Contraceptive unmet needs in low and middle-income countries: A systematic review

Chilinda, Idesi; Cooke, Alison; Tina Lavender, Dame

Abstract

Contraceptive use in sub-Saharan Africa remains low, with a minimal rise from 23.6% to 28.5% between 2008 and 2015. Unmet needs for contraception remain a public health concern in low and middle-income countries. The objectives of this systematic review were to explore the perceptions of women and men accessing family planning services; and the perceptions of healthcare professionals delivering family planning services in low and middle-income countries. Literature search was limited to studies published in English in the period from 2000 to 2017. Thirty studies included in this review were identified from CINAHL, BNI, EMBASE, PsycINFO, MIDIRS and MEDLINE databases. A narrative synthesis, was adopted to synthesise the findings. Findings indicate a lack of awareness of contraception amongst women and men. Experienced and perceived side effects of contraceptives influence contraceptive continuation and discontinuation. Evidence from this review points to the need for awareness of contraception to dispel myths and misperceptions regarding modern contraception.

Citation

Chilinda, I., Cooke, A., & Tina Lavender, D. (2021). Contraceptive unmet needs in low and middle-income countries: A systematic review. African Journal of Reproductive Health, 25(2), 162-170. https://doi.org/10.29063/ajrh2021/v25i2.1

• Journal Article Type: Article
• Acceptance Date: Apr 1, 2021
• Publication Date: 2021-04
• Deposit Date: Jan 7, 2025
• Journal: African Journal of Reproductive Health
• Print ISSN: 1118-4841
• Publisher: African Journals Online (AJOL)
• Peer Reviewed: Peer Reviewed
• Volume: 25
• Issue: 2
• Pages: 162-170
• DOI: https://doi.org/10.29063/ajrh2021/v25i2.1
• Keywords: Family planning, contraception, experiences, literature review, narrative synthesis
• Public URL: https://keele-repository.worktribe.com/output/1045072
• Publisher URL: https://www.jstor.org/stable/27232241?seq=1