Magnitude and determinants of unmet need for family planning among reproductive age women in East Africa: multilevel analysis of recent demographic and health survey data

Abstract

ntroduction: Unmet need for family planning is the main obstacle to achieve healthy timing and desired numberof children. Decreasing the unmet need for FP respects and protects human right and help to decrease theinfluence on biodiversity. Unmet need for family planning is the contributor and devastating issue of maternalhealth. Therefore, meeting the unmet need of contraceptive averts the maternal death and poverty. Therefore,determining the magnitude and its determinants is very important to intervene and design appropriate programumbrella.Objective: To determine the magnitude and its determinants of unmet need for family planning amongreproductive age women in East Africa.Method: This study was analyzed secondary data from Demographic and Health Surveys (DHS) of which containeddetailed family planning for all interviewed women aged 15 to 49 years. The data were weighted using samplingweight before any statistical analysis to account the sampling design. STATA version 15 was used for extracting,editing, recoding, and multilevel analysis. Median odds ratio (MOR), proportional change in Variance (PCV), Intraclasscorrelation coefficient (ICC), and Akaike Information Criteria (AIC) was analyzed. Four model was build and the bestmodel was selected based on the smallest Akaike Information Criteria (AIC). Both bivariable and multivariablemultilevel analysis was done. Variable with p-value< 0.25 were selected for multivariable multilevel logisticregression analysis. Variables with p-value ≤5% declared as statistical significant with outcome variable

(PDF) Magnitude and determinants of unmet need for family planning among reproductive age women in East Africa: multilevel analysis of recent demographic and health survey data. Available from: https://www.researchgate.net/publication/358090830_Magnitude_and_determinants_of_unmet_need_for_family_planning_among_reproductive_age_women_in_East_Africa_multilevel_analysis_of_recent_demographic_and_health_survey_data [accessed Jan 02 2025]. Results: The magnitude of unmet need for family planning was 24.66% (95%CI: 24.1–25.2). The identifieddeterminants of unmet need for family planning was 30–39 years (AOR = 0.7; 95% CI 0.54–0.91), age of 40–49(AOR = 0.76; 95% CI 0.58–0.99), rural residence (AOR = 1.17; 95% CI 1.02–1.34), female household head (AOR = 0.66;95% CI 0.61–0.73), women having 4–6 child (AOR = 1.76; 95% CI 1.55–1.99), women having 7–9 child (AOR = 2.77;95% CI 2.34–3.28) women having ≥10 child (AOR = 3.51; 95% CI 2.58–4.78), women who give their first birth 19-25years (AOR = 1.1; 95% CI 1.0–1.26), 26–34 years (AOR = 1.4; 95% CI 1.19–1.83) ≥35 years (AOR = 2.1; 95% CI 1.1–4.27)and no fertility desire (AOR = 1.52; 95% CI 1.36–1.67) were the determinants of unmet need for family planning ineast Africa.Conclusion: Unmet need in east Africa is high as compare to other previous study. Maternal age, residence, sex ofhousehold head, number of children, age at first birth and fertility desire were the determinants identified in thisstudy. Therefore, health interventions that reduce unmet need which enhance family planning service deliveryamong rural, male-headed household, women having more than three children and women who had no fertilitydesire needed in advance. Policies and programs of unmet need should be tailored the rural, young and no fertilitydesire women as well as male headed households.

(PDF) Magnitude and determinants of unmet need for family planning among reproductive age women in East Africa: multilevel analysis of recent demographic and health survey data. Available from: https://www.researchgate.net/publication/358090830_Magnitude_and_determinants_of_unmet_need_for_family_planning_among_reproductive_age_women_in_East_Africa_multilevel_analysis_of_recent_demographic_and_health_survey_data [accessed Jan 02 2025].