Unmet need for family planning among married women in urban areas of Jember Regency, East Java, Indonesia: Does gender equality matter?

Unmet need for family planning is important to assess as an indicator for achieving universal access to sexual and reproductive health services. The objective of this study was to analyze the effect of gender relations on unmet need for family planning. We conducted a cross-sectional study with a ra...

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Veröffentlicht in:African journal of reproductive health 2024-10, Vol.28 (10s), p.175-183
Hauptverfasser: Baroya, Ni'mal, Kuntoro, Salim, Lutfi A., Devy, Shrimarti R.
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container_end_page 183
container_issue 10s
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container_title African journal of reproductive health
container_volume 28
creator Baroya, Ni'mal
Kuntoro
Salim, Lutfi A.
Devy, Shrimarti R.
description Unmet need for family planning is important to assess as an indicator for achieving universal access to sexual and reproductive health services. The objective of this study was to analyze the effect of gender relations on unmet need for family planning. We conducted a cross-sectional study with a randomly selected sample of 92 married women in Sumbersari District, Jember Regency, Indonesia. We collected data through structured interviews conducted between January and March 2023, and the data was analysed with univariate, bivariate and multiple logistic regression. The unmet need for family planning among the married women was 33.7%. Married women who had 3-4 children and low education were at greater risk of unmet need for family planning (OR 9.2; 95% CI 3.22-26.28 and OR 11.7; 95% CI 2.3-60, respectively). Married women who experience unequal gender relations with their husband were more at risk of unmet needs for family planning (OR 10.3; 95% CI 2.97-35.55) as well as women who agree with the husband's beating of his wife (OR 8; 95% CI 2.53-25.80). Gender inequality was a determinant of the unmet need for family planning among married women living in urban areas. Therefore, it is necessary to improve women's empowerment programs to reduce unmet need family planning among married women. Il est important d'évaluer les besoins non satisfaits en matière de planification familiale en tant qu'indicateur pour parvenir à un accès universel aux services de santé sexuelle et reproductive. L'objectif de cette étude était d'analyser l'effet des relations de genre sur les besoins non satisfaits en matière de planification familiale. Nous avons mené une étude transversale auprès d'un échantillon sélectionné au hasard de 92 femmes mariées du district de Sumbersari, dans la régence de Jember, en Indonésie. Nous avons collecté des données au moyen d'entretiens structurés menés entre janvier et mars 2023, et les données ont été analysées par régression logistique univariée, bivariée et multiple. Le besoin non satisfait en matière de planification familiale parmi les femmes mariées était de 33,7 %. Les femmes mariées qui avaient 3 à 4 enfants et un faible niveau d'éducation couraient un plus grand risque de besoins non satisfaits en matière de planification familiale (OR 9,2 ; IC à 95 % 3,22-26,28 et OR 11,7 ; IC à 95 % 2,3-60, respectivement). Les femmes mariées qui connaissent des relations de genre inégales avec leur mari étaient plus exposées à des besoins non satisfai
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The objective of this study was to analyze the effect of gender relations on unmet need for family planning. We conducted a cross-sectional study with a randomly selected sample of 92 married women in Sumbersari District, Jember Regency, Indonesia. We collected data through structured interviews conducted between January and March 2023, and the data was analysed with univariate, bivariate and multiple logistic regression. The unmet need for family planning among the married women was 33.7%. Married women who had 3-4 children and low education were at greater risk of unmet need for family planning (OR 9.2; 95% CI 3.22-26.28 and OR 11.7; 95% CI 2.3-60, respectively). Married women who experience unequal gender relations with their husband were more at risk of unmet needs for family planning (OR 10.3; 95% CI 2.97-35.55) as well as women who agree with the husband's beating of his wife (OR 8; 95% CI 2.53-25.80). Gender inequality was a determinant of the unmet need for family planning among married women living in urban areas. Therefore, it is necessary to improve women's empowerment programs to reduce unmet need family planning among married women. Il est important d'évaluer les besoins non satisfaits en matière de planification familiale en tant qu'indicateur pour parvenir à un accès universel aux services de santé sexuelle et reproductive. L'objectif de cette étude était d'analyser l'effet des relations de genre sur les besoins non satisfaits en matière de planification familiale. Nous avons mené une étude transversale auprès d'un échantillon sélectionné au hasard de 92 femmes mariées du district de Sumbersari, dans la régence de Jember, en Indonésie. Nous avons collecté des données au moyen d'entretiens structurés menés entre janvier et mars 2023, et les données ont été analysées par régression logistique univariée, bivariée et multiple. Le besoin non satisfait en matière de planification familiale parmi les femmes mariées était de 33,7 %. Les femmes mariées qui avaient 3 à 4 enfants et un faible niveau d'éducation couraient un plus grand risque de besoins non satisfaits en matière de planification familiale (OR 9,2 ; IC à 95 % 3,22-26,28 et OR 11,7 ; IC à 95 % 2,3-60, respectivement). Les femmes mariées qui connaissent des relations de genre inégales avec leur mari étaient plus exposées à des besoins non satisfaits en matière de planification familiale (OR 10,3 ; IC à 95 % 2,97-35,55), ainsi que les femmes qui étaient d'accord avec le fait que leur mari battait sa femme (OR 8 ; 95 % IC 2,53-25,80). L'inégalité entre les sexes était un facteur déterminant du besoin non satisfait en matière de planification familiale chez les femmes mariées vivant dans les zones urbaines. Il est donc nécessaire d'améliorer les programmes d'autonomisation des femmes afin de réduire les besoins non satisfaits en matière de planification familiale chez les femmes mariées.</description><identifier>ISSN: 1118-4841</identifier><identifier>EISSN: 2141-3606</identifier><identifier>DOI: 10.29063/ajrh2024/v28i10s.21</identifier><identifier>PMID: 39636226</identifier><language>eng</language><publisher>Nigeria: Women's Health and Action Research Centre</publisher><subject>Abused women ; Adolescent ; Adult ; Contraception ; Cross-Sectional Studies ; Domestic relations ; Family planning ; Family Planning Services - statistics &amp; numerical data ; Female ; Female-male relations ; Gender equality ; Gender Equity ; gender relation ; Health Services Accessibility ; Health Services Needs and Demand ; Humans ; Indonesia ; Male ; Marriage ; Married women ; Metropolitan areas ; Middle Aged ; ORIGINAL RESEARCH ARTICLE ; Reproductive health ; socio demography ; Socioeconomic Factors ; Spouses ; Unmet need ; Urban Population ; Young Adult</subject><ispartof>African journal of reproductive health, 2024-10, Vol.28 (10s), p.175-183</ispartof><rights>African Journal of Reproductive Health © 2024.</rights><rights>COPYRIGHT 2024 Women's Health and Action Research Centre (WHARC)</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.jstor.org/stable/pdf/27339847$$EPDF$$P50$$Gjstor$$H</linktopdf><linktohtml>$$Uhttps://www.jstor.org/stable/27339847$$EHTML$$P50$$Gjstor$$H</linktohtml><link.rule.ids>314,780,784,803,27922,27923,58015,58248</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/39636226$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Baroya, Ni'mal</creatorcontrib><creatorcontrib>Kuntoro</creatorcontrib><creatorcontrib>Salim, Lutfi A.</creatorcontrib><creatorcontrib>Devy, Shrimarti R.</creatorcontrib><title>Unmet need for family planning among married women in urban areas of Jember Regency, East Java, Indonesia: Does gender equality matter?</title><title>African journal of reproductive health</title><addtitle>Afr J Reprod Health</addtitle><description>Unmet need for family planning is important to assess as an indicator for achieving universal access to sexual and reproductive health services. The objective of this study was to analyze the effect of gender relations on unmet need for family planning. We conducted a cross-sectional study with a randomly selected sample of 92 married women in Sumbersari District, Jember Regency, Indonesia. We collected data through structured interviews conducted between January and March 2023, and the data was analysed with univariate, bivariate and multiple logistic regression. The unmet need for family planning among the married women was 33.7%. Married women who had 3-4 children and low education were at greater risk of unmet need for family planning (OR 9.2; 95% CI 3.22-26.28 and OR 11.7; 95% CI 2.3-60, respectively). Married women who experience unequal gender relations with their husband were more at risk of unmet needs for family planning (OR 10.3; 95% CI 2.97-35.55) as well as women who agree with the husband's beating of his wife (OR 8; 95% CI 2.53-25.80). Gender inequality was a determinant of the unmet need for family planning among married women living in urban areas. Therefore, it is necessary to improve women's empowerment programs to reduce unmet need family planning among married women. Il est important d'évaluer les besoins non satisfaits en matière de planification familiale en tant qu'indicateur pour parvenir à un accès universel aux services de santé sexuelle et reproductive. L'objectif de cette étude était d'analyser l'effet des relations de genre sur les besoins non satisfaits en matière de planification familiale. Nous avons mené une étude transversale auprès d'un échantillon sélectionné au hasard de 92 femmes mariées du district de Sumbersari, dans la régence de Jember, en Indonésie. Nous avons collecté des données au moyen d'entretiens structurés menés entre janvier et mars 2023, et les données ont été analysées par régression logistique univariée, bivariée et multiple. Le besoin non satisfait en matière de planification familiale parmi les femmes mariées était de 33,7 %. Les femmes mariées qui avaient 3 à 4 enfants et un faible niveau d'éducation couraient un plus grand risque de besoins non satisfaits en matière de planification familiale (OR 9,2 ; IC à 95 % 3,22-26,28 et OR 11,7 ; IC à 95 % 2,3-60, respectivement). Les femmes mariées qui connaissent des relations de genre inégales avec leur mari étaient plus exposées à des besoins non satisfaits en matière de planification familiale (OR 10,3 ; IC à 95 % 2,97-35,55), ainsi que les femmes qui étaient d'accord avec le fait que leur mari battait sa femme (OR 8 ; 95 % IC 2,53-25,80). L'inégalité entre les sexes était un facteur déterminant du besoin non satisfait en matière de planification familiale chez les femmes mariées vivant dans les zones urbaines. Il est donc nécessaire d'améliorer les programmes d'autonomisation des femmes afin de réduire les besoins non satisfaits en matière de planification familiale chez les femmes mariées.</description><subject>Abused women</subject><subject>Adolescent</subject><subject>Adult</subject><subject>Contraception</subject><subject>Cross-Sectional Studies</subject><subject>Domestic relations</subject><subject>Family planning</subject><subject>Family Planning Services - statistics &amp; numerical data</subject><subject>Female</subject><subject>Female-male relations</subject><subject>Gender equality</subject><subject>Gender Equity</subject><subject>gender relation</subject><subject>Health Services Accessibility</subject><subject>Health Services Needs and Demand</subject><subject>Humans</subject><subject>Indonesia</subject><subject>Male</subject><subject>Marriage</subject><subject>Married women</subject><subject>Metropolitan areas</subject><subject>Middle Aged</subject><subject>ORIGINAL RESEARCH ARTICLE</subject><subject>Reproductive health</subject><subject>socio demography</subject><subject>Socioeconomic Factors</subject><subject>Spouses</subject><subject>Unmet need</subject><subject>Urban Population</subject><subject>Young Adult</subject><issn>1118-4841</issn><issn>2141-3606</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNptkV1rFDEUhgdR7Fr9ByqBgnjR3eZjZjK5LKXVloIg9jqcmZzZyTKTrEm2sv_e7EeLBQkkcPK8583JWxQfGV1wRWtxAaswcMrLi0feWEbjgrNXxYyzks1FTevXxYwx1szLpmQnxbsYVzTDFZdvixOhalFzXs8K--AmTMQhGtL7QHqY7Lgl6xGcs25JYPJ5nyAEm4k_fkJHrCOb0IIjEBAi8T25w6nFQH7iEl23PSfXEBO5g0c4J7fOeIfRwvviTQ9jxA_H87R4uLn-dfV9fv_j2-3V5f28E7VK8553wnRdQ0WpRNNJBYI1VdtKVkumGqWgr4yQlTKSGlCSC2GkalqkLfSCGXFafD30XQf_e4Mx6cnGDsc8EfpN1IKVdSVoU4mMnh3QJYyoret9CtDtcH3ZMClrWpU7avEfKi-Dk-3ycL3N9ReCL_8IBoQxDdGPm2S9iy_B8gB2wccYsNfrYPNfbzWjeh-yfgpZH0PWnGXZ5-OEm3ZC8yx6SjUDNwcgQmsdJh0BM6uHlNZRD2bUAziT37a7Y7TiVOOq23vtfLTbGcHe6dOh0SomH56NuBRCNaUUfwFdNMSZ</recordid><startdate>20241031</startdate><enddate>20241031</enddate><creator>Baroya, Ni'mal</creator><creator>Kuntoro</creator><creator>Salim, Lutfi A.</creator><creator>Devy, Shrimarti R.</creator><general>Women's Health and Action Research Centre</general><general>Women's Health and Action Research Centre (WHARC)</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20241031</creationdate><title>Unmet need for family planning among married women in urban areas of Jember Regency, East Java, Indonesia</title><author>Baroya, Ni'mal ; 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The objective of this study was to analyze the effect of gender relations on unmet need for family planning. We conducted a cross-sectional study with a randomly selected sample of 92 married women in Sumbersari District, Jember Regency, Indonesia. We collected data through structured interviews conducted between January and March 2023, and the data was analysed with univariate, bivariate and multiple logistic regression. The unmet need for family planning among the married women was 33.7%. Married women who had 3-4 children and low education were at greater risk of unmet need for family planning (OR 9.2; 95% CI 3.22-26.28 and OR 11.7; 95% CI 2.3-60, respectively). Married women who experience unequal gender relations with their husband were more at risk of unmet needs for family planning (OR 10.3; 95% CI 2.97-35.55) as well as women who agree with the husband's beating of his wife (OR 8; 95% CI 2.53-25.80). Gender inequality was a determinant of the unmet need for family planning among married women living in urban areas. Therefore, it is necessary to improve women's empowerment programs to reduce unmet need family planning among married women. Il est important d'évaluer les besoins non satisfaits en matière de planification familiale en tant qu'indicateur pour parvenir à un accès universel aux services de santé sexuelle et reproductive. L'objectif de cette étude était d'analyser l'effet des relations de genre sur les besoins non satisfaits en matière de planification familiale. Nous avons mené une étude transversale auprès d'un échantillon sélectionné au hasard de 92 femmes mariées du district de Sumbersari, dans la régence de Jember, en Indonésie. Nous avons collecté des données au moyen d'entretiens structurés menés entre janvier et mars 2023, et les données ont été analysées par régression logistique univariée, bivariée et multiple. Le besoin non satisfait en matière de planification familiale parmi les femmes mariées était de 33,7 %. Les femmes mariées qui avaient 3 à 4 enfants et un faible niveau d'éducation couraient un plus grand risque de besoins non satisfaits en matière de planification familiale (OR 9,2 ; IC à 95 % 3,22-26,28 et OR 11,7 ; IC à 95 % 2,3-60, respectivement). Les femmes mariées qui connaissent des relations de genre inégales avec leur mari étaient plus exposées à des besoins non satisfaits en matière de planification familiale (OR 10,3 ; IC à 95 % 2,97-35,55), ainsi que les femmes qui étaient d'accord avec le fait que leur mari battait sa femme (OR 8 ; 95 % IC 2,53-25,80). L'inégalité entre les sexes était un facteur déterminant du besoin non satisfait en matière de planification familiale chez les femmes mariées vivant dans les zones urbaines. Il est donc nécessaire d'améliorer les programmes d'autonomisation des femmes afin de réduire les besoins non satisfaits en matière de planification familiale chez les femmes mariées.</abstract><cop>Nigeria</cop><pub>Women's Health and Action Research Centre</pub><pmid>39636226</pmid><doi>10.29063/ajrh2024/v28i10s.21</doi><tpages>9</tpages></addata></record>
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source MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; JSTOR Archive Collection A-Z Listing; African Journals Online (Open Access); Bioline International
subjects Abused women
Adolescent
Adult
Contraception
Cross-Sectional Studies
Domestic relations
Family planning
Family Planning Services - statistics & numerical data
Female
Female-male relations
Gender equality
Gender Equity
gender relation
Health Services Accessibility
Health Services Needs and Demand
Humans
Indonesia
Male
Marriage
Married women
Metropolitan areas
Middle Aged
ORIGINAL RESEARCH ARTICLE
Reproductive health
socio demography
Socioeconomic Factors
Spouses
Unmet need
Urban Population
Young Adult
title Unmet need for family planning among married women in urban areas of Jember Regency, East Java, Indonesia: Does gender equality matter?
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