Reproductive Age in Developing Areas, 1996 | ||
Region |
Number with Unmet Need (in Thousands) |
Unmet Need (% of MWRA) |
|---|---|---|
| Africa | 22,200 | 26 |
| Near East and North Africa | 6,200 | 15 |
| Asia, except China | 62,100 | 18 |
| Latin America | 11,200 | 17 |
| All Developing Areas, except China | 101,700 | 19 |
| MWRA = married women of reproductive age Source: Based on Demographic and Health Surveys and comparable surveys | ||
Opinions of Contraceptive Users and Women with Unmet Need, Trishal Thana, Bangladesh, 1991 | ||
| Contraceptive Users |
Women with Unmet Need | |
|---|---|---|
| Themselves approve | 99 | 89 |
| Think their husbands approve | 93 | 65 |
| Think village leaders approve | 82 | 57 |
| Think people in their village approve | 92 | 85 |
| Think religion approves | 70 | 54 |
| Note: Unmet need = not wanting pregnancy within the next two years but not using contraception. Source: JHU/PCS data files (105) | ||
| Table 5. Pregnancy Status, Past Contraception Use, and Intention to Use Contraception Among Women with Unmet Need | |||
Region, Country & Year of Survey |
% Who Are Pregnant or Amenorrheic |
% Who Have Never Used Contraceptives |
% Who Intend to Use Contraception* |
|---|---|---|---|
| AFRICA | |||
| Botswana 1988 | 36 | 52 | 60 |
| Burkina Faso 1992-93 | 35 | 57 | 36 |
| Burundi 1987 | 51 | 71 | 38 |
| Cameroon 1991 | 33 | 53 | 45 |
| Ghana 1994 | 43 | 57 | 70 |
| Kenya 1993 | 49 | 59 | 72 |
| Liberia 1986 | 31 | 77 | 50 |
| Madagascar 1992 | 45 | 82 | 65 |
| Malawi 1992 | 46 | 59 | 72 |
| Mali 1987 | 24 | 81 | 24 |
| Namibia 1992 | 32 | 56 | 47 |
| Niger 1992 | 39 | 88 | 40 |
| Nigeria 1990 | 23 | 86 | 38 |
| Rwanda 1992 | 65 | 65 | 38 |
| Senegal 1992-93 | 45 | 84 | 50 |
| Sudan 1989-90 | 37 | 70 | 32 |
| Tanzania 1991-92 | 37 | 74 | 47 |
| Uganda 1988-89 | 51 | 73 | 37 |
| Zambia 1992 | 53 | 50 | 68 |
| NEAR EAST & NORTH AFRICA | |||
| Egypt 1992 | 31 | 53 | 45 |
| Jordan 1990 | 27 | 48 | 45 |
| Morocco 1992 | 35 | 51 | 55 |
| Tunisia 1988 | 40 | 58 | 58 |
| Turkey 1992 | 31 | 51 | 63 |
| ASIA | |||
| Bangladesh 1994 | 22 | 51 | 79 |
| Indonesia 1991 | 21 | 50 | 44 |
| Pakistan 1990-91 | 26 | 82 | 26 |
| Philippines 1993 | 32 | 63 | 41 |
| Sri Lanka 1987 | 27 | 67 | 50 |
| Thailand 1987 | 27 | 40 | 60 |
| LATIN AMERICA | |||
| Bolivia 1994 | 47 | 72 | 66 |
| Brazil 1986 | 38 | 47 | 63 |
| Colombia 1990 | 34 | 42 | 74 |
| Dominican Rep. 1991 | 40 | 43 | 71 |
| Ecuador 1987 | 30 | 65 | 50 |
| El Salvador 1985 | 30 | 76 | 36 |
| Guatemala 1987 | 33 | 84 | 32 |
| Paraguay 1990 | 27 | 61 | 47 |
| Peru 1991-92 | 48 | 56 | 74 |
| Trinidad and Tobago 1987 | 19 | 30 | 63 |
| * In next 12 months Source: Demographic and Health Surveys | |||
| Table 6. Illustrative Program-Design Matrix for Addressing Unmet Need | |||||||
| Program Component | Size of Subgroup in Illustrative Countries | ||||||
|---|---|---|---|---|---|---|---|
| Representative Groups |
IEC |
Method Mix |
Delivery Channel |
Worker Type |
Kenya 1993 |
Morocco 1992 |
Philippines 1993 |
| Basic group1 | Various (mass media, counseling, etc.) | All | Clinic, CBD, hospital, workplace, pharmacies, etc. | Multiple | 1,101,000 | 650,000 | 2,512,000 |
| Unmarried adolescents |
Sex education | More temporary methods | Youth groups, schools, youth centers | Educator | Females2: 1,322,000 (15-19), 476,000 (20-24) | Females2: 1,322,000 (15-19), 778,000 (20-24) | Females2: 3,223,000 (15-19), 1,881,000 (20-24) |
| Newlyweds | Sex education | More temporary methods | Marriage license bureau, clinic, CBD, social marketing | Bureau staff | 299,000 couples/year (18.8)3 | 278,000 couples/year (18.8)3 | 641,000 couples/year (21.6)3 |
| Postpartum | "Postpone" "Breastfeed" Birth spacing |
Selected methods | Hospital, maternity center, trained midwife | Medical educator | 1,013,000 births/year; 456,000 attended4 | 829,000 births/year; 249,000 attended4 | 2,031,000 births/year; 654,000 attended4 |
| Postabortion | Promotion of specific methods | All | Clinics, hospitals | Medical educator | 113,000- 338,0005 |
92,000- 276,0005 |
226,000- 677,0005 |
| Dissatisfied users or discontinuers | "Method choices" | All | Clinic, CBD, workplace | All | Of 1,156,000 users6, ? dissatisfied | Of 1,415,000 users6, ? dissatisfied | Of 2,437,000 users6, ? dissatisfied |
| 1 Number of women with unmet need; based on Table 2. 2 Includes females only, since percentage married for males is unavailable. Fewer males are married so the total of unmarried for both sexes is more than double that shown. Sources: UN projections for number of females by age; Ross et al. 1993 (182) for percentage married by age. 3 Mean or median age at marriage shown in parentheses. Sources: DHS surveys for age of marriage; UN projections for number of females at mean age of marriage (interpolated). 4 Sources: DHS surveys for crude birth rate; Population Reference Bureau, "1995 World Population Data Sheet" (160) for 1995 population estimates; percentage attended from DHS surveys for Kenya and Philippines and from questionnaire inquiry for Morocco. 5 Based on number of births per year (from Note 4) and abortions-to-births ratio, assuming a rough range of 10% to 30% of all pregnancies aborted. The number of these women who make contact with trained health care providers is unknown and must be estimated locally. 6 Number of users is for modern methods only. Sources: DHS surveys for percentage of married/cohabiting women ages 15-49 using modern methods. Number of MWRA from Table 2. Percentage of users who are dissatisfied is unknown and would vary by the definitions employed, method mix, quality of services, and other determinants but may be estimated from special surveys. CBD = community-based distribution Source: Adapted from Ross 1990 (178) and Ross et al. 1996 (179) | |||||||