Chabi Olaniran Alphonse Biaou
Public Health Regional Institute, Ouidah, Benin
Context: Solving the problem of unmet need for family planning is an important challenge for improving the health of women, especially those in the postpartum period. This study was conducted to determine the extent of unmet need during the postpartum period and its associated factors in the general population in Parakou, a city in northern Benin.
Method: A cross-sectional community study was conducted with women in the postpartum period living in the commune of Parakou. They were selected by the two-stage random sampling technique. Explanatory variables included socio-demographic characteristics and reproductive history. We used a logistic regression model to identify the factors associated with unmet need.
Results: The study included 453 women aged 27.1 years ± 6 years. The unmet need for contraception concerned 340 women (75.06%; 95% CI: 71.1% - 79.0%). The prevalence of the unmet need for contraception decreased significantly depending on the education level of the spouse. Other associated factors included the absence of a history of contraceptive use (ORA = 4.1; 95% CI 2.5 - 6.9), failure to resume sexual practices (ORA = 2.1; IC95 %: 1.3 - 3.4) and the need for the husband's authorization before adopting a contraceptive method (ORA = 2.2; 95% CI: 1.3 - 3.6).
Conclusion: In Parakou, three-quarters of women during the postpartum period have unmet need for contraception. Contextualized interventions aimed at reversing this trend must be thought of to reduce maternal, perinatal and neonatal morbidity and mortality in Parakou.
Keywords: Unmet needs, contraception, Postpartum, Associated factors, Benin.