Author:
Dolonbaeva Zuura,Inthaphatha Souphalak,Dzhangaziev Bakyt,Ismailov Mederbek,Nishino Kimihiro,Hamajima Nobuyuki,Yamamoto Eiko
Abstract
Abstract
Background
Since the beginning of the family program in 1998, the proportion of married women who used contraception has fluctuated. An unmet need for contraception among women in Kyrgyzstan drastically increased from 2006 (1.1%) to 2014 (19.1%), and remained unchanged until 2018 (19.0%). This study aims to re-investigate the prevalence of an unmet need for contraception from 2006 to 2018 in a comprehensive manner, and examine the factors associated with an unmet need for contraception among married women over the course of 12 years in the Kyrgyz Republic.
Methods
This is a cross-sectional study using secondary data that derived from the Multiple Indicator Cluster Survey (MICS). The study employed three datasets from the MICS 2006, 2014, and 2018. The study included a total of 9,229 women aged 15–49 who were married and fecund, and whose status of the met/unmet need for contraception could be identified. Logistic regression was employed to estimate the relationship of an unmet need for contraception with independent factors. A P value < 0.05 was set as statistically significant.
Results
The prevalence of an unmet need for contraception was 19.9% in 2006, 20.4% in 2014, and 22.5% in 2018. Across 12 years, all reversible-contraceptive methods for women constantly declined. Although intrauterine devices were the prominent contraceptive method of usage among Kyrgyz women, the trend of usage drastically decreased over time. Factors associated with unmet need for contraception included women’s age, area of residence, mother tongue of household head, age of husband, and number of children ever born.
Conclusion
The unmet need for contraception among married Kyrgyz women slightly increased, and the trend of modern contraceptive usage declined from 2006 to 2018, particularly the use of pills, injections, and intra-uterine devices. Comprehensive sexual health education for young people and youth-friendly services should be promoted. An effective and reliable supply chain of contraceptive commodities should be prioritized and strengthened. Regular supportive supervision visits are essential to improve the knowledge and skills of healthcare providers to be able to provide intrauterine device service as a contraceptive choice for Kyrgyz women.
Publisher
Springer Science and Business Media LLC
Reference28 articles.
1. United Nations Population Fund. Seeing the unseen: the case for action in the neglected crisis of unintended pregnancy. New York: Division for Communications and Strategic Partnerships; 2022.
2. Bearak J, Popinchalk A, Ganatra B, Moller AB, Tuncalp O, Beavin C, Kwok L, Alkema L. Unintended pregnancy and abortion by income, region, and the legal status of abortion: estimates from a comprehensive model for 1990–2019. Lancet Glob Health. 2020;8(9):e1152–61. https://doi.org/10.1016/S2214-109X(20)30315-6. PMID: 32710833.
3. Tun KK, Inthaphatha S, Soe MM, Nishino K, Hamajima N, Yamamoto E. Causes of death, three delays, and factors associated with Delay 1 among maternal deaths in Myanmar: The maternal death surveillance in 2019. Midwifery. 2023;121:103657. https://doi.org/10.1016/j.midw.2023. PMID: 36989878.
4. United Nations Population Fund. Nearly half of all pregnancies are unintended – a global crisis says UNFPA new report. New York: United Nations Population Fund; 2022. Available from: https://www.unfpa.org/press/nearly-half-all-pregnancies-are-unintended-global-crisis-says-new-unfpa-report#:~:text=Press%20Release-,Nearly%20half%20of%20all%20pregnancies%20are%20unintended. Access 9 Sept 2023.
5. Family Planning 2020. FP 2020 the arc of progress 2019–2020. Family Planning 2020; 2020. Available from: https://www.track20.org/download/pdf/Progress%20Report/FP2020%20Progress%20Report%202019-2020.pdf.