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Unmet need for contraception has decreased globally, but remains high in sub-Saharan Africa. Addressing social barriers and side effects is key to further progress in family planning.

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Area of Science:

  • Reproductive Health
  • Demography
  • Global Health

Background:

  • Unmet need for contraception is a key metric for family planning programs.
  • Historical trends and measurement validity are crucial for understanding progress.

Purpose of the Study:

  • To provide context on unmet need for contraception.
  • To discuss measurement validity and regional trends.
  • To identify barriers and propose solutions for reducing unmet need.

Main Methods:

  • Analysis of regional trends in unmet need among married women since 1970.
  • Discussion of factors contributing to unmet need in diverse settings.
  • Review of challenges in addressing needs of unmarried women.

Main Results:

  • Significant reductions in unmet need achieved globally, except in sub-Saharan Africa.
  • Sexually active unmarried women represent a substantial portion of unmet need in developing countries.
  • Barriers include social resistance, lack of information, side effects, and health concerns, especially among discontinued users.

Conclusions:

  • Continued efforts are needed to address unmet need, particularly in sub-Saharan Africa.
  • Tailored strategies are required to overcome social and informational barriers.
  • Managing side effects and supporting discontinued users are critical for future family planning success.