR = 3.8 (2.1-6.9)], using family planning decided together [AOR = 2.3 (1.07-5.1)] and have no support and disapproval of husband for family planning use [AOR = 2.1 (1.08-4)] were factors significantly associated with unmet need.
CONCLUSIONS: Age of the woman, main decider of family planning use, knowledge about family planning and support and approval of spouse for family planning use were found to have significant association with unmet need for family planning. Thus, family planning providers, District health office, and other concerned bodies should strengthen female empowerment and male involvement in the program with strong couple counseling to reduce unmet need.
METHODS: A community-based unmatched case-control study was conducted from March 29-April 25, 2021 G.C on 462 currently married reproductive age women (154 cases and 308 controls) in Dewa Chefa District. Currently married reproductive-age women who were fecund, and wanted to limit or delay childbearing but were not using any contraceptive methods were taken as cases and currently married reproductive-age women who were using family planning or did not want to use were taken as controls. A structured and pre-tested questionnaire was used to collect data. Collected data were entered into Epi-data 3.1 and exported to SPSS 23 for analysis. Binary Logistic regression was conducted and variables with p-value < 0.05 were taken as statistically significant.
RESULTS: A total of 462 women participated in this study, with 100% response rate. The mean age of the respondents was 27.92 years (with SD of ± 6.3) Age of woman 35-49 [AOR = 6.6 (1.1-39)], having poor knowledge on family planning [AOR = 1.9 (1.1-3.1)], using family planning decided by husband [AOR = 3.8 (2.1-6.9)], using family planning decided together [AOR = 2.3 (1.07-5.1)] and have no support and disapproval of husband for family planning use [AOR = 2.1 (1.08-4)] were factors significantly associated with unmet need.
CONCLUSIONS: Age of the woman, main decider of family planning use, knowledge about family planning and support and approval of spouse for family planning use were found to have significant association with unmet need for family planning. Thus, family planning providers, District health office, and other concerned bodies should strengthen female empowerment and male involvement in the program with strong couple counseling to reduce unmet need.
摘要：
背景：未满足的计划生育需求是育龄妇女中希望停止或推迟生育但不使用任何避孕方法的比例。全球十分之一的已婚妇女面临未满足的计划生育需求，非洲五分之一的女性。因此，通过了解与特定于研究区域的未满足需求相关的因素；该研究有助于计划和干预计划，为早期研究中的争议提供了额外的发现，也有助于作为其他研究人员进行类似主题研究的基线。
方法：一项基于社区的无匹配病例对照研究于2021年3月29日至4月25日在DewaChefa区对462名目前已婚育龄妇女（154例和308名对照）进行。目前已婚育龄妇女多产，并希望限制或延迟生育但不使用任何避孕方法作为案例，目前正在使用计划生育或不想使用的已婚育龄妇女作为对照。使用结构化和预先测试的问卷来收集数据。将收集的数据输入到Epi-data3.1中，并输出到SPSS23进行分析。进行二元Logistic回归分析，将p值<0.05的变量视为有统计学意义。
结果：共有462名妇女参加了这项研究，100%的反应率。受访者的平均年龄为27.92岁（SD为±6.3），女性35-49岁[AOR=6.6（1.1-39）]，对计划生育缺乏了解[AOR=1.9(1.1-3.1)]，使用由丈夫决定的计划生育[AOR=3.8（2.1-6.9）]，使用计划生育共同决定[AOR=2.3（1.07-5.1）]和没有支持和不赞成丈夫使用计划生育[AOR=2.1（1.08-4）]是与未满足需求显着相关的因素。
结论：女性的年龄，计划生育使用的主要决策者，关于计划生育的知识以及支持和批准配偶用于计划生育的知识被发现与未满足的计划生育需求有显著关联。因此，计划生育提供者，区卫生局，其他有关机构应加强女性赋权和男性参与该计划，并提供强有力的夫妻咨询，以减少未满足的需求。
方法：一项基于社区的无匹配病例对照研究于2021年3月29日至4月25日在DewaChefa区对462名目前已婚育龄妇女（154例和308名对照）进行。目前已婚育龄妇女多产，并希望限制或延迟生育但不使用任何避孕方法作为案例，目前正在使用计划生育或不想使用的已婚育龄妇女作为对照。使用结构化和预先测试的问卷来收集数据。将收集的数据输入到Epi-data3.1中，并输出到SPSS23进行分析。进行二元Logistic回归分析，将p值<0.05的变量视为有统计学意义。
结果：共有462名妇女参加了这项研究，100%的反应率。受访者的平均年龄为27.92岁（SD为±6.3），女性35-49岁[AOR=6.6（1.1-39）]，对计划生育缺乏了解[AOR=1.9(1.1-3.1)]，使用由丈夫决定的计划生育[AOR=3.8（2.1-6.9）]，使用计划生育共同决定[AOR=2.3（1.07-5.1）]和没有支持和不赞成丈夫使用计划生育[AOR=2.1（1.08-4）]是与未满足需求显着相关的因素。
结论：女性的年龄，计划生育使用的主要决策者，关于计划生育的知识以及支持和批准配偶用于计划生育的知识被发现与未满足的计划生育需求有显著关联。因此，计划生育提供者，区卫生局，其他有关机构应加强女性赋权和男性参与该计划，并提供强有力的夫妻咨询，以减少未满足的需求。
