Revising the Definition of Demand Satisfied for Modern Methods of Family Planning
Author Information
Author(s): Gausman Jewel, Saggurti Niranjan, Adanu Richard, Bandoh Delia A. B., Berrueta Mabel, Chakraborty Suchandrima, Kenu Ernest, Khan Nizamuddin, Langer Ana, Nigri Carolina, Odikro Magdalene A., Pingray Veronica, Ramesh Sowmya, Vázquez Paula, Williams Caitlin R., Jolivet R. Rima
Primary Institution: Guttmacher Institute, New York, New York, United States of America
Hypothesis
This study aimed to explore construct validity of the widely used 'demand satisfied' indicator by comparing results of the standard definition used in global measurement to alternative definitions of the indicator incorporating dimensions of women’s own perceived demand, choice, and satisfaction.
Conclusion
The percentage of women with 'demand satisfied' for family planning after incorporating person-centered constructs is substantially lower than that obtained using the standard indicator in Argentina and India but remains approximately the same in Ghana.
Supporting Evidence
- Women categorized as having their 'demand satisfied' according to the person-centered dimensions were significantly more likely to be using their preferred method of contraception.
- In Argentina and India, the percentage of women with demand satisfied was substantially lower when incorporating constructs of demand, choice, and satisfaction.
- High response rates were achieved in all three countries, indicating robust data collection.
- The study highlights the importance of incorporating women's perspectives in measuring demand for family planning.
Takeaway
This study shows that many women who want to use contraception are not counted in the standard measures, which can make it seem like more women are getting the help they need than actually are.
Methodology
This cross-sectional study included women aged 15–49 years in Argentina, Ghana, and India, using a two-staged random sampling design and direct questions about demand, choice, and satisfaction.
Potential Biases
Responses may be subject to recall or social desirability bias.
Limitations
The study may not fully represent the general population due to demographic differences and only surveyed women aged 15–49 years.
Participant Demographics
Women aged 15-49 years from Argentina, Ghana, and India, with varying literacy and education levels.
Statistical Information
P-Value
p<0.0001
Confidence Interval
95% CI: 5.31–11.07 in Argentina, 95% CI: 2.27–10.27 in Ghana, 95% CI: 1.11–3.86 in India
Statistical Significance
p<0.05
Digital Object Identifier (DOI)
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