Department of Construction Technology and Management, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana.
Department of Population and Health, University of Cape Coast, Cape Coast, Ghana.
Reprod Health. 2022 May 8;19(1):113. doi: 10.1186/s12978-022-01417-7.
Unmet need for contraception is highest in low-and middle-income countries. In Papua New Guinea, about 26% of married women and 65% of unmarried sexually active women have an unmet need for contraception. This study investigated the prevalence and correlates of unmet need for contraception among women in Papua New Guinea.
Data for the study were extracted from the most recent 2016-18 Papua New Guinea Demographic and Health Survey. We included 7950 women with complete data on all variables of interest. Multilevel logistic regression analysis was conducted to examine the factors associated with unmet needs for contraception using four models. Adjusted odds ratios (AOR) and 95% confidence intervals (CIs) were used to present the results of the regression analysis.
We found that the overall unmet need for contraception was 32.2%. The odds of unmet needs for contraception was higher among cohabiting women [AOR = 1.25, 95% CI = 1.01, 1.56], women with 1-3 births [AOR = 1.57, 95% CI = 1.18, 2.08], and women with 4 or more births [AOR = 1.06, 95% CI = 1.13, 2.27]. Likewise, a higher probability of unmet need was found among women whose partners decided on their healthcare as compared to those who decided on their own healthcare [AOR = 1.35, 95% CI = 1.066, 1.71]. With regards to wealth, the likelihood of unmet contraceptive need decreased with an increase in wealth status. With region, it was found that women in the Mamose region had greater likelihood of unmet contraceptive need compared to those in Southern region [AOR = 1.33, 95% CI = 1.09, 1.63].
Our study contributes to the discussion on unmet need for contraception in the context of Papua New Guinea. We found the overall prevalence of unmet need for contraception to be relatively high among women in Papua New Guinea. Public health interventions aimed at addressing women's contraception needs should be encouraged so that women can make informed decisions about contraceptive use. These interventions should be implemented taking into consideration significant socio-demographic characteristics of women as identified in this study.
避孕需求未得到满足的情况在中低收入国家最为严重。在巴布亚新几内亚，约 26%的已婚妇女和 65%的未婚有性行为的妇女避孕需求未得到满足。本研究调查了巴布亚新几内亚妇女避孕需求未得到满足的流行情况及其相关因素。
本研究的数据来自巴布亚新几内亚最近的 2016-18 年人口与健康调查。我们纳入了 7950 名在所有感兴趣变量上均有完整数据的妇女。采用四个模型的多水平逻辑回归分析来研究与避孕需求未得到满足相关的因素。使用调整后的优势比（AOR）和 95%置信区间（CI）来呈现回归分析的结果。
我们发现，避孕需求未得到满足的总体比例为 32.2%。与同居妇女相比，避孕需求未得到满足的可能性更高（AOR=1.25，95%CI=1.01，1.56），生育 1-3 个孩子的妇女（AOR=1.57，95%CI=1.18，2.08），生育 4 个或更多孩子的妇女（AOR=1.06，95%CI=1.13，2.27）。同样，与自己决定医疗保健的妇女相比，伴侣决定医疗保健的妇女更有可能避孕需求未得到满足（AOR=1.35，95%CI=1.066，1.71）。在财富方面，随着财富状况的增加，避孕需求未得到满足的可能性降低。就地区而言，与南部地区的妇女相比，马莫塞地区的妇女避孕需求未得到满足的可能性更大（AOR=1.33，95%CI=1.09，1.63）。
本研究为讨论巴布亚新几内亚的避孕需求未得到满足情况做出了贡献。我们发现，巴布亚新几内亚妇女避孕需求未得到满足的总体比例相对较高。应鼓励采取公共卫生干预措施，满足妇女的避孕需求，以便妇女能够就避孕使用做出知情决策。这些干预措施的实施应考虑到本研究确定的妇女的重要社会人口特征。
