TY - JOUR

T1 - Link between unmet need and economic status in Bangladesh

T2 - gap in urban and rural areas

AU - Shabuz, Zillur Rahman

AU - Haque, M. Ershadul

AU - Islam, Md Kawsarul

AU - Bari, Wasimul

PY - 2022/5/14

Y1 - 2022/5/14

N2 - Background Unmet need for family planning (FP) is a core concept in designing FP programs, and reducing unmet need for FP can improve reproductive and maternal health services. Bangladesh is still far 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 for 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 who belong to rich families had the highest likelihoods of having an 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 having an unmet need for FP than urban women. Healthcare providers and stakeholders should take necessary actions to motivate women to use contraceptives, especially those who are residing in rural areas.

AB - Background Unmet need for family planning (FP) is a core concept in designing FP programs, and reducing unmet need for FP can improve reproductive and maternal health services. Bangladesh is still far 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 for 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 who belong to rich families had the highest likelihoods of having an 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 having an unmet need for FP than urban women. Healthcare providers and stakeholders should take necessary actions to motivate women to use contraceptives, especially those who are residing in rural areas.

U2 - 10.1186/s12905-022-01752-8

DO - 10.1186/s12905-022-01752-8

M3 - Journal article

VL - 22

JO - BMC Women's health

JF - BMC Women's health

SN - 1472-6874

M1 - 176

ER -