175157 Unmet need and the demand for family planning in Uganda

Monday, October 27, 2008

Shane Khan, MPH , Measure DHS, Macro International, Calverton, MD
Sarah E.K. Bradley , Demographic and Health Surveys, Macro International, Calverton, MD
Joy Fishel, MPH , Measure DHS, Macro International, Calverton, MD
Vinod Mishra , Measure DHS, Macro International, Calverton, MD
Uganda is the third fastest-growing country in the world. Contraceptive use is low, and the unmet need for family planning is high. This study examines unmet need in Uganda from 1995 to 2006, using data from three consecutive rounds of the Demographic and Heath Surveys. The study provides levels, trends and differentials in unmet need, the factors associated with unmet need, reasons for contraceptive non-use and the likely impact of reducing unmet need. Results show that unmet need is highest among currently married women. Unmet need is increasing among the all women group, currently married women, all sexually active women, and never married sexually active women, but remains low among never married women and formerly married women. Women in rural areas and in the Northern regions have significantly higher levels of unmet need. Unmet need for spacing is more prevalent than for limiting. While spacers and limiters tend to have more than two living children, spacers are significantly more likely to be without employment, live in the Northern region and have no contact with family planning in the media. Limiters tend to be older, rural women. Total unmet need is significantly associated with higher parity (2 or more children) and with living in the Northern region. Substantial proportions of women do not use, or do not intend to use contraception in the future due to the fear of sides effects and opposition from the husband or partner. Models estimate that modest declines in unmet need can substantially reduce the total fertility rate.

Learning Objectives:
1) Define the concepts of "unmet need for family planning" and the "demand for family planning" 2) Describe how unmet need and the demand for family planning have changed in Uganda from 1995-2006 3) Identify key factors associated with unmet need 4) Discuss reasons for contraceptive non-use in Uganda 5) Describe how unmet need can influence total fertility in a country

Keywords: Family Planning, Contraception

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: Family planning is my primary area of research at the DHS, demonstrated by previous work (presentations and publications).
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.