Comparison of two survey methods for estimating unplanned pregnancy, Bangladesh.

Autor: Khan MN; Department of Population Science, Jatiya Kabi Nazrul Islam University, Trishal-2204, Mymensingh, Bangladesh., Khanam SJ; Department of Population Science, Jatiya Kabi Nazrul Islam University, Trishal-2204, Mymensingh, Bangladesh., Harris ML; Centre for Women's Health Research, University of Newcastle, Callaghan, Australia.
Jazyk: angličtina
Zdroj: Bulletin of the World Health Organization [Bull World Health Organ] 2024 Aug 01; Vol. 102 (8), pp. 562-570. Date of Electronic Publication: 2024 May 21.
DOI: 10.2471/BLT.23.290262
Abstrakt: Objective: To compare the prevalence of unintended pregnancy measured by the Demographic and Health Survey (DHS) and the London Measure of Unplanned Pregnancy in Bangladesh, and explore the extent of discordance between the measures and the factors associated with the discordance.
Methods: In 2023, we conducted a cross-sectional survey in four randomly selected districts in Bangladesh: Kurigram, Mymensingh, Pabna and Satkhira. We randomly selected 20 hospitals, five from each district. We collected data from 1200 women who had recently delivered a baby and were visiting the hospitals for postnatal care. We interviewed the women about their pregnancy intention in their last pregnancy using questions in the DHS and the London Measure of Unplanned Pregnancy and examined the discordance in their responses. We used multivariable logistic regression analysis to identify factors associated with discordant responses in reported pregnancy intention.
Findings: The prevalence of unintended pregnancy was 24.3% (292/1200) using the DHS measure and 31.0% (373/1200) using the London Measure of Unplanned Pregnancy. Discordance in responses to pregnancy intention between the two measures was 27.1% (325/1200). Factors associated with discordance were older age, female sex of the last child born, having more than two children, being in a poorer wealth quintile, living in a rural area and living in Kurigram district.
Conclusion: The prevalence of unintended pregnancy in Bangladesh measured by the DHS measure may be an underestimate, suggesting that the adverse effects of unintended pregnancy are greater than realized and emphasizing the need to bolster Bangladesh's family planning programme.
((c) 2024 The authors; licensee World Health Organization.)
Databáze: MEDLINE
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