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» Articles » PMID: 35568941

Link Between Unmet Need and Economic Status in Bangladesh: Gap in Urban and Rural Areas

Overview
Journal BMC Womens Health
Publisher Biomed Central
Specialty Gynecology & Obstetrics
Date 2022 May 15
PMID 35568941
Authors
Zillur Rahman Shabuz
M Ershadul Haque
Md Kawsarul Islam
Wasimul Bari
Affiliations
Soon will be listed here.
Abstract

Background: Unmet need for family planning (FP) is a core concept in designing FP programmes and reduction of unmet need for FP can improve reproductive and maternal health services. Bangladesh is still away from achieving the target regarding unmet need for FP. This study aimed to explore the composite effect of economic status and place of residence on unmet need for FP among currently married women of reproductive age in Bangladesh after controlling the effect of other selected covariates.

Methods: The study used the data extracted from the Bangladesh Demographic and Health Survey (BDHS) 2017-2018, which is a nationally representative survey implemented using a stratified two-stage cluster sample design. A total of 13,031 currently married women of reproductive age were included in the final analysis. Binary logistic regression model has been employed to identify the factors influencing the unmet need for FP. Model-I investigated the effect of composite variable place-wealth on unmet need for FP and Model-II examined the effect of place-wealth on unmet need for FP after adjusting for the effect of other selected covariates. The Odds Ratios with p-values were reported to identify significant covariates.

Results: The rate of unmet need for FP was 15.48%. The composite factor of economic status and place of residence had significant influence on unmet need for FP in both models. Generally, rural women were significantly more likely to have unmet need for FP than their urban counterparts. In particular, women from rural areas and belong to rich families had the highest likelihoods of unmet need for FP. The other selected covariates also had significant influence on unmet need for FP.

Conclusion: This study shows that rural women had higher odds of unmet need for FP than urban women. The healthcare providers and stakeholders should take necessary actions to motivate women to use contraceptive specially the women who are residing in the rural areas.

Citing Articles

Spatial distribution and urban-rural disparity of unmet need for family planning among married/in-union women in Ethiopia: a spatial and decomposition analysis.

Kebede S, Mamo D, Adem J, Walle A, Tsega Y, Addisu E Front Reprod Health. 2024; 6:1416280.

PMID: 39687203 PMC: 11646839. DOI: 10.3389/frph.2024.1416280.

References
1.
Hailemariam A, Haddis F . Factors affecting unmet need for family planning in southern nations, nationalities and peoples region, ethiopia. Ethiop J Health Sci. 2012; 21(2):77-89. PMC: 3275860. DOI: 10.4314/ejhs.v21i2.69048. View
2.
Reynolds H, Janowitz B, Homan R, Johnson L . The value of contraception to prevent perinatal HIV transmission. Sex Transm Dis. 2006; 33(6):350-6. DOI: 10.1097/01.olq.0000194602.01058.e1. View
3.
Groene E, Kristiansen D . Unmet Need for Family Planning after Internal Migration: Analysis of Ethiopia 2017-2018 PMA Survey Data. Popul Space Place. 2021; 27(1). PMC: 8248275. DOI: 10.1002/psp.2376. View
4.
Robey B, Ross J, Bhushan I . Meeting unmet need: new strategies. Popul Rep J. 1996; (43):1-35. View
5.
Wulifan J, Mazalale J, Kambala C, Angko W, Asante J, Kpinpuo S . Prevalence and determinants of unmet need for family planning among married women in Ghana-a multinomial logistic regression analysis of the GDHS, 2014. Contracept Reprod Med. 2019; 4:2. PMC: 6352348. DOI: 10.1186/s40834-018-0083-8. View