Journal of
Public Health and Epidemiology

  • Abbreviation: J. Public Health Epidemiol.
  • Language: English
  • ISSN: 2141-2316
  • DOI: 10.5897/JPHE
  • Start Year: 2009
  • Published Articles: 605

Full Length Research Paper

‘Wanting…, but not able to’: Realities of unmet needs for family planning and associated factors among postpartum women in the North of Benin

BIAOU Chabi Olaniran Alphonse
  • BIAOU Chabi Olaniran Alphonse
  • Ministère de la Santé du Bénin, Service Départemental de Santé Publique et de Médecine Traditionnelle des Collines, Dassa-Zoumé, Bénin.
  • Google Scholar
DOS-SANTOS Candide Russel
  • DOS-SANTOS Candide Russel
  • Faculté de Médecine, Université de Parakou, Parakou, Bénin.
  • Google Scholar
AHOUINGNAN Aurelle
  • AHOUINGNAN Aurelle
  • Faculté de Médecine, Université de Parakou, Parakou, Bénin.
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CHOKI Asséréhou Blaise
  • CHOKI Asséréhou Blaise
  • Centre National Hospitalier Universitaire Hubert Koutoukou Maga, Cotonou, Bénin.
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ANAGONOU Gimatal Esaï
  • ANAGONOU Gimatal Esaï
  • Centre Interfacultaire de Formation et de Recherche en Environnement pour le Développement Durable, Abomey-Calavi, Bénin.
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SESSOU Nathalie Sênami
  • SESSOU Nathalie Sênami
  • Département d’Epidémiologie et de Biostatistiques, Institut Régional de Santé Publique, Ouidah, Bénin.
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ZINSOU Fidèle Fidégnon
  • ZINSOU Fidèle Fidégnon
  • Ministère de la Santé du Bénin, Service Départemental de la Santé de la Mère et de l’Enfant des Collines, Dassa-Zoumé, Bénin.
  • Google Scholar
GLÈLÈ AHANHANZO Yolaine
  • GLÈLÈ AHANHANZO Yolaine
  • Département d’Epidémiologie et de Biostatistiques, Institut Régional de Santé Publique, Ouidah, Bénin.
  • Google Scholar
HOUNKPONOU Fanny
  • HOUNKPONOU Fanny
  • Faculté de Médecine, Université de Parakou, Parakou, Bénin.
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  •  Received: 07 February 2022
  •  Accepted: 20 April 2022
  •  Published: 31 May 2022

Abstract

Solving the unmet need for family planning is a challenge for improving women’s health, especially women during the postpartum period. This study aims to determine the degree of women’s unmet needs during the postpartum period and associated factors in Parakou, Northern Benin. This is a cross-sectional community study conducted in 2018 with 453 postpartum women living in Parakou. They were selected using a two-stage random sampling technique. We used a logistic regression model to identify the factors associated with unmet needs. The unmet needs for family planning concerned 340 postpartum women (75.06%; 95% CI: 71.1 - 79.0). This prevalence decreased significantly depending on the spouse’s education level. Other associated factors included the absence of a history of contraceptive use (AOR = 4.1; 95% CI: 2.5 - 6.9), failure to resume sexual practices (AOR = 2.1; 95% CI: 1.3 - 3.4), and the need for husbands' authorization before adopting a contraceptive method (AOR = 2.2; 95% CI: 1.3 - 3.6). In conclusion, 75% of women during the postpartum period in Parakou have an unmet need for family planning. Contextualized interventions to reverse this trend must be designed to reduce maternal, perinatal, and neonatal morbidity and mortality.

Key words: Unmet needs, family planning, postpartum, associated factors, Benin.