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Unmet Need For Family Planning in Africa. Repositioning Family Planning in West Africa. Presented by: Timothee Gandaho Partners in Population & Development Dhaka, Bangladesh Source: POLICY Project Briefing Papers (Goliber, Sanders, Winfrey, Jewell).
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Unmet Need For Family Planning in Africa Repositioning Family Planning in West Africa Presented by: Timothee Gandaho Partners in Population & Development Dhaka, Bangladesh Source: POLICY Project Briefing Papers (Goliber, Sanders, Winfrey, Jewell) Repositionnement de la Planification Familiale en Afrique de l’Ouest Sponsored by: U.S. Agency for International Development (USAID), World Health Organization (WHO), Action for West Africa Region Project - Reproductive Health (AWARE-RH), Advance Africa, the POLICY Project
What is unmet need for Family Planning? Definition from DHS : A woman • Able to bear children • Sexually active • Not using any contraceptive methods • Does not want a child for at least 2 years (“Spacer”) or • Wants no more children (“Limiter” ) Conservative estimate which excludes: Groups • Arguably “ in Need” (many traditional method users) • Amenorrheic women who say they wanted their last birth are omitted even if they wish to delay next pregnancy
Unmet need to space births by age (%) AGE in years
Unmet need to limit births by age (%) AGE in years
Most women with unmet need intend to use contraception in the future (%) Ghana Nigeria Mali Guinea
Discussing family planning with partner influences future intention to use (%) GHANA NIGERIA Intend to use family planning
Discussing family planning with partner influences future intention to use (%) MALI GUINEA Intend to use family planning
Contact with family planning providers is associated with intention to use (%) GHANA NIGERIA Intend to use family planning
Contact with family planning providers is associated with intention to use (%) MALI GUINEA Intend to use family planning
Married women with unmet need who intend to use in the future by Preferred methods (%) Methods
Worries over side effects and health concerns are major reasons women with unmet need do not plan to use family planning in the futureGHANA Spacers Limiters
Worries over side effects and health concerns are major reasons women with unmet need do not plan to use family planning in the futureNIGERIA Spacers Limiters
Worries over side effects and health concerns are major reasons women with unmet need do not plan to use family planning in the futureMali Spacers Limiters
Worries over side effects and health concerns are major reasons women with unmet need do not plan to use family planning in the futureGUINEA Spacers Limiters
Conclusion • Strong evidence exists that there is a high level of unmet need for family planning in West Africa • Considerable information exists about the characteristics, intentions, and preferences of women with an unmet need for family planning services • These characteristics differ from country to country • Many obstacles related to unmet needs can be removed with appropriate policies, strategies an programmes using the available information on unmet need. • Paying special attention to Young people and Male involvement is very important to change the situation