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The unmet needs for modern family planning methods among postpartum women in Sub-Saharan Africa: a systematic review of the literature.

Gahungu, J., Vahdaninia, M. and Regmi, P., 2021. The unmet needs for modern family planning methods among postpartum women in Sub-Saharan Africa: a systematic review of the literature. Reproductive Health, 18, 35.

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DOI: 10.1186/s12978-021-01089-9

Abstract

Background: Sub-Saharan Africa has the highest fertility rate in the world, with the highest unmet need for family planning (FP). Yet, there is a lack of knowledge about the determinants for non-utilisation of modern contraceptive methods among women of reproductive age. This systematic review of literature assessed factors affecting the unmet need and reasons for non-utilisation of modern contraceptive methods during the postpartum period in Sub-Saharan African women. Methods: An online literature search was conducted in several databases: MEDLINE, Cochrane Review, PubMed, Elsevier's Science Direct and Web of Science. The search was completed by hand searching. Data were extracted and summarised using the Arksey and O’Malley methodology. Results: In total, 19 studies were included; one qualitative study, seventeen quantitative, and one used a mixed-methods approach. Studies were conducted in Ethiopia (n=11), Nigeria (n=3), Kenya (n=2), Malawi (n=2) and Uganda (n=1). Factors affecting the unmet need for modern contraceptive methods were described at three levels: a) individual; b) household; and c) healthcare facility level. Reasons for non-use of FP included: fear of side effects; husband’s disapproval; the no-return of menses; abstinence; and low perception of risk of pregnancy. Conclusion: Unmet needs in postpartum FP in women from Sub-Saharan Africa were associated with health-system and socio-demographic determinants. We suggest that there is a need to improve the awareness of modern contraceptive methods through effective interventions. Further research is needed for under-studied countries on this continent.

Item Type:Article
ISSN:1742-4755
Uncontrolled Keywords:Family planning; Contraception; Unmet need; Modern Contraception Methods; Postpartum; Women of Reproductive Age
Group:Faculty of Health & Social Sciences
ID Code:35110
Deposited By: Unnamed user with email symplectic@symplectic
Deposited On:27 Jan 2021 11:03
Last Modified:15 Aug 2021 08:27

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