ArticlePloS one2018
Prevalence of unmet need for contraception and its association with unwanted pregnancy among married women in Angola.
Article in PloS one, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 43 papers, 1 of them a synthesis that pooled it.
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Who cites it
43 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Unmet need for family planning among reproductive-age women living with HIV in Africa: a systematic review and meta-analysis.BMC women's health · 2026Pooled it
- "Do not leave me behind and do not put me in your box": family-planning access and care needs among women with migration histories in Berlin, Germany-a mixed-methods study.Reproductive health · 2026Article
- Prevalence and determinants of unmet need for family planning among married women on Idjwi Island, Democratic Republic of the Congo.Contraception and reproductive medicine · 2026Article
- Article
- Socioeconomic, fertility and contraceptive determinants of unintended pregnancy among married women in Nepal: evidence from the 2022 NDHS.BMJ public health · 2026Article
- Gender norms in sexual and reproductive health and rights: insights from young Angolan women and the development of a context-specific questionnaire (2021-2022).Archives of public health = Archives belges de sante publique · 2025Article
- Factors associated with unplanned pregnancy among pregnant women in Uganda.Scientific reports · 2025Article
- Eight out of every twenty-five married women have an unmet need for family planning in Meyu Muluke District, Eastern Ethiopia.Scientific reports · 2025Article
- Spatial variation and associated factors of unmet need for family planning among reproductive age women in Ethiopia, insights from 2021 PMA-Ethiopia data: multilevel logistic regression analysis.BMC public health · 2025Article
- The association between unintended pregnancy and maternal mental health in rural China.Frontiers in public health · 2025Article
- Spatial Heterogeneity and association between the survey-based Women's Empowerment Index (SWPER) and unmet need for birth spacing in sub-Saharan Africa.Contraception and reproductive medicine · 2024Article
- Multilevel analysis on prevalence and associated factors of modern contraceptive uptake in Somaliland: based on The Somaliland Health and Demographic Survey 2020.Reproductive health · 2024Article
- Exploring the drivers of unmet need for contraception among adolescents and young women in Sierra Leone. a cross-sectional study.Contraception and reproductive medicine · 2024Article
- Exploring the association between unintended pregnancies and unmet contraceptive needs among Ugandan women of reproductive age: an analysis of the 2016 Uganda demographic and health survey.BMC pregnancy and childbirth · 2024Article
- Spatial distribution and determinants of unmet need for family planning among all reproductive‑age women in Uganda: a multi‑level logistic regression modeling approach and spatial analysis.Contraception and reproductive medicine · 2024Article
- Socio-demographic determinants of intimate partner violence in Angola: a cross-sectional study of nationally representative survey data.Archives of women's mental health · 2024Article
- Trends and determinants of unmet need for modern contraception among adolescent girls and young women in Tanzania, 2004-2016.PLOS global public health · 2024Article
- Patterns and correlates of intention to use contraceptives among fecund sexually active women in developing countries.Global health action · 2023Article
- Contributing factors for urban-rural inequalities in unmet need for family planning among reproductive-aged women in Ethiopia: a Blinder-Oaxaca decomposition analysis.BMC women's health · 2023Article
- Unmet need for family planning and associated factors among currently married women in Hawella Tulla subcity, Hawassa, southern Ethiopia: community-based study.Contraception and reproductive medicine · 2023Article
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Abstract
backgroundUnmet need for contraception and unwanted pregnancy are recognised as significant barriers to promoting women's reproductive health and well-being. Currently there is no research evidence on these two crucial indicators of reproductive care in Angola. Therefore, we conducted this study with the objectives of exploring the current prevalence of unmet need for contraception and unintended pregnancy as well as their relationship among married women in Angola.
methodsThis study was based on cross-sectional data from Angola Demographic and Health Survey (DHS) conducted in 2015-16. Participants were 7,808 married women aged 15-49 years. Unwanted pregnancy was measured in terms of the mistimed and unintended conception for the last-born child. Unmet need for contraception included those who reported unmet need for spacing and limiting. Data were analysed using bivariate and multivariable techniques.
resultsThe combined prevalence of mistimed and unwanted pregnancy was 38.3% (95%CI = 35.9-40.7), and that of unmet need for contraception for spacing and limiting was 51.7% (49.9-53.5). Among the 18 regions, Luanda had the highest prevalence of unmet need for contraception and of unwanted pregnancy with the prevalence being higher than more than one-third of the women. Multivariable analysis significantly revealed a significantly positive association between unmet need and unwanted pregnancy. In all the models, the odds of unwanted pregnancy were found to be as high as four times among women with unmet need compared with those had no unmet need. Compared to women who had no unmet need, those who had unmet need had respectively four (OR = 4.380; 95%CI = 3.690-5.198) and seven (OR = 6.951; 95%CI = 4.642-10.410) times higher odds of experiencing unwanted pregnancy.
conclusionThis study concludes that the prevalence of unmet need for contraception and unwanted pregnancy are high with significant disparities across the regions. Women in the capital city had the highest prevalence of both unmet need for contraception and unwanted pregnancy. Although the data were cross-sectional and do not indicate causal relationships, the findings showed a strong positive association between unmet need for contraception and unwanted pregnancy. However, it is recommended to conduct further studies to replicate the findings and to explore the influence behavioural and cultural practices on unwanted pregnancy.
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