Asif Muhammad Farhan, Ali Majid, Abbas Hafiz Ghulam, Ishfaq Tayyaba, Ali Shafaqat, Abid Ghulam, Lassi Zohra S
UKM-Graduate School of Business, Universiti Kebangsaan Malaysia, 43000 Bangi, Selangor, Malaysia.
Department of Business Management, Ilma University, Karachi, Sindh, Pakistan.
BMC Womens Health. 2024 Dec 21;24(1):651. doi: 10.1186/s12905-024-03495-0.
Family planning facilities provide an extensive choice of assistance that is beneficial for women and the society. It may limit the fatality risk for mothers and babies by reducing the rate of pregnancies and abortions. The Government of Pakistan has been continuously trying to persuade the people about the importance of family planning. The accomplishment of these programs depends upon various aspects associated with the knowledge, availability, and access to contraceptives. This paper has investigated the effect of knowledge and access to contraceptives on the unmet need for family planning (UMNFP) among married women of reproductive age (MWRA) in Pakistan.
The comprehensive dataset of the Pakistan Demographic and Health Survey 2017-18 has been used to investigate the effect of knowledge and access to contraceptives on UMNFP among MWRA in Pakistan by applying Multivariable Logistic regression.
The prevelance of UMNFP is higher among MWRA of 25 to 34 years than other age groups. The likelihood of UMNFP decreases with increase in education above the primary level. The prevalence of UMNFP is found higher among women who belong to the poorer wealth quintile than the women of the poorest wealth quintile. The odds of UMNFP are considerably low among women belonging to the richer and richest wealth quintile, compared to the women of the poorest wealth quintile. Women's participation in decision making for not using contraceptives is a significant factor to reduce UMNFP. The odds of UMNFP are higher among those women who have no knowledge and lack of access to contraceptives compared to those who have knowledge and access to contraceptives.
Both knowledge and access to contraceptives are important factors to determine UMNFP. The government should initiate programs to disseminate knowledge as well as provision of contraceptives for effective family planning.
计划生育机构提供了广泛的援助选择，这对妇女和社会都有益。它可以通过降低怀孕和堕胎率来降低母婴死亡风险。巴基斯坦政府一直在不断努力向人们宣传计划生育的重要性。这些计划的成效取决于与避孕药具的知识、可获得性和获取途径相关的各个方面。本文调查了巴基斯坦育龄已婚妇女对避孕药具的知识和获取途径对未满足的计划生育需求（UMNFP）的影响。
利用2017 - 18年巴基斯坦人口与健康调查的综合数据集，通过应用多变量逻辑回归来研究巴基斯坦育龄已婚妇女对避孕药具的知识和获取途径对UMNFP的影响。
25至34岁的育龄已婚妇女中未满足的计划生育需求发生率高于其他年龄组。小学以上教育程度的提高会降低未满足的计划生育需求的可能性。属于较贫穷财富五分位数组的妇女中未满足的计划生育需求发生率高于最贫穷财富五分位数组的妇女。与最贫穷财富五分位数组的妇女相比，属于较富裕和最富裕财富五分位数组的妇女中未满足的计划生育需求的几率相当低。妇女参与不使用避孕药具的决策是降低未满足的计划生育需求的一个重要因素。与有避孕药具知识和获取途径的妇女相比，没有避孕药具知识且无法获取避孕药具的妇女中未满足的计划生育需求的几率更高。
避孕药具的知识和获取途径都是决定未满足的计划生育需求的重要因素。政府应启动相关项目，传播知识并提供避孕药具，以实现有效的计划生育。
