Approche globale de besoins non satisfaits en planification familiale au Mali

Abstract

Background: Mali is one of the West African countries where fertility is high and stable and the prevalence of modern contraceptive is low. Therefore, this study aimed at searching factors associated with the unmet-need for Family Planning (FP) among married women in Mali. Data source and method: The data used are those of DHS carried out in this country in 1995-96, 2006 and 2012-13. Their analyses were carried out using cross-tabulations and chi-square statistics and multivariate logistic regression models. Results: In 1995-96, the proportion of dead children, the number of surviving children and the attitudes of couples vis-à-vis FP contribute the most to the explanation of the variance of the unmet-need for birth-spacing; in 2006 and 2012-13, the indicators of the supply of FP services are also associated with this dependent variable. Concerning the unmet-need for birth-limiting, whatever the period, the number of surviving children explains itself its variance. Regarding the total of the unmet-need, its most important factors are similar to those of the unmet-need for birth-spacing. Women who are more concerned in Mali by the unmet-need for FP have a high number of surviving children, have experienced less child deaths and are not informed about FP in health centers during their medical consultations. Conclusion: Improving the supply of FP services, in terms of their quality and the availability of long-acting contraceptives, and the integration of child health and FP should therefore be strengthened in Mali to significantly reduce in this country the prevalence of the unmet-need for FP.