Family planning unmet need among women attending primary healthcare clinics in Western Region, Saudi Arabia
Background: The gap between some women’s reproductive intention and their contraceptive behavior clearly poses a challenge to the ongoing family planning program. Unmet need has generated much interest, both among academics and policymakers over the years. This study aims to estimate the prevalence,...
Saved in:
| Main Author: | |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer Medknow Publications
2023-07-01
|
| Series: | Journal of Family Medicine and Primary Care |
| Subjects: | |
| Online Access: | https://journals.lww.com/10.4103/jfmpc.jfmpc_1695_22 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1846170819613425664 |
|---|---|
| author | Adhari Alselmi |
| author_facet | Adhari Alselmi |
| author_sort | Adhari Alselmi |
| collection | DOAJ |
| description | Background:
The gap between some women’s reproductive intention and their contraceptive behavior clearly poses a challenge to the ongoing family planning program. Unmet need has generated much interest, both among academics and policymakers over the years. This study aims to estimate the prevalence, subgroups, and reasons of unmet need for family planning among married Saudi women in Military Hospitals in Taif city.
Methods:
A cross-sectional study was adopted in Taif city, Saudi Arabia. It included a random representative sample of married women in the childbearing age (18–49 years) who attended the Family Medicine center in Prince Mansour military hospital (n = 8 clinics), Family medicine clinics at Al-Hada Armed Forces hospital (n = 3 clinics), and Al-Razi center in Prince Sultan hospital throughout the study period (March–June, 2022), provided that they had at least one child. A self-created validated questionnaire in the Arabic language was used to collect data regarding socio-demographic variables, reproductive history, and contraceptive practice including reasons of either using or never using contraceptive methods.
Results:
Four hundred women participated in the study out of a targeted 431 with a response rate of 92.8%. The age of the participating women varied from 20 to 50 years (34.2 ± 7.5 years). Slightly less than half of the participant married women (48.5%) were contraceptive users. Spacing between children was mentioned by majority of those used/using contraceptives (82%), whereas limiting the number of children was mentioned by 9% of them. The commonest reported method of contraception used by women was oral contraceptive pills (58.3%), followed by intrauterine device (IUD) (41.6%). History of unintended pregnancy was reported by more than one-third of the participants (37%). Regarding contraceptive method used during unintended pregnancy, oral contraceptives (39.2%), safety period (21.6%), and condom (21.6) were the most frequent methods. Unmet contraceptive need prevalence was 49.9%. Unmet contraceptive need was significantly associated with husband’s educational level (P = 0.008), husband’s job (P = 0.011), family income (P = 0.001), age of marriage (<0.001), age of pregnancy (<0.001), number of pregnancy (<0.001), and parity (<0.001).
Conclusion:
The prevalence of unmet need of contraception use among women in Taif city is high. Husband-related factors were significantly associated with unmet contraception use. |
| format | Article |
| id | doaj-art-4f3c61ced1064493ab05ccd3e4ef3d75 |
| institution | Kabale University |
| issn | 2249-4863 2278-7135 |
| language | English |
| publishDate | 2023-07-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Journal of Family Medicine and Primary Care |
| spelling | doaj-art-4f3c61ced1064493ab05ccd3e4ef3d752024-11-11T11:08:10ZengWolters Kluwer Medknow PublicationsJournal of Family Medicine and Primary Care2249-48632278-71352023-07-011271276128410.4103/jfmpc.jfmpc_1695_22Family planning unmet need among women attending primary healthcare clinics in Western Region, Saudi ArabiaAdhari AlselmiBackground: The gap between some women’s reproductive intention and their contraceptive behavior clearly poses a challenge to the ongoing family planning program. Unmet need has generated much interest, both among academics and policymakers over the years. This study aims to estimate the prevalence, subgroups, and reasons of unmet need for family planning among married Saudi women in Military Hospitals in Taif city. Methods: A cross-sectional study was adopted in Taif city, Saudi Arabia. It included a random representative sample of married women in the childbearing age (18–49 years) who attended the Family Medicine center in Prince Mansour military hospital (n = 8 clinics), Family medicine clinics at Al-Hada Armed Forces hospital (n = 3 clinics), and Al-Razi center in Prince Sultan hospital throughout the study period (March–June, 2022), provided that they had at least one child. A self-created validated questionnaire in the Arabic language was used to collect data regarding socio-demographic variables, reproductive history, and contraceptive practice including reasons of either using or never using contraceptive methods. Results: Four hundred women participated in the study out of a targeted 431 with a response rate of 92.8%. The age of the participating women varied from 20 to 50 years (34.2 ± 7.5 years). Slightly less than half of the participant married women (48.5%) were contraceptive users. Spacing between children was mentioned by majority of those used/using contraceptives (82%), whereas limiting the number of children was mentioned by 9% of them. The commonest reported method of contraception used by women was oral contraceptive pills (58.3%), followed by intrauterine device (IUD) (41.6%). History of unintended pregnancy was reported by more than one-third of the participants (37%). Regarding contraceptive method used during unintended pregnancy, oral contraceptives (39.2%), safety period (21.6%), and condom (21.6) were the most frequent methods. Unmet contraceptive need prevalence was 49.9%. Unmet contraceptive need was significantly associated with husband’s educational level (P = 0.008), husband’s job (P = 0.011), family income (P = 0.001), age of marriage (<0.001), age of pregnancy (<0.001), number of pregnancy (<0.001), and parity (<0.001). Conclusion: The prevalence of unmet need of contraception use among women in Taif city is high. Husband-related factors were significantly associated with unmet contraception use.https://journals.lww.com/10.4103/jfmpc.jfmpc_1695_22contraceptionfamily planningprimary caresaudi arabiaunmet needs |
| spellingShingle | Adhari Alselmi Family planning unmet need among women attending primary healthcare clinics in Western Region, Saudi Arabia Journal of Family Medicine and Primary Care contraception family planning primary care saudi arabia unmet needs |
| title | Family planning unmet need among women attending primary healthcare clinics in Western Region, Saudi Arabia |
| title_full | Family planning unmet need among women attending primary healthcare clinics in Western Region, Saudi Arabia |
| title_fullStr | Family planning unmet need among women attending primary healthcare clinics in Western Region, Saudi Arabia |
| title_full_unstemmed | Family planning unmet need among women attending primary healthcare clinics in Western Region, Saudi Arabia |
| title_short | Family planning unmet need among women attending primary healthcare clinics in Western Region, Saudi Arabia |
| title_sort | family planning unmet need among women attending primary healthcare clinics in western region saudi arabia |
| topic | contraception family planning primary care saudi arabia unmet needs |
| url | https://journals.lww.com/10.4103/jfmpc.jfmpc_1695_22 |
| work_keys_str_mv | AT adharialselmi familyplanningunmetneedamongwomenattendingprimaryhealthcareclinicsinwesternregionsaudiarabia |