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首页> 外文期刊>Open access Journal of Contraception >A practical alternative to calculating unmet need for family planning
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A practical alternative to calculating unmet need for family planning

机译：计算未满足的计划生育需求的实用替代方法

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The standard approach for measuring unmet need for family planning calculates actual, physiological unmet need and is useful for tracking changes at the population level. We propose to supplement it with an alternate approach that relies on individual perceptions and can improve program design and implementation. The proposed approach categorizes individuals by their perceived need for family planning: real met need (current users of a modern method), perceived met need (current users of a traditional method), real no need, perceived no need (those with a physiological need for family planning who perceive no need), and perceived unmet need (those who realize they have a need but do not use a method). We tested this approach using data from Mali (n=425) and Benin (n=1080). We found that traditional method use was significantly higher in Benin than in Mali, resulting in different perceptions of unmet need in the two countries. In Mali, perceived unmet need was much higher. In Benin, perceived unmet need was low because women believed (incorrectly) that they were protected from pregnancy. Perceived no need – women who believed that they could not become pregnant despite the fact that they were fecund and sexually active – was quite high in both countries. We posit that interventions that address perceptions of unmet need, in addition to physiological risk of pregnancy, will more likely be effective in changing behavior. The suggested approach for calculating unmet need supplements the standard calculations and is helpful for designing programs to better address women’s and men’s individual needs in diverse contexts.
机译：衡量计划生育未满足需求的标准方法可以计算实际的生理未满足需求，对于跟踪人口水平的变化非常有用。我们建议以一种替代方法来补充它，该方法依赖于个人的看法并可以改善程序设计和实施。提议的方法按个人对计划生育的需求进行分类：实际满足的需求（现代方法的当前用户），感知的满足需求（传统方法的当前用户），真正的不需要，感觉到的需求（具有生理需求的人）认为没有需要的计划生育和未满足的需求（那些意识到自己有需要但不使用方法的人）。我们使用来自马里（n = 425）和贝宁（n = 1080）的数据测试了这种方法。我们发现，贝宁的传统方法使用量明显高于马里，导致两国对未满足需求的看法不同。在马里，未满足的需求要高得多。在贝宁，未满足的需求很低，因为妇女（错误地）认为她们受到保护免受怀孕。在这两个国家中，认为没有必要的妇女（尽管她们相信自己有丰富的生殖力和性活跃能力，但仍然无法怀孕）的妇女的比例很高。我们认为，除了生理上的怀孕风险外，针对未满足需求的认知的干预措施更有可能有效地改变行为。建议的未满足需求的计算方法是对标准计算的补充，有助于设计程序，以更好地满足不同情况下男女的个人需求。

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