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PDF, 1536K - Measure DHS

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7.2 NEED FOR FAMILY PLANNING SERVICES<br />

Women who are currently married and who say either they want no more children or want to<br />

wait at least two years before having another child, but are not using contraception, are considered to<br />

have an unmet need for family planning. 1 Women who are currently using family planning methods are<br />

said to have a met need for family planning. The sum of women with unmet need and met need<br />

constitutes the total demand for family planning.<br />

Table 7.5 presents the demand for family planning services by background characteristics.<br />

Thirty-six percent of currently married women have an unmet need for family planning, with 22 percent<br />

having an unmet need for spacing and 14 percent having an unmet need for limiting. Only 8 percent<br />

of women have a met need for family planning. If all currently married women who say that they want<br />

to space or limit their children were to use family planning methods, the contraceptive prevalence rate<br />

would increase from 8 percent to 44 percent (the sum of the met and unmet need or total demand).<br />

Currently, only 18 percent of the family planning needs of currently married women are being met.<br />

The level of unmet need for spacing decreases with age, while the opposite is true for unmet need<br />

for limiting when older women have a greater unmet need than younger women do. The total unmet<br />

need for family planning varies little by age group among women younger than 45 years but falls<br />

markedly for women age 45-49.<br />

Unmet need is higher among rural than urban among women (37 percent and 25 percent,<br />

respectively). The difference is more pronounced for unmet need for spacing than for limiting. The<br />

overall unmet need for family planning is the highest in the Amhara Region (41 percent) and the lowest<br />

in the Affar Region (12 percent). While the unmet need for limiting decreases as the level of education<br />

increases, the unmet need for spacing is the highest among women with primary education.<br />

7.3 IDEAL FAMILY SIZE<br />

Information on the ideal family size was collected in two ways. Respondents who had no living<br />

children were asked how many children they would like to have if they could choose the number of<br />

children to have. Respondents with children were asked how many children they would like to have if<br />

they could go back to the time when they did not have any children and could choose exactly the number<br />

of children to have. Even though these questions are based on hypothetical situations, they give an idea<br />

of the total number of children women who have not started childbearing will have in the future, while<br />

among older and high parity women, these data provide a measure of the level of unwanted fertility.<br />

Table 7.6 shows that the majority of respondents were able to provide a numeric response to<br />

these questions. Nevertheless, 18 percent of women and 11 percent of men gave non-numeric responses<br />

such as “it is up to God,” “any number,” or “do not know.” Two in three women favored an ideal family<br />

size of four or more children. Only 17 percent of women favor less than four children, with 4 percent<br />

not wanting any children at all. The average ideal family size among all women who gave numeric<br />

responses is 5.3 children, while it is 5.8 children among currently married women.<br />

1 For an exact description of the calculation, see footnote 1, Table 7.5.<br />

90 * Fertility Preference

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