Measuring Unmet Need for Contraception Using a Person‐Centered Algorithm: An Application With a Community‐Based Sample of Married Rohingya Women in Bangladesh

IF 3.1 3区 医学 Q2 DEMOGRAPHY
Octavia Mulhern, Rubina Hussain, Joe Strong, Ann M. Moore, Mira Tignor, Kaosar Afsana, Pragna Paramita Mondal, Altaf Hossain
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Abstract

The standard measure of unmet need for contraception is not person‐centered and may not adequately represent women's contraceptive needs. To demonstrate the strength of a modified measure, we replicated the standard algorithm for unmet need, then created a person‐centered algorithm that considers (1) whether nonusers want to use contraception and (2) whether users want to use a different method. We applied the standard and person‐centered algorithms to a sample of 847 married Rohingya women aged 15–49 years living in camps in Cox's Bazar, Bangladesh, a population about whom little is known regarding contraceptive need. Forty‐six percent of respondents were currently using contraception. Among users, 14 percent wanted to use a different method and 36 percent of nonusers wanted to use a method. Using the standard algorithm, 39 percent had “unmet need,” 18 percent had “no need,” and 44 percent had “met need.” Using the person‐centered measure, 24 percent had “unmet need,” 38 percent had “no need,” and 38 percent had “met need.” The standard algorithm may overestimate unmet need among Rohingya nonusers, and the person‐centered measure provides evidence of method dissatisfaction among users. This measure also complements existing person‐centered measures of need and is an example of how incremental change can improve our understanding of women's contraceptive needs.
使用以人为中心的算法测量未满足的避孕需求:孟加拉国已婚罗兴亚妇女社区样本的应用
未满足避孕需求的标准测量不是以个人为中心的,可能不能充分代表妇女的避孕需求。为了证明改进后的测量方法的强度,我们复制了未满足需求的标准算法,然后创建了一个以人为中心的算法,该算法考虑(1)非用户是否想要使用避孕措施,(2)用户是否想要使用不同的方法。我们将标准和以人为中心的算法应用于847名居住在孟加拉国考克斯巴扎尔难民营的15-49岁已婚罗兴亚妇女的样本,该人群对避孕需求知之甚少。46%的受访者目前正在使用避孕措施。在用户中,14%的人希望使用不同的方法,36%的非用户希望使用一种方法。使用标准算法,39%的人有“未满足的需求”,18%的人有“不需要”,44%的人有“满足需求”。使用以人为中心的测量,24%的人有“未满足的需求”,38%的人有“没有需求”,38%的人有“满足需求”。标准算法可能高估了罗兴亚非用户未满足的需求,而以人为中心的测量提供了用户对方法不满意的证据。这一措施还补充了现有的以人为中心的需求措施,是渐进式变化如何提高我们对妇女避孕需求理解的一个例子。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
4.00
自引率
9.50%
发文量
35
期刊介绍: Studies in Family Planning publishes public health, social science, and biomedical research concerning sexual and reproductive health, fertility, and family planning, with a primary focus on developing countries. Each issue contains original research articles, reports, a commentary, book reviews, and a data section with findings for individual countries from the Demographic and Health Surveys.
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