ArticleFrontiers in global women's health2026
Family planning under sociocultural influence: evaluating knowledge, access, and utilization in Al Baha, Saudi Arabia.
Article in Frontiers in global women's health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Background: Unmet need for contraception remains a persistent global reproductive health challenge. In Saudi Arabia, national estimates indicate moderate contraceptive uptake; however, region-specific data on awareness, accessibility, and utilization of family planning (FP) services remain limited, particularly in semi-rural settings such as Al-Baha. Objective: To evaluate awareness, access, and utilization of family planning and reproductive health services and to identify perceived barriers and sociodemographic determinants among adult women in Al-Baha, Saudi Arabia. Methods: A population-based cross-sectional study was conducted using a 23-item online questionnaire administered to female residents aged ≥18 years between December 2024 and February 2025 through convenience sampling. Descriptive statistics summarized participant characteristics and FP-related variables. Associations between categorical variables were assessed using chi-square ( Results: A total of 892 women participated (mean age 38 ± 10.5 years). Awareness of FP initiatives was reported by 24%, and 18% had previously received FP consultation/services. Although 94% reported geographic access to a healthcare facility within 30 min, routine reproductive health service utilization remained limited, with 53% reporting infrequent visits. Current contraceptive use was reported by 42%, predominantly oral contraceptive pills (15%) and intrauterine methods (9%). Overall, 32% reported at least one barrier to contraception access, with "other barriers" (14%) and limited availability (11%) cited most frequently. Several outcomes demonstrated significant sociodemographic variation ( Conclusion: Despite reported geographic accessibility, awareness and counselling uptake remain suboptimal in Al-Baha. Targeted, culturally responsive primary care-based interventions and strengthened service availability are warranted to improve informed reproductive health decision-making.
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