Demand for family planning satisfied with modern methods: CHAID analysis to identify predictors and women underserved with family planning services in urban Malawi

Nurudeen Alhassan, African Institute for Development Policy (AFIDEP)
Nyovani Madise, African Institute for Development Policy (AFIDEP)

Family planning (FP) progress under the SDGs is measured with a novel indicator, demand for FP satisfied with modern methods (mDFPS), which provides a better indication of modern contraceptive coverage than unmet need and contraceptive prevalence rate. This study examines the predictors of mDFPS in urban Malawi and to identify women underserved with modern contraceptives. We analysed data from the 2015-16 Malawi DHS. The sample comprised 2,917 women with demand for FP services. The results show that the number of living children a woman had was the most significant predictor of mDFPS. Women with one or more children, who were of Chewa, Lomwe or Tumbuka ethnic origin, and who resided in the central region had the highest mDFPS (87%). However, women with no children, and who were not exposed to FP information on television had the lowest mDFPS (41%). Ethnicity was the best predictor of mDFPS among women in union. Ngoni, Yao and other ethnic minority women in union who were aged 15-19 and 40 years and above, and who were Catholic, SDA/Baptist or Muslim had the lowest mDFPS (36%). Policymakers and reproductive health practitioners need to recognise these disparities and to prioritise the underserved groups identified in this study.

Keywords: Family planning and contraception, Sexual and Reproductive Health and Rights, Urbanization and urban populations, Gender

See paper.

  Presented in Session 6. Demand and Unmet Need for Contraception