title: Examining trends in family planning among harder-to-reach women in Senegal 1992-2014.
abstract: Recent increases in family planning (FP) use have been reported among women of reproductive age in union (WRAU) in Senegal. However, trends have not been monitored among harder-to-reach groups (including adolescents, unmarried and rural poor women), key to understanding whether FP progress is equitable. We combined data from six Demographic and Health Surveys conducted in Senegal between 1992/93 and 2014. We examined FP trends over time among WRAU and subgroups, and trends in knowledge of FP and intention to use among women with unmet need for FP. Our results show that percent demand satisfied is lower among rural poor women and adolescents than WRAU, although higher among unmarried women. Marked recent increases have been observed in all subgroups, however fewer than 50% of women in need of FP use modern contraception in Senegal. Knowledge of FP has risen steadily among women with unmet need; however, intention to use FP has remained stable at around 40% since 2005 for all groups except unmarried women (75% of whom intend to use). Significant progress in meeting the need for FP has been achieved in Senegal, but more needs to be done particularly to improve acceptability of FP, and to strategically target interventions toward adolescents and rural poor women.
authors.affiliation: Department of Infectious Disease Epidemiology, London School of Hygiene &Tropical Medicine, London, UK.
authors.forename: Francesca L
authors.initials: FL
authors.lastname: Cavallaro
authors.affiliation: Department of Infectious Disease Epidemiology, London School of Hygiene &Tropical Medicine, London, UK.
authors.forename: Lenka
authors.initials: L
authors.lastname: Benova
authors.affiliation: Department of Infectious Disease Epidemiology, London School of Hygiene &Tropical Medicine, London, UK.
authors.forename: David
authors.initials: D
authors.lastname: Macleod
authors.affiliation: Institut Santé et Développement, Université Cheikh Anta Diop, Dakar, Senegal.
authors.forename: Adama
authors.initials: A
authors.lastname: Faye
authors.affiliation: Department of Infectious Disease Epidemiology, London School of Hygiene &Tropical Medicine, London, UK.
authors.forename: Caroline A
authors.initials: CA
authors.lastname: Lynch
mesh_terms: D005193:Family Planning Services / Q000706:statistics & numerical data* / Q000639:trends*; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D010342:Patient Acceptance of Health Care; D044382:Population Groups; D012675:Senegal