ArticleReproductive health2019
Impact of internal female migration on unmet need for modern contraception in Zambia.
Article in Reproductive health, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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Who cites it
10 citing papers in PubMed.
- Effects of internal migration on healthcare services utilization in Bangladesh: an analysis of nationally representative survey.Frontiers in public health · 2025Article
- The intersection between migration, HIV, and contraceptive use in Uganda: a cross-sectional population-based study.Reproductive health · 2024Article
- How migration shapes modern contraceptive use among urban young women: Evidence from six African countries.PloS one · 2024Article
- Association of migration and family planning use among women in Malawi: Evidence from 2019/2020 Malawi Multiple Indicators Survey.Contraception and reproductive medicine · 2023Article
- Women's healthcare decision-making and unmet need for contraception in Mali.Reproductive health · 2022Article
- Factors associated with sexual and reproductive health service utilisation in high migration communities in six Southern African countries.BMC public health · 2022Article
- Trends of unmet need for family planning among currently married reproductive age women in Ethiopia: A multivariate decomposition analysis.PLOS global public health · 2022Article
- Rural and Urban Correlates of Stunting Among Under-Five Children in Sierra Leone: A 2019 Nationwide Cross-Sectional Survey.Nutrition and metabolic insights · 2021Article
- Facilitating community participation in family planning and contraceptive services provision and uptake: community and health provider perspectives.Reproductive health · 2020Article
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2 authors.
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Abstract
backgroundUnmet need for contraception, the proportion of women who want to limit or delay childbirth but use no form of contraception, is the core indicator to evaluate the effectiveness of family planning programs. Understanding how migration influences unmet need is important to identify to whom and how to target sexual and reproductive health programs. We assessed how migration status in rural and urban settings is associated with having an unmet need for family planning.
methodsData on sexually active, fecund, reproductive-aged (15-49 years) women from the 2013-14 Zambia Demographic and Health Survey were analysed through univariate and multivariate logistic regression models.
resultsUnmet need for modern contraceptive methods was significantly higher among rural to rural migrant women (OR 1.30, 95%CI 1.00-1.70 p < 0.05) and rural non-migrant women (OR 1.41, 95%CI 1.06-1.85 p < 0.01) compared to urban non-migrant women after controlling for age, marital status, parity, religion, education and wealth.
conclusionWomen residing in, and migrating between, rural areas were significantly more likely to have an unmet need for contraception. Our findings highlight the importance of understanding migration and migrant streams to strengthen family planning programs. In Zambia, a focus on rural-rural migrants, rural non-migrants and the poorest could improve the health of the entire population.
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