A Scoping Review of Unmet Family Planning Needs in Young Couple: Effects of Socio-Demographic Factors, Parity, and Health Services

Yustika Rahmawati Pratami, Yayu Yuliarti, Nawang Wulan Nago Pitasari

Abstract


Abstract

Introduction: Young couples who have become mothers and do not have sufficient knowledge about family planning but are in the unmet need group for family planning have a higher risk of experiencing pregnancy complications. Pregnancy complications can lead to an increased risk of maternal mortality and morbidity. Purpose: This study explored the factors influencing the unmet need for family planning among young couples using the rapid review method. Methods: This scoping review study was sourced from ScienceDirect, Pubmed, and Wiley Online Library databases for article searches from 2010-2021. The primary study refers to young couples with unmet needs for a family planning group and explores its determinants, adapting the PRISMA-ScR 2020 checklist framework. Results: 14 articles met the inclusion criteria from 1,020 articles. The review found two determinants of unmet need for family planning among young couples: sociodemographic and health factors. Sociodemographic factors were divided into ten factors: age, place of residence, community culture, maternal motivation to participate in family planning, maternal autonomy in decision-making, knowledge, religion, marital status, economic status, and desire for family planning. Health factors are divided into two categories, namely parity and health services. Conclusion: The study found similar reasons for women's unmet family planning needs. The unmet need for family planning among young couples is common in developing countries.

Latar Belakang: Pasangan muda yang telah menjadi Ibu dan tidak memiliki pengetahuan yang cukup tentang keluarga berencana, namun menjadi kelompok unmet need KB memiliki risiko lebih tinggi mengalami komplikasi kehamilan. Komplikasi kehamilan dapat menjadi penyebab peningkatan risiko kematian dan morbiditas ibu. Tujuan: Studi ini bertujuan mengeksplor faktor-faktor yang mempengaruhi unmet need KB pada pasangan muda dengan metode rapid review. Metode: Studi scoping review ini bersumber dari ScienceDirect, Pubmed, dan Wiley Online Library, sebagai database untuk pencarian artikel dengan rentang waktu 2010-2021. Kajian utama studi ini mengacu pasangan muda yang menjadi kelompok unmet need KB dan mengeskplorasi determinannya, mengadaptasi kerangka checklist PRISMA-ScR 2020. Hasil: Artikel ditemukan 14 yang memenuhi kriteria inklusi dari seleksi 1.020 artikel. Kajian telah menemukan dua faktor penentu unmet need KB pada pasangan muda, yaitu faktor sosio-demografi dan kesehatan. Faktor sosiodemografi dibagi menjadi 10 faktor yaitu umur, tempat tinggal, budaya masyarakat, motivasi ibu untuk megikuti Keluarga Berencana, otonomi ibu dalam pengambilan keputusan, pengetahuan, agama, status perkawinan, status ekonomi dan keinginan berKB. Sedangkan faktor kesehatan dibagi menjadi dua yaitu paritas dan pelayanan kesehatan. Simpulan: Studi menemukan alasan yang sama pada setiap perempuan yang kebutuhannya tidak terpenuhi padahal mereka membutuhkannya. Unmet need KB pada pasangan muda banyak dijumpai di negara-negara berkembang. Keadaan ini mengindikasikan bahwa fokus kontrasepsi di negara-negara berkembang harus ditingkatkan pada perempuan muda.


Keywords


Developing countries; family planning; health service; young couples; Unmet needs.

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References


Adebowale, S. A., & Palamuleni, M. E. (2014). Determinants of unmet need for modern contraception and reasons for non-use among married women in rural areas of Burkina Faso. African Population Studies, 499-514. https://doi.org/10.11564/28-1-503

Ahinkorah, B. O. (2020). Predictors of unmet need for contraception among adolescent girls and young women in selected high fertility countries in sub-Saharan Africa: a multilevel mixed effects analysis. PloS one, 15(8), e0236352. https://doi.org/10.1371/journal.pone.0236352

Ahinkorah, B. O., Ameyaw, E. K., & Seidu, A. A. (2020). Socio-economic and demographic predictors of unmet need for contraception among young women in sub-Saharan Africa: evidence from cross-sectional surveys. Reproductive health, 17(163), 1-11. https://doi.org/10.1186/s12978-020-01018-2

Amartha, V. A., Fathimiyah, I., Rahayuwati, L., & Rafiyah, I. (2018). Pendidikan Kesehatan Mengenai Pencegahan Perilaku Seksual melalui Peningkatan Asertivitas pada Remaja Putri SMK Baabul Kamil Jatinangor. Media Karya Kesehatan, 1(1). https://doi.org/10.24198/mkk.v1i1.17285

Asaarik, M. J., & Adongo, W. B. (2018). Factors Influencing Unmet Need for Family Planning among Women in Fertility Age (15-49 Years Old) in West Mamprusi District in the Northern Region of Ghana. International Journal of Caring Sciences, 11(2). https://www.internationaljournalofcaringsciences.org

Asif, M. F., & Pervaiz, Z. (2019). Sociodemographic determinants of unmet need for family planning among married women in Pakistan. BMC Public Health, 19(1), 1–8. https://doi.org/10.1186/s12889-019-7487-5

Astuti, E., & Ratifah. (2014). Deskriptif faktor-faktor yang mempengaruhi Wanita Usia Subur (WUS) tidak menggunakan alat kontrasepsi. 100 Bidan Prada: Jurnal Ilmiah Kebidanan, 5(2), 99–108. https://ojs.stikesylpp.ac.id/index.php/JBP/article/view/108/98

Astuti, A. W., Mufdlillah, M., Anggraeni, W. S., & Sewoko, E. (2021). Penggunaan mobile technology dan penelitian partisipatoris untuk pencegahan droup-out kb selama pandemi COVID-19. Jurnal Kesehatan, 12(1), 029-037. http://ejurnal.stikesprimanusantara.ac.id/index.php/JKPN/article/view/422

BKKBN. (2022). Jumlah Peserta KB. https://www.google.com/url?sa=t&rct=j&q=&esrc= s&source=web &cd=&cad=rja&uact=8&ved=2ahUKEwiCvrjb-p2EAxUGzTgGHf6KBDAQFnoECCIQAQ&url= https%3A%2F %2Fmonalisa.bkkbn.go.id%2Fstatistic%2

BPS, Kemenkes, & BKKBN. (2017). Survey Demografi dan Kesehatan Indonesia. https://archive.org/ details/LaporanSDKI2017

Chandra-Mouli et al. (2014). Contraception for adolescents: Social, clinical and service delivery considerations contraception for adolescents in low and middle-income countries: needs, barriers, and access. Reproductive Health, 11(1), 1–8. https://reproductive-health-journal.biomedcentral.com/track/pdf/ 10.1186/1742-4755-11-1?site=reproductive-health-journal.biomedcentral.com

Creanga, A. A., Gillespie, D., Karklins, S., & Tsui, A. O. (2011). Low use of contraception among poor women in Africa: an equity issue. Bulletin of the world Health Organization, 89, 258-266. https://doi.org/10.2471/BLT.10.083329

Dennis, M. L., Radovich, E., Wong, K. L., Owolabi, O., Cavallaro, F. L., Mbizvo, M. T., Binagwaho, A., Waiswa, P., Lynch, C. A., & Benova, L. (2017). Pathways to increased coverage: an analysis of time trends in contraceptive need and use among adolescents and young women in Kenya, Rwanda, Tanzania, and Uganda. Reproductive health, 14(1), 1-13. https://doi.org/10.1186/s12978-017-0393-3

Dingeta, T., Oljira, L., Worku, A., & Berhane, Y. (2019). Unmet need for contraception among young married women in eastern Ethiopia. Open Access Journal of Contraception, 89-101. https://doi.org/10.2147/OAJC.S227260

Fahrunnisa, F., & Meilinda, A. (2015). Penyebab Unmet Need KB Dari Sudut Pandang Budaya Minangkabau di Nagari Lambah Kecamatan Ampek Angkek Kabupaten Agam. SEAJOM: The Southeast Asia Journal of Midwifery, 1(1), 22-28. https://doi.org/10.36749/seajom.v1i1.54

Fraser, B. (2020). Adolescent pregnancy in Latin America and the Caribbean. The Lancet Child and Adolescent Health, 4(5), 356–357. https://doi.org/10.1016/S2352-4642(20)30106-1

Genet, E., Abeje, G., & Ejigu, T. (2015). Determinants of unmet need for family planning among currently married women in Dangila town administration, Awi Zone, Amhara regional state; A cross-sectional study. Reproductive Health, 12(1), 1–5. https://doi.org/10.1186/s12978-015-0038-3

Hasanah, N. (2016). Pengaruh Persepsi Suami Tentang Alat Kontrasepsi Dan Keterlibatan Isteri Dalam Pengambilan Keputusan Terhadap Kejadian Unmet Need Kb Pada Pasangan Usia Subur (Pus) Di Kecamatan Benjeng Kabupaten Gresik. Hospital Majapahit (JURNAL ILMIAH KESEHATAN POLITEKNIK KESEHATAN MAJAPAHIT MOJOKERTO), 8(2). https://doi.org/10.5281/zenodo.3514496

Hasto. (2020). Strategi BKKBN dalam mengantisipasi Baby Boom pasca pandemi COVID-19. https://fkkmk.ugm.ac.id/strategi-cegah-baby-boom-pasca-pandemi-covid-19/

Irani, L., Speizer, I., & Barrington, C. (2013). Attitudes, beliefs, and norms relating to contraceptive use among young migrant and non-migrant adults in urban Dar es Salaam, Tanzania. Global Public Health, 8(9), 1048–1062. https://doi.org/10.1080/17441692.2013.838598

Irawaty, D. K., Yasin, S. M., & Pratomo, H. (2020). Family planning communication between wives and husbands: Insights from the 2017 Indonesia demographic and health survey. Kesmas, 15(3), 147–153. https://doi.org/10.21109/KESMAS.V15I3.3301

Islam, R., Islam, A. Z., & Rahman, M. (2013). Unmet need for family planning: experience from urban and rural areas in Bangladesh. Public Health Research, 3(3), 37-42. https://doi.org/10.5923/j. phr.20130303.02

Islam, A. Z., Mostofa, G., & Islam, M. A. (2016). Factors affecting the unmet need for contraception among currently married fecund young women in Bangladesh. The European Journal of Contraception 8 Reproductive Health Care, 000. https://doi.org/10.1080/13625187.2016.1234034

Kennedy, E., Gray, N., Azzopardi, P., & Creati, M. (2011). Adolescent fertility and family planning in East Asia and the Pacific: a review of DHS reports. Reproductive Health, 8, 11. https://doi.org/10.1186/1742-4755-8-11

Latorre, A. A. E. (2019). Factors Associated with Unmet Need for Family Planning among Young Women in the Philippines. Philippine Journal of Health Research and Development, 23(2), 10–19. https://pjhrd.upm.edu.ph/index.php/main/article/view/276

Lavner, J. A., Karney, B. R., & Bradbury, T. N. (2016). Does Couples’ Communication Predict Marital Satisfaction, or Does Marital Satisfaction Predict Communication? Journal of Marriage and the Family, 78(3), 680–694. https://doi.org/10.1111/jomf.12301

Letamo, G., & Navaneetham, K. (2015). Levels, trends, and reasons for unmet need for family planning among married women in Botswana: A cross-sectional study. BMJ Open, 5(3). https://doi.org/10.1136/bmjopen-2014-006603

Listiyana, A. D., Mardiana, M., & Prameswari, G. N. (2013). Obesitas sentral dan kadar kolesterol darah total. Jurnal Kesehatan Masyarakat, 9(1), 37–43. https://journal.unnes.ac.id/nju/index.php/kemas/ article/view/2828

MacQuarrie, K. L. (2014). Unmet need for family planning among young women: levels and trends. https://www.cabidigitallibrary.org/doi/full/10.5555/20143200331

Mastiningsih, P. & Agustina, Y. C. (2019). Asuhan Keluarga Berencana. Media

Mekonnen, W., & Worku, A. (2011). Determinants of low family planning use and high unmet need in Butajira District, South Central Ethiopia. Reproductive Health, 8, 37. https://doi.org/10.1186/1742-4755-8-37

Mulenga, J. N., Bwalya, B. B., Mulenga, M. C., & Mumba, K. (2020). Determinants of unmet need for family planning among married women in Zambia. Journal of Public Health in Africa, 11(1), 1084. https://doi.org/10.4081/jphia.2020.1084

Mutumba, M., Wekesa, E. & Stephenson, R. (2018). Community influences on modern contraceptive use among young women in low and middle-income countries: a cross-sectional multi-country analysis. BMC Public Health 18, 430. https://doi.org/10.1186/s12889-018-5331-y.

Nahar, S., Mohammed, M., & Farheen, A. (2018). Unmet need and demand for family planning among married women of Abha, Aseer Region in Saudi Arabia. Middle East Fertility Society Journal, 23(1), 31–36. https://doi.org/10.1016/j.mefs.2017.07.004

Norton, M., Chandra-Mouli, V., & Lane, C. (2017). Interventions for preventing unintended, rapid repeat pregnancy among adolescents: A review of the evidence and lessons from high-quality evaluations. Global Health Science and Practice, 5(4), 547–570. https://doi.org/10.9745/GHSP-D-17-00131

Nyenwa, J., & Oguntunde, O. (2018). Programmatic implications of unmet need for contraception among men and young married women in northern Nigeria. Journal of Contraception, 81–90. https://doi.org/10.2147/OAJC.S172330

Nzokirishaka, A., & Itua, I. (2018). Determinants of unmet need for family planning among married women of reproductive age in Burundi: a cross-sectional study. Contraception and Reproductive Medicine, 3(1), 1–13. https://doi.org/10.1186/s40834-018-0062-0

Page, M. J., McKenzie, J. E., Bossuyt, P. M., Boutron, I., Hoffmann, T. C., Mulrow, C. D., Shamseer, L., Tetzlaff, J. M., Akl, E. A., Brennan, S. E., Chou, R., Glanville, J., Grimshaw, J. M., Hróbjartsson, A., Lalu, M. M., Li, T., Loder, E. W., Mayo-Wilson, E., McDonald, S., … Moher, D. (2021). The PRISMA 2020 statement: an updated guideline for reporting systematic reviews. BMJ, n71. https://doi.org/10.1136/bmj.n71

Peterson, J., Pearce, P. F., Ferguson, L. A., & Langford, C. A. (2017). Understanding scoping reviews: Definition, purpose, and process. Journal of the American Association of Nurse Practitioners, 29(1), 12–16. https://doi.org/10.1002/2327-6924.12380

Putro, D. A., & Listyaningsih, U. (2017). Unmet Need Keluarga Berencana Di Daerah Perkotaan Dan Perdesaan Di Provinsi Daerah Istimewa Yogyakarta. Kesmas: National Public Health Journal, 3(3), 60–88. https://www.neliti.com/id/publications/228857/unmet-need-keluarga-berencana-di-daerah-perkotaan-dan-perdesaan-di-provinsi-daer

Resti, S. N., Barus, E., & Anita, S. (2019). Analisis Unmet Need Kb Pada Wanita Pasangan Usia Subur (Pus) Di Wilayah Pesisir Pantai Desa Bagan Kecamatan Percut Sei Tuan Kabupaten Deli Serdang Tahun 2019. Midwifery Journal: Jurnal Kebidanan UM. Mataram, 4(2), 71. https://doi.org/10.31764/mj.v4i2.902

Rista, L. P. & Gandhung, F. P. (2017). Pembatasan Keturunan (Tahdid Al-Nasl) (Studi Komparasi Fatwa Mui Dan Putusan Majelis Tarjih Muhammadiyah Perspektif Maqasid Syariah. Maqasid: Jurnal Studi Hukum Islam, 6(2), 21. https://journal.um-surabaya.ac.id/Maqasid/article/view/1364

Rizvi, F., Williams, J., Bowe, S., & Hoban, E. (2020). Factors influencing the unmet need for contraception amongst adolescent girls and women in Cambodia. 1–25. https://doi.org/10.7717/peerj.10065

Saraswati, P. W. (2022). Saving more lives on time: Strategic policy implementation and financial inclusion for safe abortion in Indonesia during COVID-19 and beyond. Frontiers in Global Women’s Health, 3(6). https://doi.org/10.3389/fgwh.2022.901842

Sedgh, G., Bearak, J., Singh, S., Bankole, A., Popinchalk, A., Ganatra, B., Rossier, C., Gerdts, C., Tuncalp, O., Johnson, B. R., Johnston, H. B., & Alkema, L. (2016). Abortion incidence between 1990 and 2014: global, regional, and subregional levels and trends. The Lancet, 388(10041), 258-267. https://doi.org/10.1016/S0140-6736(16)30380-4

Sengupta, R., Das, A., & Foundation, I. D. (2012). Contraceptive Practices And Unmet Needs Among Young Currently Married Rural Women In Empowered Action Group ( Eag ) States Of Contraceptive Practices And Unmet Need Among Young Currently Married Rural Women In Empowered Action Group (EAG) States Of India. Journal of Family Welfare. https://www.researchgate.net/publication/280534739

Shahabuddin, A. S. M., Nöstlinger, C., Delvaux, T., Sarker, M., Bardají, A.,

Brouwere, V. D., & Broerse, J. E. (2016). What influences adolescent girls’ decision-making regarding contraceptive methods use and childbearing? A qualitative exploratory study in Rangpur District, Bangladesh. PloS one, 11(6), e0157664. https://doi.org/10.1371/journal.pone.0157664

Sidibe, S., Delamou, A., Camara, B.S., Dioubaté, N., Manet, H., El Ayadi, A. M., Benova, L. & Kouanda, S. (2020). Trends in contraceptive use, unmet need and associated factors of modern contraceptive use among urban adolescents and young women in Guinea. BMC Public Health 20, 1840. https://doi.org/10.1186/s12889-020-09957-y

Singh, L. , Prinja, S. , Rai, P. , Siddhanta, A. , Singh, A. , Sharma, A. , Sharma, V. , Rana, S. , Muneeza, K. and Srivastava, A. (2020) Determinants of Modern Contraceptive Use and Unmet Need for Family Planning among the Urban Poor. Open Journal of Social Sciences, 8, 451-473. https://doi.org/10.4236/jss.2020.85031

Tadele, A., Abebaw, D., & Ali, R. (2019). Predictors of unmet need for family planning among all women of reproductive age in Ethiopia. Journal of Contraception and Reproductive Medicine, 1–9. https://doi.org/10.1186/s40834-019-0087-z

Tumlinson, K., Okigbo, C. C., & Speizer, I. S. (2015). Provider barriers to family planning access in urban Kenya. Contraception, 92(2), 143–151. https://doi.org/10.1016/j.contraception.2015.04.002

United Nations Population Fund. (2020). Family Planning. https://www.unfpa.org/family-planning

United Nations, Department of Economic and Social Affairs, Population

Division. (2014).World Contraceptive Use 2014 (POP/DB/CP/Rev2014). https://www.un.org/en/development/desa/population/publications/ dataset/contraception/wcu2014/Metadata/WCU2014_UNMET_NEED_metadata.pdf

Valenzuela-Vallejo, L., Corredor-Orlandelli, D., Alzate-Ricaurte, S.,

Hernández-Santamaría, V., Aguirre-Ruiz, J. F., & Peña-Peña, A. (2021). Hormonal Contraception and Massive Pulmonary Embolism in a COVID-19 Ambulatory Patient: A Case Report. In Clinics and practice (Vol. 11, Issue 4, pp. 914–918). https://doi.org/10.3390/clinpract11040105

Wardoyo. (2020). Pelayanan keluarga berencana pada masa new normal. BKKBN

WHO. (2017). World Family Planning - Highlights. United Nations, p. 43. https://www.google.com/ URL? sa=t&rct=j&q=&esrc=s&source=web&cd=&cad=rja&uact=8&ved=2ahUKEwj4l8ft952EAxWqSGwGHed0B_oQFnoECA8QAQ&url

Wilopo, S. A., Setyawan, A., Pinandari, A. W., Prihyugiarto, T., Juliaan, F., & Magnani, R. J. (2017). Levels, trends, and correlates of unmet need for family planning among postpartum women in Indonesia: 2007-2015. BMC Women’s Health, 17(1), 120. https://doi.org/10.1186/s12905-017-0476-x

Workie, D. L., Zike, D. T., Fenta, H. M., & Mekonnen, M. A. (2017). A binary logistic regression model with complex sampling design of unmet need for family planning among all women aged ( 15-49 ) in Ethiopia. African Health Sciences, 17(3), 637–646. https://doi:10.4314/ahs.v17i3.6.

Yadav, K., Agarwal, M., Shukla, M., Singh, J. V., & Singh, V. K. (2020). Erratum: Correction to Unmet need for family planning services among young married women (15-24 years) living in urban slums of India (BMC Women's Health (2020) 20 1 (187)). BMC Women’s Health, 20(1), 212. https://doi.org/10.1186/s12905-020-01076-5

Yadav, K., Agarwal, M., Singh, J. V., & Singh, V. K. (2017). Determinants of non-use of family planning methods by young married women ( 15-24 years ) living in urban slums of Uttar Pradesh. Indian Journal Of Community Health, 29(01). https://doi.org/10.47203/IJCH.2017.v29i01.009

Yaya, S., Odusina, E. K., & Bishwajit, G. (2019). Prevalence of child marriage and its impact on fertility outcomes in 34 sub-Saharan African countries. BMC international health and human rights, 19(1), 1-11. https://doi.org/10.1186/s12914-019-0219-1

Yolanda, D., & Destri, N. (2019). Faktor Determinan Yang Mempengaruhi Kejadian Unmet Need KB Pada Pasangan Usia Subur Di Kelurahan Campago Ipuah Kecamatan Mandiangin Koto Selayan Kota Bukittinggi Tahun 2018. Menara Ilmu, XIII(3), 10–15. https://jurnal.umsb.ac.id/index.php/ menarailmu/ article/view/1211




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