ArticleBMC women's health2022
Unmet need for family planning among married women in Zambia: lessons from the 2018 Demographic and Health Survey.
Article in BMC women's health, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
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15 citing papers in PubMed.
- Unmet need for contraceptives and unintended pregnancies among adolescent girls and young women aged 15 to 24 in Zambia: insights from the Yathu Yathu trial.Reproductive health · 2025Trial
- What factors drive unmet need for modern contraception among sexually active adolescent girls and young women in Zambia: a multilevel analysis.Contraception and reproductive medicine · 2026Article
- Individual and community level factors influencing modern contraceptive use among women of reproductive age in South Africa: a multilevel analysis.Contraception and reproductive medicine · 2025Article
- Delay in timing of first antenatal care utilisation among women of reproductive age in sub-Saharan Africa: a multilevel mixed effect analysis.Journal of health, population, and nutrition · 2025Article
- Decoding fertility behaviour of married women in Zambia: A multipronged analysis of bio-demographic, socio-economic and intermediate factors.PLOS global public health · 2025Article
- Trends and predictors of unmet need for family planning among women living with HIV in Zambia: implications for elimination of vertical transmission of HIV.BMC public health · 2024Article
- Unmet need for contraception among married women in the Kyrgyz Republic using the datasets from the 2006, 2014 and 2018 Multiple Indicator Cluster Survey: a cross-sectional study.BMC public health · 2024Article
- Trends in prevalence and factors associated with unintended pregnancies in Zambia (2001-2018).BMC pregnancy and childbirth · 2024Article
- Social context of contraceptive use transition among sexually active women in Zambia (1992-2018): A decomposition analysis.PloS one · 2024Article
- Patterns and correlates of intention to use contraceptives among fecund sexually active women in developing countries.Global health action · 2023Article
- Perceived ideal number of children among adolescent girls in sub-Saharan Africa: does exposure to family planning messages matter?BMC women's health · 2023Article
- Prevalence and factors associated with early childbearing in sub-saharan Africa: evidence from demographic and health surveys of 31 countries.BMC women's health · 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
- A multilevel analysis of trends and predictors associated with teenage pregnancy in Zambia (2001-2018).Reproductive health · 2023Article
- Individual and Community-level factors associated with early marriage in Zambia: a mixed effect analysis.BMC women's health · 2023Article
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Abstract
backgroundUnmet need for family planning among married women is still a public health concern in sub-Saharan Africa. In Zambia, one in every five married women had an unmet need for family planning in 2018. Unmet need for family planning has the potential to increase the number of unintended pregnancies and unsafe abortions. These factors can increase the proportion of women of child bearing age, who are at high risk of birth complications. This study was therefore conducted to understand the determinants of unmet need for family planning among married women in Zambia based on recent cross-sectional data.
methodsThe study analysed data extracted from the Zambia Demographic and Health Survey, which was a representative cross-sectional survey conducted in 2018. The analysis was done on a sample of 7598 currently married women aged 15-49 years. Multivariate logistic regression was used to examine determinants of unmet need for family planning in Zambia. The analyses was weighted to account for complex sample design.
resultsPrevalence of unmet need for family planning is still high in Zambia at 20%. Women in the age groups 25-34 and 35-49 were less likely to have total unmet need for family planning (AOR = 0.61; 95% CI 0.47, 0.78) and (AOR = 0.63; 95% CI 0.45, 0.86) respectively, compared with those aged 15-24 years. Age of a woman, parity, household wealth and exposure to media-based family planning messages were found to be significantly associated with unmet need for family planning among married women.
conclusionThere were significant differences in unmet need for family planning based on a woman's age, number of children ever born, wealth level, and exposure to media-based family planning messaging. Improving access to family planning messages and addressing underlying structural factors that improve the wealth status, particularly among young women, may help to reduce unmet need for family planning in Zambia.
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