Unmet need for family planning: Individual and environmental factors in Burkina Faso

Résumé 0

Introduction: In Burkina Faso, despite actions to improve women’s health, the percentage of those with unmet needs in terms of family planning remains high (35.6% in 2015 to 20.2% in 2018 according to projections from the Performance Monitoring and Accountability project [PMA2014-15/Burkina]). Methods: The study used data from demographic and public health investigations as well as multiple indicator cluster surveys for Burkina Faso in 2010. Two analysis techniques were used: a Multiple Correspondence Analysis, then an Ascending Hierarchical Classification (AHC). A multi-level logistic regression model was used to estimate the net effects of individual and environmental factors associated with these unmet needs. Results: The analysis of the random effects shows that the propensity of having unmet needs in terms of family planning varies considerable from one household to another and from one enumeration zone to another. The net effects also show that women between the ages of 35 and 49 are 6.94 times at risk of having unmet needs in terms of limiting births than for those aged 20 to 34. For the unmet need of spacing births, this risk is estimated at 69% less high for women between 35 to 49 years of age than for those aged 15 to 19. Conclusion: It is necessary to strengthen local awareness programs geared towards women and their spouses about the benefits and the importance of family planning, while taking into account their sociodemographic characteristics (age, parity, ethnic background, living environment).