Risk factors and knowledge associated with high unintended pregnancy rates and low family planning use among pregnant women in Papua New Guinea

Abstract Unintended pregnancy is a major driver of poor maternal and child health in resource-limited settings. Data on pregnancy intention and use of family planning (FP) is scarce in Papua New Guinea (PNG), but are needed to inform public health strategies to improve FP accessibility and uptake. D...

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Autores principales:	Elizabeth Peach, Christopher Morgan, Michelle J. L. Scoullar, Freya J. I. Fowkes, Elissa Kennedy, Pele Melepia, Primrose Homiehombo, Lucy Au, Stanley Luchters, Alexandra J. Umbers, Andrew Vallely, Lisa M. Vallely, Angela Kelly-Hanku, Leanne J. Robinson, Brendan S. Crabb, Arthur Elijah, Peter M. Siba, William Pomat, James G. Beeson
Formato:	article
Lenguaje:	EN
Publicado:	Nature Portfolio 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/d111e549291b42bcac8fed468a203165
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spelling	oai:doaj.org-article:d111e549291b42bcac8fed468a2031652021-12-02T14:01:32ZRisk factors and knowledge associated with high unintended pregnancy rates and low family planning use among pregnant women in Papua New Guinea10.1038/s41598-020-79103-62045-2322https://doaj.org/article/d111e549291b42bcac8fed468a2031652021-01-01T00:00:00Zhttps://doi.org/10.1038/s41598-020-79103-6https://doaj.org/toc/2045-2322Abstract Unintended pregnancy is a major driver of poor maternal and child health in resource-limited settings. Data on pregnancy intention and use of family planning (FP) is scarce in Papua New Guinea (PNG), but are needed to inform public health strategies to improve FP accessibility and uptake. Data from a facility-based cross-sectional sample of 699 pregnant women assessed prevalence and predictors of unintended pregnancy and modern FP use among pregnant women in East New Britain Province, PNG. More than half (55%) the women reported their pregnancy as unintended. Few (18%) reported ever having used a modern FP method, and knowledge of different methods was low. Being single, separated or divorced (AOR 9.66; 95% CI 3.27–28.54), educated to a tertiary or vocational level (AOR 1.78 CI 1.15–2.73), and gravidity > 1 (AOR 1.43 for each additional pregnancy CI 1.29–1.59) were associated with unintended pregnancy; being accompanied by a male partner to ANC was associated with a reduced unintended pregnancy (0.46 CI 0.30–0.73). Factors associated with modern FP use included male partner involvement (AOR 2.26 CI 1.39–3.67) and gravidity > 1 (AOR 1.54 for each additional pregnancy CI 1.36–1.74). FP use also varied by the facility women attended. Findings highlight an urgent need for targeted interventions to improve FP knowledge, uptake and access, and male partner involvement, to reduce unintended pregnancies and their complications.Elizabeth PeachChristopher MorganMichelle J. L. ScoullarFreya J. I. FowkesElissa KennedyPele MelepiaPrimrose HomiehomboLucy AuStanley LuchtersAlexandra J. UmbersAndrew VallelyLisa M. VallelyAngela Kelly-HankuLeanne J. RobinsonBrendan S. CrabbArthur ElijahPeter M. SibaWilliam PomatJames G. BeesonNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-13 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Elizabeth Peach Christopher Morgan Michelle J. L. Scoullar Freya J. I. Fowkes Elissa Kennedy Pele Melepia Primrose Homiehombo Lucy Au Stanley Luchters Alexandra J. Umbers Andrew Vallely Lisa M. Vallely Angela Kelly-Hanku Leanne J. Robinson Brendan S. Crabb Arthur Elijah Peter M. Siba William Pomat James G. Beeson Risk factors and knowledge associated with high unintended pregnancy rates and low family planning use among pregnant women in Papua New Guinea
description	Abstract Unintended pregnancy is a major driver of poor maternal and child health in resource-limited settings. Data on pregnancy intention and use of family planning (FP) is scarce in Papua New Guinea (PNG), but are needed to inform public health strategies to improve FP accessibility and uptake. Data from a facility-based cross-sectional sample of 699 pregnant women assessed prevalence and predictors of unintended pregnancy and modern FP use among pregnant women in East New Britain Province, PNG. More than half (55%) the women reported their pregnancy as unintended. Few (18%) reported ever having used a modern FP method, and knowledge of different methods was low. Being single, separated or divorced (AOR 9.66; 95% CI 3.27–28.54), educated to a tertiary or vocational level (AOR 1.78 CI 1.15–2.73), and gravidity > 1 (AOR 1.43 for each additional pregnancy CI 1.29–1.59) were associated with unintended pregnancy; being accompanied by a male partner to ANC was associated with a reduced unintended pregnancy (0.46 CI 0.30–0.73). Factors associated with modern FP use included male partner involvement (AOR 2.26 CI 1.39–3.67) and gravidity > 1 (AOR 1.54 for each additional pregnancy CI 1.36–1.74). FP use also varied by the facility women attended. Findings highlight an urgent need for targeted interventions to improve FP knowledge, uptake and access, and male partner involvement, to reduce unintended pregnancies and their complications.
format	article
author	Elizabeth Peach Christopher Morgan Michelle J. L. Scoullar Freya J. I. Fowkes Elissa Kennedy Pele Melepia Primrose Homiehombo Lucy Au Stanley Luchters Alexandra J. Umbers Andrew Vallely Lisa M. Vallely Angela Kelly-Hanku Leanne J. Robinson Brendan S. Crabb Arthur Elijah Peter M. Siba William Pomat James G. Beeson
author_facet	Elizabeth Peach Christopher Morgan Michelle J. L. Scoullar Freya J. I. Fowkes Elissa Kennedy Pele Melepia Primrose Homiehombo Lucy Au Stanley Luchters Alexandra J. Umbers Andrew Vallely Lisa M. Vallely Angela Kelly-Hanku Leanne J. Robinson Brendan S. Crabb Arthur Elijah Peter M. Siba William Pomat James G. Beeson
author_sort	Elizabeth Peach
title	Risk factors and knowledge associated with high unintended pregnancy rates and low family planning use among pregnant women in Papua New Guinea
title_short	Risk factors and knowledge associated with high unintended pregnancy rates and low family planning use among pregnant women in Papua New Guinea
title_full	Risk factors and knowledge associated with high unintended pregnancy rates and low family planning use among pregnant women in Papua New Guinea
title_fullStr	Risk factors and knowledge associated with high unintended pregnancy rates and low family planning use among pregnant women in Papua New Guinea
title_full_unstemmed	Risk factors and knowledge associated with high unintended pregnancy rates and low family planning use among pregnant women in Papua New Guinea
title_sort	risk factors and knowledge associated with high unintended pregnancy rates and low family planning use among pregnant women in papua new guinea
publisher	Nature Portfolio
publishDate	2021
url	https://doaj.org/article/d111e549291b42bcac8fed468a203165
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Risk factors and knowledge associated with high unintended pregnancy rates and low family planning use among pregnant women in Papua New Guinea

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