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- W2022130328 abstract "This study develops a new health-based measurement of unmet need for contraception that identifies women who are nonusers capable of conceiving exposed to the risk of pregnancy and if they were to become pregnant would elevate the risk of mortality for themselves their expected child and their living children. This health-based approach differs from former methods of identifying unmet need which rely solely on stated fertility preferences. Criteria for determining health-based need are those that increase mortality risks: a short birth interval (less than 13 months) young or old maternal age ( 34) and high birth order (5 or more). Application of this measurement to data from Sri Lankas 1987 Demographic and Health Survey shows that the health-based unmet need ranges from 4% to 23% whereas estimates based on the standard preference-based measures place unmet need at 6-31%. Thus the health-based methodology results in identification of 43-65% of the preference-based unmet need in Sri Lanka; the standard approach successfully identifies 72% of the women who need contraception for health reasons. When these methodologies are used in tandem the best results are reached and they suggest that the provision of family planning services in Sri Lanka could be improved by providing women with information about the health risks associated with birth interval maternal age and birth order. Future cross-country research should compare the sensitivity of the health-based measure and the degree of overlap between the two measures to the assumptions that underlie each approach and to the thresholds used to define health-based criteria." @default.
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- W2022130328 title "A New Perspective on the Definition and Measurement of Unmet Need for Contraception" @default.
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