Unmet need for family planning among eligible couples in urban slums of Prayagraj District, Uttar Pradesh, India

Yachna Setu, Shiv Prakash, Khurshid Parveen, Richa Singh


Background: Unmet need for family planning is the major problem in developing countries. The use of family planning methods is better in urban areas as compared to rural areas and it is worse in urban slums. Thus unmet need for family planning is more in urban slums. Aims and objectives: To find out the prevalence of unmet need and to estimate the factors associated with unmet need for Family Planning.

Methods: A community based cross sectional study was carried out on eligible couples selected from urban slums of Allahabad district by multistage random sampling and were interviewed by using pre-tested schedule. Data analysis was done by using SPSS version 21.

Results: The study revealed that 22.47% (80/356) of eligible couples had unmet need for family planning. The most common reason for unmet need was irregular supply of family planning methods (31.25%), followed by opposition from husband/family members (21.25%), fear of side effects of using any family planning methods (17.25%), lack of knowledge regarding any family planning methods (13.75%). The unmet need for family planning was found to be associated with number of live births, education of female participants and occupation of male participants.

Conclusions: The unmet need for family planning is high in slums areas and to improve the condition awareness should be created.


Family Planning, Family planning methods, Unmet need

Full Text:



Bradley SEK, Croft TN, Fishel JD, Westoff CF. Revising Unmet Need for Family Planning. DHS Analytical Studies No. 25. Calverton, Maryland, USA: ICF International; 2012.

Park K. Park's textbook of preventive and social medicine. 24th edn. Jabalpur: M/s Banarsidas Bhanot; 2017:545.

Unmet need for family planning. 2015. World Health Organization. Available at: Accessed on 11 August 2017.

Unmet need for family planning. 2020. Available at: population/publications/dataset/contraception/wcu2014/Metadata/WCU2014_UNMET_NEED_metadata.pdf. Accessed on 22 June 2020.

Shrivastava S, Shrivastava P, Sharma A. Study of pattern of contraceptive use among young sexually active women residing in a Slum of Bhopal. Nat J Community Med. 2016;7(2):130-2.

Prepared by District Health Officials with support from Urban Health Initiative. Urban Health Plan National Urban Health Mission. Prayagraj; 2014: 7-31.

Shewade H, Manoharan K, Subramanian M, Sulthana B, Sunderamurthy B. Unmet need for contraception among married women in an urban area of Puducherry, India. Indian J Med Res. 2015;141(1):115.

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

Srivastava D, Gour N, Tiwari R. A cross-sectional study to determine prevalence of obesity in high income group colonies of Gwalior city. Indian J Community Med. 2009;34(3):218.

Landge J, Dehmubed A. Awareness and practice of family planning method among married women in an urban slum area of Mumbai, Maharashtra. Eur J Pharm Med Res. 2016;3(2):294-7.

Kumar A, Bhardwaj P, Srivastava J, Gupta P. A study on family planning practices and methods among women of urban slums of Lucknow city. Indian J Community Health. 2011;23(2):75-7.

Azmat S, Ali M, Ishaque M, Mustafa G, Hameed W, Khan O. et al. Assessing predictors of contraceptive use and demand for family planning services in underserved areas of Punjab province in Pakistan: results of a cross-sectional baseline survey. Reprod Health. 2015;12(1):12-25.