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Abstract

Background: Unmet need for family planning in Myanmar (estimated 15.8% by the UN in 2017) is relatively high compared to other South East Asia countries. Moreover, Social Institutions and Gender Index in Myanmar is very high and cultural norms promote childbearing. Thus, this paper was conducted to examine role of intra-household gendered dominance (IHGD) in unmet need for family planning across Myanmar to set more effective intervention for family planning. Methods: The study utilized secondary data from 2015–2016 MDHS. Total 7,652 married women in reproductive age (MWRA) were included and 16% of them had unmet need for family planning. Binary Logistic Regression Analysis was conducted to examine the association of each explanatory variables with outcomes variables. Results: IHGD factors which are decision on women’s health and women’s attitude towards wife beating are significantly associated with unmet need. Moreover, socio-economic factors which are place of residence and women’s education level have significant impact on unmet need as well. Conclusion: Based on the findings of this study, the government of Myanmar should address dominance of social and cultural gender norms by conducting gender equality awareness campaign and family planning program should target to reach rural and uneducated women.

References

  1. Population Reference Bureau (PRB). Family Planning: The Changing Path of Unmet Need [Internet]. Washington, DC: opulation Reference Bureau, 2014 [Cited 2019 April 2]. Available from: http://www.prb.org/pdf14/unmet-need-script.pdf.
  2. World Health Organization (WHO). Global and regional estimates of the incidence of unsafe abortion and associated mortality in 2008 [Internet]. Geneva: World Health Organization, 2011 [Cited 2019 April 2]. Available from: https://apps.who.int/iris/bitstream/handle/10665/44529/9789241501118_eng.pdf;jsessionid=7B6783C59062106FDCB82D8B25ED2F69?sequence=1.
  3. Government of Myanmar (GoM). Family Planning 2020 Commitment [Internet]. Myanmar: Government of Myanmar; 2017 [Cited 2019 April 2]. Available from: http://ec2-54-210-230-186.compute-1.amazonaws.com/wpcontent/uploads/ 2017/09/Govt.-of-Myanmar-FP2020-Commitment-2017-Full-Final.pdf.
  4. OECD. Social Institution and Gender Index, Myanmar [Internet]. 2019 [Cited 2019 April 2]. Available from: https://www.genderindex.org/wp-content/uploads/files/datasheets/2019/MM.pdf.
  5. Thein PT. Gender equality and cultural norms in Myanmar. Proceeding of the International Conference on Burma/Myanmar Studies. University Academic Service Centre, Chiang Mai University, Thailand. 24–25 Jul 2015; p. 1–14.
  6. Rosenthal L, Levy SR. Understanding women's risk for HIV infection using social dominance theory and the four bases of gendered power. Psychol Women Q. 2010;34:21–35.
  7. Bradley SEK, Trevor NC, Joy DF, Charles FW. Revising Unmet Need for Family Planning. DHS Analytical Studies No. 25. Calverton, Maryland, USA: ICF International, 2012.
  8. Allendorf K. The quality of family relationships and use of maternal health‐care services in India. Stud Fam Plann. 2010;41:263–76.
  9. Kabeer N. Conflicts over credit: Re-evaluating the empowerment potential of loans to women in rural Bangladesh. World Devel. 2001;29:63–84.
  10. Mullany BC. Spousal agreement on maternal health practices in Kathmandu, Nepal. J Biosoc Sci. 2010;42:689–93.
  11. Woldemicael G, Beaujot R. Currently married women with an unmet need for contraception in Eritrea: Profile and determinants. Can Stud Popul. 2011;38:61–81.
  12. Tadesse M, Teklie H, Yazew G, Gebreselassie T. Women’s Empowerment as a Determinant of Contraceptive Use in Ethiopia. Further Analysis of the 2011 Demographic and Health Survey. DHS Further Analysis Reports No. 82. Calverton, Maryland, USA: ICF International 2013.
  13. Uddin J, Pulok MH, Sabah MNU. Correlates of unmet need for contraception in Bangladesh: Does couples' concordance in household decision making matter? Contracept. 2016;94:18–26.
  14. Parkhurst JO, Rahman SA, Ssengooba F. Overcoming access barriers for facility-based delivery in low-income settings: insights from Bangladesh and Uganda. J Health Popul Nutr. 2016;24:438–45.
  15. Adebowale SA, Palamuleni ME. Determinants of unmet need for modern contraception and reasons for non-use among married women in rural areas of Burkina Faso. Afr Popul Stud. 2014;28:499–514.
  16. Ali AA, Okud A. Factors affecting unmet need for family planning in Eastern Sudan. BMC Publ Health. 2013;13:102.
  17. Hailemariam A, Haddis F. Factors affecting unmet need for family planning in southern nations, nationalities and peoples region, Ethiopia. Ethiopian J Health Sci. 2011;21:77–90.
  18. Mandara M. Family planning in Nigeria and prospects for the future. Int J Gynecol Obstet. 2012;117:1–4.
  19. Oginni AB, Ahonsi BA, Adebajo S. Trend and determinants of unmet need for family planning services among currently married women and sexually active unmarried women aged 15–49 in Nigeria (2003–2013). Afr Popul Stud. 2015;29:1483–99.
  20. Paudel IS, Budhathoki SS. Unmet needs for family planning in Sunsari, eastern Nepal. Health Renaissance. 2011;9:148–51.
  21. Tapare VS, Parande MA, Borle PS. Unmet need for contraception among married women of reproductive age in rural Maharashtra. Int J Commun Med Publ Health. 2017;4:3365–71.
  22. Sherin RT, Tiwari VK, Singh JV. Regional variations in unmet need of family planning in Rajasthan. Health Popul Perspect Issues. 2013;36:26–44.
  23. Waqas H, Azmat SK, Mohsina B, Muhammad I. Determining the factors associated with unmet need for family planning: a cross-sectional survey in 49 districts of Pakistan. Pakistan J Publ Health. 2011;1:21–7.
  24. Oginni AB, Ahonsi BA, Adebajo S. Trend and determinants of unmet need for family planning services among currently married women and sexually active unmarried women aged 15–49 in Nigeria (2003–2013). Afr Popul Stud. 2015;29:1483–99.
  25. Pradhan J, Dwivedi R. Why unmet need for family planning remains high in Bangladesh: a community level analysis. J Women’s Health Care. 2015;4:1-7.
  26. Prusty RK. Use of contraceptives and unmet need for family planning among tribal women in India and selected hilly states. J Health Popul Nutr. 2014;32:342–55.
  27. Relwani NR, Saoji AV, Kulkarni M, Kasturwar N, Zade R, Wadke R. Revealing unmet need for contraception among married women in an urban slum of Nagpur. Int J Med Sci Public Health. 2015;4:1136–41.
  28. Patil SS, Durgawale MP, Patil SR. Epidemiological correlates of unmet need for contraception in urban slum population. Al Ameen J Med Sci. 2010;3:312–6.
  29. AgImasiku EN, Odimegwu CO, Adedini SA, Ononokpono DN. Variations in unmet need for contraception in Zambia: does ethnicity play a role? J Biosoc Sci. 2014;46:294–315.
  30. Ali AA, Okud A. Factors affecting unmet need for family planning in Eastern Sudan. BMC Public Health. 2013;13:102.
  31. Nzokirishaka A, Itua I. Determinants of unmet need for family planning among married women of reproductive age in Burundi: A cross-sectional study. Contracept Reprod Med. 2018;3:11.

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