Time trends in demand for family planning satisfied: analysis of 73 countries using national health surveys over a 24-year period
| Autor: | Aluísio J D Barros, Fernanda Ewerling, Franciele Hellwig, Carolina Vn Coll |
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| Rok vydání: | 2019 |
| Předmět: |
Adult
Adolescent Inequality media_common.quotation_subject Universal design 030231 tropical medicine Pooling Young Adult 03 medical and health sciences 0302 clinical medicine Humans 030212 general & internal medicine Healthcare Disparities Socioeconomics Developing Countries media_common National health Health Services Needs and Demand Multiple Indicator Cluster Surveys Time trends Health Policy Public Health Environmental and Occupational Health Articles Middle Aged Geography Socioeconomic Factors Family planning Family Planning Services Health Care Surveys Period (geology) Female |
| Zdroj: | Journal of Global Health |
| ISSN: | 2047-2986 2047-2978 |
| Popis: | Background Universal access to family planning is key to extend its health and economic benefits worldwide. Our aim was to track progress in demand for family planning satisfied with modern methods (mDFPS) and its inequalities in low- and middle-income countries (LMICs). Methods Analyses were based on Demographic and Health Surveys and Multiple Indicator Cluster Surveys carried out between 1993 and 2017 in 73 LMICs, using data for married women aged 15-49 years. We estimated trends in mDFPS coverage by country and world region and evaluated trends in wealth-based inequalities. The analyses pooling all countries together were stratified by wealth quintiles, area of residence and woman's age. mDFPS coverage in 2030 for each country was predicted using a linear model. Results Overall, mDFPS increased and poor-rich gaps narrowed. Eastern & Southern Africa showed an average increase of 1.5 percentage points (p.p.) a year, being the region with the fastest progress. West & Central Africa had an increase in mDFPS of 1 p.p. a year but current coverage is still below 40%. Generally, inequalities were reduced, except for West & Central Africa and Europe & Central Asia where almost no change was observed. The country with the fastest progress in mDFPS was Rwanda, with an increase of 5 p.p./y, while Timor Leste had the fastest reduction in absolute inequality, less 3.8 p.p./y. Inequalities by area of residence were reduced, but large gaps remain. A similar trend was observed for different age groups. If the current trend is not accelerated, 44 countries will not achieve universal coverage in mDFPS by 2030. Conclusions Generally, mDFPS is increasing and inequalities are decreasing. However, progress is slow in some regions, especially West & Central Africa, where low coverage is combined with high levels of inequalities. Efforts to increase family planning coverage must be prioritized in countries where progress is slow or inexistent. |
| Databáze: | OpenAIRE |
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