Current prevalence and socio-demographic factors associated with unmet need for contraception among women in union in sub-Saharan Africa.

Abstract

This study analyzes the prevalence and sociodemographic factors associated with unmet need for contraception among women in union in sub-Saharan Africa. Using secondary data from recent Demographic and Health Surveys, statistical tests revealed an overall prevalence of 20.7% of unmet need for contraception (13.9% for birth spacing and 6.8% for birth control). Furthermore, multinomial logistic regression shows that women aged 25-34 and 35-49 years have a reduced risk of unmet need for spacing but an increased risk for control. Women who have reached their desired fertility have a reduced need for spacing [RRR=0.87; CI=0.80-0.95, p<0.01], while those with unwanted children have an increased need for control [RRR=3.80; CI=0.80-0.95, p<0.01]. CI=3.50-4.12, p<0.001]. Similarly, women living with a partner have a higher risk of unmet need for spacing [RRR=1.07; CI=1.01-1.13, p<0.05], but those with at least primary education have a low risk for limitation. Therefore, the study recommends that family planning (FP) program managers and Non-Governmental Organizations redouble their efforts to improve access to FP services, promote women's education. It is also essential to increase awareness among small families and men aspiring to high fertility, men about the benefits of FP for health and well-being.