Prevalence, patterns and determinants of unmet needs of contraception among married women in Imphal East district of Manipur: a cross-sectional study

Bishwalata Rajkumari; Annie Bichal Maisnam; Oinam Gunipriya Devi; Rajshri Yumnam

doi:10.18203/2394-6040.ijcmph20242565

Authors

Bishwalata Rajkumari Department of Community Medicine, Jawaharlal Nehru Institute of Medical Sciences, Imphal, Manipur, India
Annie Bichal Maisnam Department of Community Medicine, Jawaharlal Nehru Institute of Medical Sciences, Imphal, Manipur, India
Oinam Gunipriya Devi Department of Community Medicine, Jawaharlal Nehru Institute of Medical Sciences, Imphal, Manipur, India
Rajshri Yumnam Department of Community Medicine, Jawaharlal Nehru Institute of Medical Sciences, Imphal, Manipur, India

DOI:

https://doi.org/10.18203/2394-6040.ijcmph20242565

Keywords:

Manipur, Married women, Unmet need of contraception

Abstract

Background: In many countries, unmet need for family planning among pregnant women is a main reason of closely spaced births, child bearing at a very early age, unsafe abortions or physical abuse, all of which are considered as main co-factors to high maternal and infant mortality. Understanding the unmet need of contraception and contraceptive behaviour among married women will help in enhancing the service provision among them. The study was done with the objective to estimate the prevalence of unmet need of contraception and patterns of contraceptive usage among currently married women and to determine the association between unmet need of contraception and some selected variables.

Methods: A cross-sectional study was conducted using pre-tested, semi-structured questionnaire among currently married women. Bivariate and multivariate logistic regression analyses were used to identify factors associated with the unmet need of contraception. A p value of <0.05 was taken as statistically significant.

Results: Out of 300 respondents, more than half (165, 55.0%) had unmet needs of contraception. Age of the participant AOR=1.057 (1.013-1.103), self-employed AOR=0.433 (0.222-0.844), pregnant at present AOR = 7.693 (2.868-20.635), discussing about FP with husband AOR=0.534 (0.305-0.936) and those ever received FP services AOR=2.794 (1.579-4.944) were significantly associated with unmet need of contraception.

Conclusions: Five out of ten women were found to have unmet need for contraception. Awareness programs regarding importance of family planning and various family planning services available at health facilities should be conducted from time to time among the public.

Metrics

Metrics Loading ...

References

World Health Organisation. Trends in maternal mortality 2000 to 2017: estimates by WHO, UNICEF, UNFPA, World Bank Group and the United Nations Population Division, 2019. Available at: https://iris.who.int/handle/10665/327596. Accessed 01 March 2024.

International Institute for Population Sciences. National Family Health Survey (NFHS-4), 2015-16, 2017. Available at: https://dhsprogram.com/pubs/pdf/FR339/FR339.pdf.

Accessed 01 March 2024.

United Nations, Department of Economic and social Affairs, Population Division. World Population Prospects: The 2017 Revision, Key Findings and advance Tables. Working Paper No. ESA/P/WP/248, 2017. Available at: http://esa.un.org/unpd/wpp/Publications/Files/WPP2017_KeyFindings.pdf. Accessed 01 March 2024.

Pal A, Yadav J, Sunita K, Singh J. Factors associated with unmet need of family planning in Bihar, India: a spatial and multilevel analysis. Int J Reprod Contracept Obstet Gynecol. 2018;7(9):3638-45.

Sharjabad FN, Yahya SZS, Rahman HA, Hanafiah M, Manaf RA. Barriers of modern contraceptive practices among asian women: a mini literature review. Glob J Health Sci. 2013;5(5):181-92.

Department of Health and Family Welfare, Ministry of Health and Family Welfare (MoHFW), Govt. of India. NFHS-V: Department of Health and Family Welfare, Ministry of Health and Family Welfare (MoHFW), Govt. of India; 2019-20. Available at: https://main.mohfw.gov.in/sites/default/files/NFHS-5_Phase-II_0.pdf. Accessed 01 March 2024.

Bankole A, Hussain R, Sedgh G, Rossier C, Kaboré I, Guiella G. Unintended pregnancy and induced abortion in Burkina Faso: Causes and consequences. New York: Guttmacher Institute. 2014;75.

Wordl Health Organization. Preventing unsafe abortion and its consequences, 2006. Available at: http://www.who.int/reproductivehealth/publications/unsafe_abortion/0939253763.pdf. Accessed 01 March 2024.

Khalil SN, Alzahrani MM, Siddiqui AF. Unmet need and demand for family planning among married women of Abha, Aseer Region in Saudi Arabia. Middle East Fertil Soci J. 2018;23(1):31-6.

Prateek SS, Saurabh RS. Contraceptive practices adopted by women attending an urban health centre. Afr Heal Sci. 2012;12(4):416-21.

Paudel IS, Budhathoki SS. Unmet needs for family planning in Sunsari, eastern Nepal. Nepal J. 2011;9(3):148-51.

Ali AA, Okud A. Factors affecting unmet need for family planning in Eastern Sudan. BMC Publ Health. 2013;13(102):1471-76.

Dutta G, Konjengbam S, Sangma CM, Akoijam BS, Sonarjit Kh, Mercy A. Unmet needs of contraception in an urban area of Manipur: A cross-sectional study. IOSR-JDMS. 2018;6(15):59-64.

Rajkumari B, Nula P, Longjam U. Contraceptive uptake and its determinants and unmet need for contraception amongst women in an urban Muslim community: A cross-sectional study. J Med Soc. 2013;27(3):181-6.

Thulaseedharan JV. Contraceptive use and preferences of young married women in Kerala, India. OAJC. 2018;14:01-10.

Hameed W, Azmat SK, Bilgrami M, Ishaqe M. Determining the factors associated with unmet need for family planning: a cross-sectional survey in 49 districts of Pakistan. Pak J Publ Heal. 2011;1(1):21.

Genet E, Abeje G, Ejigu T. Determinants of unmet need for family planning among currently married women in Dangila town administration, Awi Zone, Amhara regional state; a cross-sectional study. Reproduct Heal. 2015;12(1):1-5.

Yadav K, Agarwal M, Shukla M, Singh JV, Singh VK. Unmet need for family planning services among young married women (15-24 years) living in urban slums of India. BMC women's health. 2020;20:1-7.