Incorporating Method Dissatisfaction into Unmet Need for Contraception: Implications for Measurement and Impact.

ABSTRACT: While unmet need for contraception is commonly used to assess programmatic needs, it inadequately captures the complexity of fertility and contraceptive preferences, including women's satisfaction with their contraceptive method. In their 2019 commentary, Sarah Rominski and Rob Stephenson propose reclassifying dissatisfied current users as having an unmet need for contraception. As revising the current definition based on their proposal would require significant investment to update survey and monitoring systems, understanding the potential impact on current estimates of unmet need is critical. We estimated the impact of this approach in a Kenyan cohort of modern contraceptive users. We found the prevalence of method dissatisfaction ranges from 6.6% (95% confidence interval [CI] 5.6-7.8%)

SUBMITTER: Rothschild CW 

PROVIDER: S-EPMC8048066 | biostudies-literature | 2021 Mar

REPOSITORIES: biostudies-literature