Cargando…
Determinants of unmet need for family planning among women in Urban Cameroon: a cross sectional survey in the Biyem-Assi Health District, Yaoundé
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...
Autores principales: | , , , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2016
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4721192/ https://www.ncbi.nlm.nih.gov/pubmed/26791410 http://dx.doi.org/10.1186/s12905-016-0283-9 |
_version_ | 1782411195019427840 |
---|---|
author | Ajong, Atem Bethel Njotang, Philip Nana Yakum, Martin Ndinakie Essi, Marie José Essiben, Felix Eko, Filbert Eko Kenfack, Bruno Mbu, Enow Robinson |
author_facet | Ajong, Atem Bethel Njotang, Philip Nana Yakum, Martin Ndinakie Essi, Marie José Essiben, Felix Eko, Filbert Eko Kenfack, Bruno Mbu, Enow Robinson |
author_sort | Ajong, Atem Bethel |
collection | PubMed |
description | 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. |
format | Online Article Text |
id | pubmed-4721192 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2016 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-47211922016-01-22 Determinants of unmet need for family planning among women in Urban Cameroon: a cross sectional survey in the Biyem-Assi Health District, Yaoundé Ajong, Atem Bethel Njotang, Philip Nana Yakum, Martin Ndinakie Essi, Marie José Essiben, Felix Eko, Filbert Eko Kenfack, Bruno Mbu, Enow Robinson BMC Womens Health Research Article 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. BioMed Central 2016-01-20 /pmc/articles/PMC4721192/ /pubmed/26791410 http://dx.doi.org/10.1186/s12905-016-0283-9 Text en © Ajong et al. 2016 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. |
spellingShingle | Research Article Ajong, Atem Bethel Njotang, Philip Nana Yakum, Martin Ndinakie Essi, Marie José Essiben, Felix Eko, Filbert Eko Kenfack, Bruno Mbu, Enow Robinson Determinants of unmet need for family planning among women in Urban Cameroon: a cross sectional survey in the Biyem-Assi Health District, Yaoundé |
title | Determinants of unmet need for family planning among women in Urban Cameroon: a cross sectional survey in the Biyem-Assi Health District, Yaoundé |
title_full | Determinants of unmet need for family planning among women in Urban Cameroon: a cross sectional survey in the Biyem-Assi Health District, Yaoundé |
title_fullStr | Determinants of unmet need for family planning among women in Urban Cameroon: a cross sectional survey in the Biyem-Assi Health District, Yaoundé |
title_full_unstemmed | Determinants of unmet need for family planning among women in Urban Cameroon: a cross sectional survey in the Biyem-Assi Health District, Yaoundé |
title_short | Determinants of unmet need for family planning among women in Urban Cameroon: a cross sectional survey in the Biyem-Assi Health District, Yaoundé |
title_sort | determinants of unmet need for family planning among women in urban cameroon: a cross sectional survey in the biyem-assi health district, yaoundé |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4721192/ https://www.ncbi.nlm.nih.gov/pubmed/26791410 http://dx.doi.org/10.1186/s12905-016-0283-9 |
work_keys_str_mv | AT ajongatembethel determinantsofunmetneedforfamilyplanningamongwomeninurbancameroonacrosssectionalsurveyinthebiyemassihealthdistrictyaounde AT njotangphilipnana determinantsofunmetneedforfamilyplanningamongwomeninurbancameroonacrosssectionalsurveyinthebiyemassihealthdistrictyaounde AT yakummartinndinakie determinantsofunmetneedforfamilyplanningamongwomeninurbancameroonacrosssectionalsurveyinthebiyemassihealthdistrictyaounde AT essimariejose determinantsofunmetneedforfamilyplanningamongwomeninurbancameroonacrosssectionalsurveyinthebiyemassihealthdistrictyaounde AT essibenfelix determinantsofunmetneedforfamilyplanningamongwomeninurbancameroonacrosssectionalsurveyinthebiyemassihealthdistrictyaounde AT ekofilberteko determinantsofunmetneedforfamilyplanningamongwomeninurbancameroonacrosssectionalsurveyinthebiyemassihealthdistrictyaounde AT kenfackbruno determinantsofunmetneedforfamilyplanningamongwomeninurbancameroonacrosssectionalsurveyinthebiyemassihealthdistrictyaounde AT mbuenowrobinson determinantsofunmetneedforfamilyplanningamongwomeninurbancameroonacrosssectionalsurveyinthebiyemassihealthdistrictyaounde |