ArticleStudies in family planning2021
Incorporating Method Dissatisfaction into Unmet Need for Contraception: Implications for Measurement and Impact.
Article in Studies in family planning, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
24 citing papers in PubMed.
- It's Time to Get Practical: A Call for Shorter Measures in the Family Planning Community.Studies in family planning · 2026Article
- Rethinking family planning success metrics: moving beyond coverage.Frontiers in global women's health · 2026Article
- Contraceptive Concordance.Studies in family planning · 2025Article
- Measuring Unmet Need for Contraception Using a Person-Centered Algorithm: An Application With a Community-Based Sample of Married Rohingya Women in Bangladesh.Studies in family planning · 2025Article
- The State of Person-Centered Measurement for Family Planning Need and Use: A Scoping Review.Studies in family planning · 2025Article
- Measuring Informed Choice for Contraception in Burkina Faso: Comparing self-rated and researcher-ascribed measures.Social indicators research · 2025Article
- Person-Centered Measurement: Ensuring Prioritization of Individuals' Values, Needs, and Preferences Within the Global Contraceptive Measurement Ecosystem.Studies in family planning · 2025Article
- Walk the Talk: The Unfinished and Urgent Task of Revising Top-Line Family Planning Indicators, 30 Years After ICPD.Studies in family planning · 2025Article
- Validation of the contraception-focused Preference-aligned Fertility Management Index in Uganda and Nigeria.Contraception · 2025Article
- Exploring Adolescents' Contraceptive Preferences and Trade-Offs: Findings From a Discrete Choice Experiment in Kenya.Studies in family planning · 2025Article
- Proposed changes to framework to assess contraceptive autonomy based on phased in-depth interviews in northwest Tanzania.Reproductive health · 2025Article
- Article
- Determinants of unmet family planning needs among women of reproductive age between 15 and 49 years in Siaya County, Kenya.The Pan African medical journal · 2025Article
- Measuring misaligned contraceptive use among reproductive-aged women in Kisumu, Kenya: a cross-sectional, population-based study.BMJ public health · 2025Article
- Assessing Trends in the Desire to Avoid Pregnancy: A Cautionary Note.Studies in family planning · 2024Article
- Preference-aligned fertility management among married adolescent girls in Northern Nigeria: assessing a new measure of contraceptive autonomy.BMJ global health · 2024Article
- Prevalence of non-preferred family planning methods among reproductive-aged women in Burkina Faso: results from a cross-sectional, population-based study.Sexual and reproductive health matters · 2023Article
- Unmet need and intention to use as predictors of adoption of contraception in 10 Performance Monitoring for Action geographies.SSM - population health · 2023Article
- Understanding ethical challenges of family planning interventions in sub-Saharan Africa: a scoping review.Frontiers in global women's health · 2023Article
- Supply-Side Versus Demand-Side Unmet Need: Implications for Family Planning Programs.Population and development review · 2022Article
Corrections and comments
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Authors and funding
3 authors.
Funding
Abstract
While unmet need for contraception is commonly used to assess programmatic needs, it inadequately captures the complexity of fertility and contraceptive preferences, including women's satisfaction with their contraceptive method. In their 2019 commentary, Sarah Rominski and Rob Stephenson propose reclassifying dissatisfied current users as having an unmet need for contraception. As revising the current definition based on their proposal would require significant investment to update survey and monitoring systems, understanding the potential impact on current estimates of unmet need is critical. We estimated the impact of this approach in a Kenyan cohort of modern contraceptive users. We found the prevalence of method dissatisfaction ranges from 6.6% (95% confidence interval [CI] 5.6-7.8%) to 18.9% (95% CI 17.1-20.9%); if applied nationally, this results in a large (approximately 25-70%) increase in Kenya's current estimate of unmet need for any contraception. Our findings suggest a large impact on unmet need estimates for equivalent populations. Overall, we advocate for better measurements of method satisfaction and acceptability, with metrics developed that are robust to socioeconomic gradients and validated in low- and middle-income settings to ensure women's contraceptive needs are captured equitably.
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Registered trials
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