Authors :
M.D. Dilé Diallo
Volume/Issue :
Volume 10 - 2025, Issue 2 - February
Google Scholar :
https://tinyurl.com/ycxphxk7
Scribd :
https://tinyurl.com/468d7nv3
DOI :
https://doi.org/10.5281/zenodo.14979422
Abstract :
In Guinea, the contraceptive prevalence rate is one of the lowest in Africa. In 2018, this rate was only 11% for
women in union and the level of unmet need for contraception reached 22%, representing a potential demand for FP of
33% (EDS 2018). However, it has been shown in several studies that Family Planning is one of the least expensive, cost-
effective interventions and has the most lasting impact on reducing maternal, neonatal and child mortality and on the
health of populations in general. Since 2000, the Government has adopted various strategies to improve the health of
women and children. Family planning services are integrated throughout the health system pyramid but do not yet cover
all health facilities, particularly in rural areas. FP services are now also delivered by community-based services.
The objective of this study is to highlight the determinants that have the greatest impact on the level of unmet needs
for family planning in Guinea and on which action should be taken to implement the national population policy and the
national reproductive health policy. The analyses were carried out using data from the demographic and health survey
carried out in 2018 on fertile women in union who were likely to become pregnant at the time of the survey. The results
indicate that the main determinants of unmet needs for FP are: age, level of education, number of surviving children,
region of residence. However, unmet needs do not vary significantly according to the place of residence, the level of
household well-being or the level of education of the spouse. The low level of demand for FP suggests that FP programs
should target all women of reproductive age, by increasing awareness to generate demand and improve the supply of FP
services.
Keywords :
Guinea, Contraception, Unmet Need for Family Planning, Fertility, DHS.
References :
- Akoto Eliwo, Tambashe B., Amouzou Agbessi, Djangone Anne-Marie Rachelle (2002): “Unmet needs in family planning and contraceptive transition in Burkina Faso, Cameroon and Ivory Coast ”
- Amadou Sanni M., 1995 - "Levels and trends in unmet needs for family planning in Benin: Explanatory factors and changes over time in Benin ", African Population Studies Vol 25, December 2, 2011, 109 p.
- Garenne, Michelle. (2017). Family planning and fertility in Africa: Developments from 1950 to 2010. Ferdi WP n°194
- National Institute of Statistics (INS) and ICF. 2019. 2018 Demographic and Health Survey (DHS) . Rockville, Maryland, USA: INS and ICF.
- Kulczycki, Andrzej (2018): “ Overcoming Family Planning Challenges in Africa: Towards Meeting Unmet Need and Increasing Service Delivery ” in African Journal of Reproductive Health March 2018.
- Mariko, Soumaila, Mohamed Ayad, Rathavuth Hong, Oumou Keita, and Mamadou Diop. 2009. Contraceptive Use and Unmet Need for Family Planning in Mali, 1995–2006: In-Depth Analyses of the Mali Demographic and Health Surveys, 1995–1996, 2001, and 2006. DHS In-Depth Analysis Reports No. 69. Calverton, Maryland, USA: CPS/DNSI and ICF Macro.
- Mboup, Gora and Nicaise Kodjogbé 1999. Perspectives on family planning and reproductive health in Benin. Calverton, Maryland USA: National Institute of Statistics and Economic Analysis and Macro International Inc.
- WHO: https://www.who.int/fr/news-room/fact-sheets/detail/family-planning-contraception
- Population Reference Bureau (2014). Sub-Saharan African women's growing desire to limit the number of pregnancies: meeting the challenge.
- Soura, Abdramane B., and Michelle Winner, 2014. Trends in Family Planning and Age at First Union Among Women in Guinea: An In-Depth Analysis of the 2012 Demographic and Health Survey. DHS In-Depth Analysis Reports No. 94. Rockville, Maryland, USA: ICF International.
- UNFPA. (2008). Reducing unmet need for family planning: evidence-based strategies and approaches. Outllok No. 01 .
- Machiyama, K. and Cleland, J. 2013. “Unmet Needs Analysis in Senegal,” STEP UP Research Report. London: London School of Hygiene & Tropical Medicine.
In Guinea, the contraceptive prevalence rate is one of the lowest in Africa. In 2018, this rate was only 11% for
women in union and the level of unmet need for contraception reached 22%, representing a potential demand for FP of
33% (EDS 2018). However, it has been shown in several studies that Family Planning is one of the least expensive, cost-
effective interventions and has the most lasting impact on reducing maternal, neonatal and child mortality and on the
health of populations in general. Since 2000, the Government has adopted various strategies to improve the health of
women and children. Family planning services are integrated throughout the health system pyramid but do not yet cover
all health facilities, particularly in rural areas. FP services are now also delivered by community-based services.
The objective of this study is to highlight the determinants that have the greatest impact on the level of unmet needs
for family planning in Guinea and on which action should be taken to implement the national population policy and the
national reproductive health policy. The analyses were carried out using data from the demographic and health survey
carried out in 2018 on fertile women in union who were likely to become pregnant at the time of the survey. The results
indicate that the main determinants of unmet needs for FP are: age, level of education, number of surviving children,
region of residence. However, unmet needs do not vary significantly according to the place of residence, the level of
household well-being or the level of education of the spouse. The low level of demand for FP suggests that FP programs
should target all women of reproductive age, by increasing awareness to generate demand and improve the supply of FP
services.
Keywords :
Guinea, Contraception, Unmet Need for Family Planning, Fertility, DHS.