title: Levels, trends and reasons for unmet need for family planning among married women in Botswana: a cross-sectional study.
abstract: OBJECTIVE
  The objectives of this study are: (1) to estimate the prevalence of unmet need for family planning among married women using Botswana Family Health Survey 2007 data and (2) to identify risk factors for unmet need for family planning among married women.
  
  
  METHODS
  This study used secondary data from a cross-sectional survey that was conducted to provide a snapshot of health issues in Botswana.
  
  
  METHODS
  Nationally representative population survey data.
  
  
  METHODS
  2601 married or in union women aged 15-49 years who participated in the 2007 Botswana Family Health Survey were included in the analysis.
  
  
  METHODS
  Unmet need for family planning, which was defined as the percentage of all fecund married women who are not using a method of contraception even though they do not want to get pregnant.
  
  
  RESULTS
  Married women who had unmet need for family planning were 9.6% in 2007. Most of the unmet need was for limiting (6.7%) compared to spacing (2.9%). Unmet need for family planning was more likely to be among women whose partners disapproved of family planning, non-Christians, had one partner and had never discussed family planning with their partner. Women of low parity, aged 25-34 years, and greater exposure to mass media, were less likely to have experienced unmet need. The patterns and magnitude of covariates differed between unmet need for limiting and for spacing.
  
  
  CONCLUSIONS
  The prevalence of unmet need for family planning was low in Botswana compared to other sub-Saharan African countries. The findings from this study reemphasise the importance of women's empowerment and men's involvement in women's sexual and reproductive healthcare needs and services. Different approaches are needed to satisfy the demand for family planning for spacing and limiting.
authors.affiliation: Department of Population Studies, Faculty of Social Sciences, University of Botswana, Gaborone, Botswana.
authors.forename: Gobopamang
authors.initials: G
authors.lastname: Letamo
authors.affiliation: Department of Population Studies, Faculty of Social Sciences, University of Botswana, Gaborone, Botswana.
authors.forename: Kannan
authors.identifier: http://orcid.org/0000-0002-5847-4669
authors.initials: K
authors.lastname: Navaneetham
mesh_terms: D000293:Adolescent; D000328:Adult; D001364:Awareness; D001902:Botswana; D003142:Communication; D003267:Contraception / Q000706:statistics & numerical data* / Q000639:trends; D003268:Contraception Behavior; D003430:Cross-Sectional Studies; D003906:Developing Countries; D005193:Family Planning Services / Q000706:statistics & numerical data* / Q000639:trends; D005260:Female; D006301:Health Services Needs and Demand; D006306:Health Surveys; D006801:Humans; D008393:Marriage; D008875:Middle Aged; D010298:Parity; D011247:Pregnancy; D011275:Pregnancy, Unwanted; D012067:Religion; D012747:Sexual Partners; D016387:Women's Health; D055815:Young Adult
references.citation: Lancet. 2006 Nov 18;368(9549):1810-27
references.pmid: 17113431
references.citation: Lancet. 2012 Jul 14;380(9837):165-71
references.pmid: 22784535
references.citation: Lancet. 2013 May 11;381(9878):1642-52
references.pmid: 23489750
references.citation: BMC Public Health. 2013 May 30;13:523
references.pmid: 23721196
references.citation: Int Perspect Sex Reprod Health. 2013 Sep;39(3):133-41
references.pmid: 24135045
references.citation: Stud Fam Plann. 2014 Jun;45(2):105-22
references.pmid: 24931071
references.citation: Stud Fam Plann. 2014 Jun;45(2):151-69
references.pmid: 24931073
references.citation: BMC Public Health. 2015 Feb 10;15:118
references.pmid: 25884675