Reproductive health equity: demystifying unmet need for family planning among young women in Uttar Pradesh.

IF 2.2 Q2 OBSTETRICS & GYNECOLOGY Contraception and reproductive medicine Pub Date : 2025-01-08 DOI:10.1186/s40834-024-00335-2
Punit Mishra
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Abstract

Background: The unmet need for contraception among adolescent women in India is a significant public health concern, contributing to unintended pregnancies and abortions. This paper seeks to examine the regional variations and factors driving rural-urban disparities in unmet family planning needs in Uttar Pradesh (UP), India's most populous state, where the total unmet need among adolescents is as high as 19%.

Methods: The study is based on 11,018 adolescent women from the recent round of India's DHS, NFHS-5 (2019-21). To fulfil the study's objective, Multilevel logit model and Oaxaca Blinder Decomposition was applied.

Results: The Multilevel logit model results show statistically significant variations at community and district level, implying a strong presence of unobserved factors affecting the unmet demand. Oaxaca decomposition results show that difference in rural and urban adolescent unmet need is explained by factors like wealth, religion and intra-state regions.

Conclusion: The results call for the need to implement culturally appropriate reproductive and sexual health literacy programs to increase uniform access to modern contraception and to raise women's autonomy in the state of Uttar Pradesh.

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生殖健康平等:阐明北方邦年轻妇女未满足的计划生育需求。
背景:印度少女妇女避孕需求未得到满足是一个重大的公共卫生问题,导致意外怀孕和堕胎。本文旨在研究印度人口最多的北方邦(Uttar Pradesh)未满足的计划生育需求中城乡差异的地区差异和驱动因素,北方邦青少年未满足的需求总额高达19%。方法:该研究基于印度最近一轮DHS, NFHS-5(2019-21)的11018名青春期女性。为了实现研究目标,采用了多层logit模型和Oaxaca Blinder分解。结果:多层logit模型结果显示,在社区和地区层面上存在显著的统计差异,这表明存在大量未被观察到的因素影响未满足的需求。瓦哈卡州的分解结果表明,农村和城市青少年未满足需求的差异可以用财富、宗教和州内地区等因素来解释。结论:研究结果呼吁有必要实施文化上合适的生殖健康和性健康扫盲方案,以增加统一获得现代避孕药具的机会,并提高北方邦妇女的自主权。
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