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首页> 外文期刊>Reproductive Health >Reasons for unmet need for family planning, with attention to the measurement of fertility preferences: protocol for a multi-site cohort study
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Reasons for unmet need for family planning, with attention to the measurement of fertility preferences: protocol for a multi-site cohort study

机译：计划生育需求未得到满足的原因，并关注生育偏好的测量：多地点队列研究的方案

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Background Unmet need for family planning points to the gap between women’s reproductive desire to avoid pregnancy and contraceptive behaviour. An estimated 222 million women in low- and middle-income countries have unmet need for modern contraception. Despite its prevalence, there has been little rigorous research during the past fifteen years on reasons for this widespread failure to implement childbearing desires in contraceptive practice. There is demographic survey data on women’s self-reported reasons for non-use, but these data provide limited insight on the full set of possible obstacles to use, and one may doubt the meaningfulness of explanations provided by non-users alone. To rectify this evidence gap, this study will gather extensive information on women’s perceptions of contraception (generic and method-specific) and their past contraceptive experience, and it will allow for more complexity in fertility preferences than is standard in demographic surveys. Methods A multi-site cohort study will be conducted in urban Kenya, rural Kenya, and rural Bangladesh. In each setting trained fieldworkers will recruit and interview 2600 women, with participants re-interviewed at 12 and 18 months. Data will be collected using a questionnaire whose development was informed by a review of existing literature and instruments from past studies in both developed and developing countries. Dozens of experts in the field were consulted as the instrument was developed. The questionnaire has three main components: a sub-set of Demographic and Health Survey items measuring socio-demographic characteristics, reproductive history, and sexual activity; additional questions on prospective and retrospective fertility preferences designed to capture ambivalence and uncertainty; and two large blocks of items on (i) generic concerns about contraception and (ii) method-specific attributes. The method-specific items encompass eight modern and traditional methods. Discussion Policy and programmes intended to reduce unmet need for contraception in developing countries should be informed by clear understanding of the causes of this phenomenon to better reflect the population needs and to more effectively target planning and investments. To this end, this study will field an innovative instrument in Kenya and Bangladesh. The information to be collected will support a rigorous assessment of reasons for unmet need?for family planning.
机译：背景对计划生育的需求未得到满足，表明妇女避免怀孕的生殖欲与避孕行为之间存在差距。低收入和中等收入国家中估计有2.22亿妇女没有满足现代避孕的需求。尽管它很盛行，但是在过去的十五年中，由于避孕实践中普遍未能实现生育意愿而未能进行严格的研究。有关于女性自我报告的不使用原因的人口统计调查数据，但是这些数据对使用可能存在的全部障碍提供的洞察力有限，并且可能会怀疑仅非用户提供的解释是否有意义。为了纠正这一证据差距，本研究将收集有关妇女对避孕的看法（一般和特定方法）及其过去的避孕经验的广泛信息，这将使生育偏好的复杂性超过人口调查的标准。方法将在肯尼亚城市，肯尼亚农村和孟加拉国农村进行多地点队列研究。在每种情况下，训练有素的现场工作人员将招募和采访2600名女性，并在12和18个月时对参与者进行重新访谈。将使用调查表收集数据，该调查表的发展以对发达国家和发展中国家过去研究的现有文献和工具的评论为依据。在开发该仪器时，咨询了数十位该领域的专家。问卷主要包括三个部分：人口统计和健康调查项目的子集，用于测量社会人口统计学特征，生殖史和性活动;有关旨在捕捉矛盾和不确定性的预期和回顾性生育偏好的其他问题; （i）关于避孕的一般性关注和（ii）特定于方法的属性的两个大项目。特定于方法的项目包括八种现代和传统方法。讨论旨在减少发展中国家未满足的避孕需求的政策和计划应以对这一现象成因的清楚了解为基础，从而更好地反映人口需求并更有效地针对计划和投资。为此，本研究将在肯尼亚和孟加拉国采用一种创新的仪器。收集的信息将支持对计划生育未满足需求的原因进行严格评估。

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