Faculty of Medicine, Institute of Public Health, University of Heidelberg, Heidelberg, Germany.
School of Business & Law, University for Development Studies, Wa, Ghana.
BMC Pregnancy Childbirth. 2017 Dec 19;17(1):426. doi: 10.1186/s12884-017-1614-z.
Unmet need for family planning has implications for women and their families, such as unsafe abortion, physical abuse, and poor maternal health. Contraceptive knowledge has increased across low-income settings, yet unmet need remains high with little information on the factors explaining it. This study assessed factors associated with unmet need among pregnant women in rural Burkina Faso.
We collected data on pregnant women through a population-based survey conducted in 24 rural districts between October 2013 and March 2014. Multivariate multilevel logistic regression was used to assess the association between unmet need for family planning and a selection of relevant demand- and supply-side factors.
Of the 1309 pregnant women covered in the survey, 239 (18.26%) reported experiencing unmet need for family planning. Pregnant women with more than three living children [OR = 1.80; 95% CI (1.11-2.91)], those with a child younger than 1 year [OR = 1.75; 95% CI (1.04-2.97)], pregnant women whose partners disapproves contraceptive use [OR = 1.51; 95% CI (1.03-2.21)] and women who desired fewer children compared to their partners preferred number of children [OR = 1.907; 95% CI (1.361-2.672)] were significantly more likely to experience unmet need for family planning, while health staff training in family planning logistics management (OR = 0.46; 95% CI (0.24-0.73)] was associated with a lower probability of experiencing unmet need for family planning.
Findings suggest the need to strengthen family planning interventions in Burkina Faso to ensure greater uptake of contraceptive use and thus reduce unmet need for family planning.
计划生育未满足的需求对妇女及其家庭有影响，例如不安全堕胎、身体虐待和产妇健康状况不佳。在低收入环境中，避孕知识有所增加，但仍有很高的未满足需求，而且几乎没有关于解释这些需求的信息。本研究评估了布基纳法索农村地区孕妇未满足的计划生育需求的相关因素。
我们通过 2013 年 10 月至 2014 年 3 月在 24 个农村地区进行的一项基于人群的调查收集了孕妇数据。使用多变量多层逻辑回归评估了计划生育未满足需求与一系列相关需求和供应方因素之间的关联。
在调查涵盖的 1309 名孕妇中，有 239 名（18.26%）报告经历了计划生育未满足的需求。有三个以上活产子女的孕妇[比值比（OR）=1.80；95%置信区间（CI）（1.11-2.91）]、有 1 岁以下子女的孕妇[OR=1.75；95%CI（1.04-2.97）]、其伴侣反对避孕使用的孕妇[OR=1.51；95%CI（1.03-2.21）]和与伴侣相比希望生育较少子女的孕妇[OR=1.907；95%CI（1.361-2.672）]更有可能经历计划生育未满足的需求，而在计划生育后勤管理方面接受过培训的卫生工作人员[OR=0.46；95%CI（0.24-0.73）]与较低的计划生育未满足需求的可能性相关。
研究结果表明，布基纳法索需要加强计划生育干预措施，以确保更多人使用避孕药具，从而减少计划生育未满足的需求。
