Determinants of unmet need for family planning among women in Urban Cameroon: a cross sectional survey in the Biyem-Assi Health District, Yaoundé

Autor: Philip Nana Njotang, Felix Essiben, Marie José Essi, Enow R. Mbu, Filbert Eko Eko, Martin Ndinakie Yakum, Atem Bethel Ajong, Bruno Kenfack
Rok vydání: 2015
Předmět:
Adult
medicine.medical_specialty
Health Knowledge
Attitudes
Practice
Adolescent
Cross-sectional study
Population
Determinant
Reproductive medicine
Developing country
Unmet needs
03 medical and health sciences
0302 clinical medicine
Environmental health
Surveys and Questionnaires
parasitic diseases
Obstetrics and Gynaecology
medicine
Humans
030212 general & internal medicine
Cameroon
Family planning
education
Contraception Behavior
Developing Countries
Biyem-Assi
health care economics and organizations
Gynecology
Medicine(all)
education.field_of_study
Health Services Needs and Demand
030219 obstetrics & reproductive medicine
business.industry
Obstetrics and Gynecology
General Medicine
Induced Abortions
Middle Aged
Contraception
Cross-Sectional Studies
Reproductive Medicine
Family Planning Services
Marital status
Female
business
Research Article
Unmet need
Zdroj: BMC Women's Health
ISSN: 1472-6874
Popis: Background With the unacceptably high level of unmet need for family planning in Sub-Saharan Africa, reducing unmet need is paramount in the fight against the high levels of induced abortions, maternal and neonatal morbi-mortality. A clear understanding of the determinants of unmet need for family planning is indispensable in this light. The objective of this study was to determine the prevalence of unmet need for family planning in Urban Cameroon while identifying major determinants of unmet need among women in a union in Urban Cameroon. Methods A community based cross sectional study was conducted from March 2015 to April 2015 during which 370 women in a union were recruited using cluster multistep sampling in the Biyem-Assi Health District, Yaounde. Data were collected using a pretested and validated questionnaire. Proportions and their 95 % confidence intervals were calculated with the Westoff/DHS method used to estimate unmet need for family planning and the odds ratio used as measure of association with statistical significant threshold set at p-value ≤ 0.05. Results Of the 370 eligible women included, the mean age was 29.9 ± 6.8 years, and 61.1 % were married. The prevalence of unmet need for family planning was 20.4 (16.4-24.8)% with 14.2 (11.2-18.7)% having an unmet need for spacing and 6.2 (3.6-8.7)% an unmet need for limiting. Husband’s approval of contraception had a statistically significant protective association with unmet need (AOR = 0.52 [0.30-0.92], p = 0.023), and discussion about family planning within the couple had a highly statistically significant protective association with unmet need (AOR = 0.39 [0.21-0.69], p = 0.001). The major reason for non-use of contraception among women with unmet need was the fear of side effects. Conclusion The prevalence of unmet need of family planning among women in the Biyem-Assi Health District remains high. Husband’s approval of contraception and couples’ discussion about family planning are two major factors to be considered when planning interventions to reduce unmet need for family planning. Family planning activities focused on couples or including men could be useful in reducing the rate of unmet need in Cameroon.
Databáze: OpenAIRE
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