Fernanda Ewerling|Cesar G Victora|Anita Raj|Carolina V. N. Coll|Franciele Hellwig|Aluísio J D Barros
Demand for family planning satisfied with modern methods among sexually active women in low- and middle-income countries: who is lagging behind?
Universidade Federal de Pelotas|Universidade Federal de Pelotas|Center for Health and Gender Equity|University of California, San Diego|Universidade Federal de Pelotas|Universidade Federal de Pelotas|Universidade Federal de Pelotas
family planning key reducing unintended pregnancies health consequences also associated improvements economic outcomes objective identify groups sexually active women extremely low demand family planning satisfied modern methods mdfps low middleincome countries national subnational levels inform improvement expansion programmatic efforts narrow gaps mdfps coverageanalyses based demographic health survey multiple indicator cluster survey data recent surveys carried since 2000 77 countries included analysis estimated mdfps among women aged 1549 years subgroups low coverage mdfps 20 identified according marital status wealth age education literacy area residence urban rural geographic region religionoverall 529 women demand family planning using modern contraceptive method coverage varied greatly west central africa showed lowest coverage 329 mean mdfps whereas south asia latin america caribbean highest coverage approximately 70 mean mdfps countries showed high reliance traditional contraceptive methods markedly central eastern europe commonwealth independent states cee cis albania azerbaijan benin chad congo democratic republic presented low mdfps coverage 20 countries mdfps 20 countrylevel yet many countries mdfps coverage low among women poorest wealth quintiles youngest age groups little education living rural areas coverage according marital status varied greatly asia pacific latin america caribbean mdfps higher among married women opposite found west central africa cee cis countriesalmost half women need using effective family planning method subgroups requiring special attention include women poor uneducatedilliterate young living rural areas efforts increase mdfps must address supply side also tackle need change social norms might inhibit uptake contraception