Supply-Side Versus Demand-Side Unmet Need
Implications for Family Planning Programs
Bibliographic Data
| ID | 4121222 |
|---|---|
| Authors | Leigh Senderowicz (0000-0002-6713-1473, Emory University), Nicole Maloney, Nicole S Maloney (Emory University) |
| Year | 2022 |
| Volume | 48 |
| Issue | 3 |
| Pages | 689-722 |
| Publication date | 2022-09-01 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Population and Development Review (JOURNAL) |
| Journal identifiers | ISSN: 0098-7921 • E-ISSN: 1728-4457 |
| Publisher | Wiley (PUBLISHER • GB) |
| DOI | 10.1111/padr.12478 |
| PMID | 36578790 |
| OpenAlex | W4221092907 |
| Language | EN |
| Citations received | 41 |
| References cited | 104 |
Despite its central importance to global family planning, the "unmet need for contraception" metric is frequently misinterpreted. Often conflated with a lack of access, misinterpretation of what unmet need means and how it is measured has important implications for family planning programs. We review previous examinations of unmet need, with a focus on the roles of access and demand for contraception, as well as the role of population control in shaping the indicator's priorities. We suggest that disaggregating unmet need into "demand-side unmet need" (stemming from lack of demand) and "supply-side unmet need" (stemming from lack of access) could allow current data to be leveraged into a more person-centered understanding of contraceptive need. We use Demographic and Health Survey data from seven sub-Saharan African countries to generate a proof-of-concept, dividing women into unmet need categories based on reason for contraceptive nonuse. We perform sensitivity analyses with varying conceptions of access and disaggregate by education and marital status. We find that demand-side unmet need far exceeds supply-side unmet need in all scenarios. Focusing on supply-side rather than overall unmet need is an imperfect but productive step toward person-centered measurement, while more sweeping changes to family planning measurement are still required
Business · Commerce · Demand side · Economics · Environmental economics · Operations management · Public economics · Side impact · Supply side · Engineering · Global Maternal and Child Health · Healthcare Policy and Management · Reproductive Health and Contraception
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A qualitative study on fertility preferences and barriers to fertility autonomy in rural Uganda among women with an unmet need for family planning
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Gender, Power, and Nonpreferred Contraceptive Use in the United States
Intrahousehold Decision Making and Fertility Choices in Rural Senegal and Uganda
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Early marriage/pregnancy among Syrian refugees in Jordan in light of reproductive governance and justice
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The Consequences of Community Violence for Contraceptive Use and Provision in Mexico
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Assessing the Suitability of Unmet Need as a Proxy for Access to Contraception and Desire to Use It
Development and Validation of the Agency in Contraceptive Decisions Scale in Uganda and Nigeria
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Measuring Unmet Need for Contraception Using a Person‐Centered Algorithm
Measuring Contraceptive Autonomy at Two Sites in Burkina Faso
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Associations between Contraceptive Decision‐Making and Marital Contraceptive Communication and use in Rural Maharashtra, India
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Authors’ Response to “‘Supply‐Side Versus Demand‐Side Unmet Need
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Population and Climate Change
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Calculating contraceptive prevalence and unmet need for family planning in low-fertility countries with the Generations and Gender Survey
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Contentious Traditions
The Relationship Between Ambivalent and Indifferent Pregnancy Desires and Contraceptive Use Among Malawian Women
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The Misclassification of Ambivalence in Pregnancy Intentions
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Reasons for Contraceptive Nonuse among Women Having Unmet Need for Contraception in Developing Countries
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Women's health decline following (some) unintended births
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Metrics of Survival
| Unique citing works | 41 |
|---|---|
| Citations per year | 10,25 |
| Citation span | 2022 - 2026 (5) |
| Citation velocity | current |
| Highly cited | No |
| Citation types | Neutral: 40 |