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Unwanted Family Planning

Prevalence Estimates for 56 Countries

Bibliographic Data

ID10797601
AuthorsDavid Canning (0000-0003-4041-1229, Department of Global Health and Population Harvard T.H. Chan School of Public Health Boston MA 02115 USA), Mahesh Karra (0000-0003-0962-092X, Frederick S. Pardee School of Global Studies Boston University Boston MA 02215 USA, corresponding author)
Year2023
Volume54
Issue1
Pages75-93
Publication date2023-03-01
Open AccessYes
TypeARTICLE
VenueStudies in Family Planning (JOURNAL)
Journal identifiersISSN: 0039-3665 • E-ISSN: 1728-4465
PublisherWiley (PUBLISHER • GB)
DOI10.1111/sifp.12230
PMID36705943
OpenAlexW4318263557
LanguageEN
Citations received7
References cited33

While there is a large literature on the prevalence of unmet need for family planning, there is no matching quantitative evidence on the prevalence of unwanted family planning; all contraceptive use is assumed to represent a “met need.” This lack of evidence raises concerns that some observed contraceptive use may be undesired and coercive. We provide estimates of unwanted family planning using Demographic and Health Survey data collected from 1,546,987 women in 56 low‐ and middle‐income countries between 2011 and 2019. We estimate the prevalence of unwanted family planning, defined as the proportion of women who report wanting a child in the next nine months but who are using contraception. We find that 12.2 percent of women have an unmet need for family planning, while 2.1 percent have unwanted family planning, with estimated prevalence rates ranging from 0.4 percent in Gambia to 7.1 percent in Jordan. About half of unwanted family planning use can be attributed to condoms, withdrawal, and abstinence. Estimating the prevalence of unwanted family planning is difficult given current data collection efforts, which are not designed for this purpose. We recommend that future surveys probe the reasons for the use of family planning

Abstinence · Developed country · Developing country · Economic growth · Environmental health · Family planning · Population · Psychiatry · Research methodology · Sociology · Adolescent Sexual and Reproductive Health · Demography · Global Maternal and Child Health · Medicine · Reproductive Health and Contraception

  • Contraceptive Concordance

    Open Access•Sarah Vincent, Catalina Herrera‐Almanza et al.•Studies in Family Planning•2025

  • Assessing Trends in the Desire to Avoid Pregnancy

    Open Access•John B Casterline, Laila O El‐Zeini et al.•Studies in Family Planning•2024

  • Unwanted Family Planning Including Unwanted Sterilization

    Open Access•Mahesh Karra, David Canning•Studies in Family Planning•2024

  • Undesired Births, Contraception, and Abortion Before and After the Cairo Consensus

    Open Access•Jonathan Bearak, Ellie Leong et al.•Studies in Family Planning•2025

  • Un]met Need and [Un]wanted Family Planning

    Open Access•Jewel Gausman, Niranjan Saggurti et al.•Studies in Family Planning•2025

  • Introduction to the Special Issue

    Open Access•Jeffrey B Bingenheimer, Karen Hardee et al.•Studies in Family Planning•2023

  • Revisiting Women's Empowerment and Contraception

    Open Access•Shireen J Jejeebhoy, Zeba A Sathar et al.•Population and Development Review•2024

  • Accelerate progress—sexual and reproductive health and rights for all

    Open Access•ANN M STARRS, Alex C Ezeh et al.•The Lancet•2018

  • The Millennium Development Goals Report 2011

    United Nations•The Millennium Development Goals…•2011

  • A Response to Critics of Family Planning Programs

    John Bongaarts, Steven W Sinding•International Perspectives on…•2009

  • Achieving the Goal of the London Summit on Family Planning By Adhering to Voluntary, Rights-Based Family Planning

    Karen Hardee, Shannon Harris et al.•International Perspectives on…•2014

  • The Fine Line Between Informing and Coercing

    Open Access•M Antonia Biggs, Lucia Tome et al.•Perspectives on Sexual and…•2020

  • Targets and technologies

    Daniel Bendix, Ellen E Foley et al.•Gender Place & Culture•2019

  • Provider Bias in Long-Acting Reversible Contraception (Larc) Promotion and Removal

    Jeanette A Higgins, Jenny A Higgins et al.•American Journal of Public Health•2016

  • The estimation of Unwanted Fertility

    Open Access•John B Casterline, Laila O El‐Zeini et al.•Demography•2007

  • Contraceptive Autonomy

    Open Access•Leigh Senderowicz•Studies in Family Planning•2020

  • Setting Standards of Quality in Family Planning Programs

    Anrudh K Jain, Anrudh Jain et al.•Studies in Family Planning•1992

  • Unmet Need for Contraception

    Open Access•John G F Cleland, John Cleland et al.•Studies in Family Planning•2014

  • Voluntary, Human Rights–Based Family Planning

    Open Access•Karen Hardee, Jan Kumar et al.•Studies in Family Planning•2014

  • Measurement of Unmet Need for Contraception

    Open Access•Mahesh Karra•Studies in Family Planning•2022

  • The Dilemma of Past Success

    Open Access•Ann K Blanc, Amy O Tsui•Studies in Family Planning•2005

  • Understanding Unmet Need

    Open Access•Sarah E K Bradley, Sarah E Bradley et al.•Studies in Family Planning•2014

  • Couples' Unmet Need for Family Planning in Three West African Countries

    Open Access•Erin Pearson, Erin E Pearson et al.•Studies in Family Planning•2014

  • Development and Validation of a Reproductive Autonomy Scale

    Open Access•Ushma D Upadhyay, Shari L Dworkin et al.•Studies in Family Planning•2014

  • Understanding the Complexity of Ambivalence Toward Pregnancy

    Sam Hyun Yoo, K B Guzzo et al.•Biodemography and Social Biology•2014

  • I was obligated to accept

    Open Access•Leigh Senderowicz•Social Science & Medicine•2019

  • Population Control in the Troubled Present

    Open Access•Anne Hendrixson•Development and Change•2019

  • Conceptualizing Childbearing Ambivalence

    Open Access•Christie Sennott, Sara Yeatman•Journal of Marriage and the Family•2018

Citations per year2.33
Citation span2023 - 2025 (3)
Highly citedNo

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