title: Unmet family planning need: differences and levels of agreement between husband-wife, haryana, India.
abstract: OBJECTIVE
  Is there agreement between husbands and wives regarding unmet need of family planning?
  
  
  OBJECTIVE
  The unmet need of family planning is perceived more by women then their husbands.
  
  
  OBJECTIVE
  1) To ascertain the unmet needs of family planning for husbands and wives. 2) To ascertain the level of agreement between husbands and wives regarding unmet needs of family planning.
  
  
  METHODS
  A cross-sectional survey
  
  
  METHODS
  Dayalpur village in Intensive field practice area of Comprehensive Rural Health Services project (CRHSP), Ballabgarh, Haryana.
  
  
  METHODS
  July 2003- June 2005.
  
  
  METHODS
  included 200 married couples selected by simple random sampling.
  
  
  METHODS
  Level of agreement between husbands and wives was analyzed using Kappa statistics.
  
  
  RESULTS
  Unmet need for family planning was 11% (22 out of 200) for husbands and 17.5% (35 out of 200) for wives. The difference was seen both in unmet need for spacing (M-3.5% vs. F-6%) as well as limiting family size (M-7.5% vs. F-11.5%). Overall, 93.5% concordance was observed amongst husbands and wives. In all the cases where disagreement was seen (6.5%), wives reported having unmet need for contraception whereas their husbands perceived none. The unadjusted Kappa statistic was 0.73 and prevalence adjusted Kappa was 0.88.
  
  
  CONCLUSIONS
  Unmet need for family planning was significantly higher for wives compared to husbands. Despite high degrees of agreement amongst the couples, the nature of disconcordance reinforces the need for policy makers to take into account the perspective of men.
authors.affiliation: Centre for Community Medicine, All India Institute of Medical Sciences, New Delhi, India.
authors.forename: Kapil
authors.initials: K
authors.lastname: Yadav
authors.forename: Bir
authors.initials: B
authors.lastname: Singh
authors.forename: Kiran
authors.initials: K
authors.lastname: Goswami