Sexual and reproductive health

Unmet need for family planning

Definition

The percent with an unmet need for family planning is the number of women with unmet need for family planning expressed as a percentage of women of reproductive age who are married or in a union. Women with unmet need are those who are fecund and sexually active but are not using any method of contraception, and report not wanting any more children or wanting to delay the birth of their next child.

Method of computation

The majority of estimates of unmet need for family planning follow the procedure adopted in the Demographic and Health Surveys (DHS), which is regarded as the standard method of computation.

Image

Data coverage and periodicity

The World Contraceptive Use 2010 contains data on unmet need for family planning for 107 countries or areas of the world, and for 75 countries and areas there are at least two available data points. The latest estimates are as of December 2010.

Addressing the unmet need for family planning of those who are most in need

Unmet need is especially high among groups such as:

  • Adolescents
  • Migrants
  • Urban slum dwellers
  • Refugees
  • Women in the postpartum period
India: Woman walking down street in slum with firewood for cooking on her head
The World Bank/John Isaac

Meeting the need for family planning is one of the most cost-effective investments to alleviate poverty and improve health.

Photo: India: Woman walking down street in slum with firewood for cooking on her head

Proposed activities to address this unmet need:

Research

  • Understanding the needs and perspectives of these groups.
  • Testing interventions to expand access to and use of family planning methods.

Norms, tools and guidelines

  • Developing appropriate indicators to measure unmet need for family planning.
  • Developing or adapting guidelines on family planning for different population groups.

Country support and advocacy

  • Supporting country initiatives to address the unmet need for family planning.
  • Introducing "best practices" addressing unmet need, including integration and linkages, and financing for sustainability.
  • Developing national capacity to strengthen health information systems to monitor trends and to evaluate programme efforts to address the unmet need.
Share

Family planning for health and development: actions for change

The family planning field has a full array of contraceptive methods, service delivery strategies, and evidence regarding successes. In large part, we know what to do. However, to meet the large unmet needs, we must use these evidence-based practices in new and visionary ways. We must focus better on scaling up what we know works and nurture broader collaborations within and beyond the health field.