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What Do We Demand? Responding to the Call for Precision and Definitional Agreement in Family Planning’s “Demand” and “Need” Jargon

Madeleine Short Fabic
Global Health: Science and Practice February 2022, 10(1):e2200030; https://doi.org/10.9745/GHSP-D-22-00030

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Tables

  • TABLE.

    Relevant Questions and Potential Indicators to Measure the 4 Interrelated Needs/Demands in Family Planning

    Desire/Demand forRelevant Questions to AddressaPotential Indicators
    Reproductive autonomyDoes the individual believe it’s within their power to prevent pregnancy?
    Does the individual have the power to control their pregnancy prevention, contraception, and/or method use decisions?    		In the context of family planning, a continuum based on:

    • Individual’s perception of their power (self-efficacy) to prevent pregnancy

    • Demand satisfied for pregnancy prevention

    • Demand satisfied for contraception

    • Demand satisfied for preferred contraceptive method

    Pregnancy preventionDoes the individual express the need to prevent pregnancy?
    To what degree would the individual judge pregnancy as acceptable or unacceptable?
    Is the individual enacting that need (e.g., using contraception, prolonged abstinence, or breastfeeding)?    		Among pregnant and non-pregnant individuals:

    • Desire for pregnancy prevention

    • Potential demand for contraception

    • Demand satisfied for pregnancy prevention

    • Unmet need for pregnancy prevention

    ContraceptionDoes the individual express the desire to use contraception?
    Is the individual using contraception?    		Among contraceptive users and non-users; users for family planning and users for non-family planning reasons:

    • Desire for contraception

    • Intention to use contraception

    • Demand satisfied for contraception

    • Unmet need for contraception

    • Unmet need to discontinue contraception

    Specific contraceptive methodDoes the individual express the desire to use a specific form of contraception?
    Among nonpregnant individuals, is the individual using their preferred method of contraception?    		Among contraceptive users/non-users:

    • Desire for preferred contraceptive method

    • Demand satisfied for preferred contraceptive method

    • Unmet need for preferred contraceptive method

    • ↵a These are not framed as survey questions.

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What Do We Demand? Responding to the Call for Precision and Definitional Agreement in Family Planning’s “Demand” and “Need” Jargon
Madeleine Short Fabic
Global Health: Science and Practice Feb 2022, 10 (1) e2200030; DOI: 10.9745/GHSP-D-22-00030
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