RT Journal Article
SR Electronic
T1 Standardizing Measurement of Contraceptive Use Among Unmarried Women
JF Global Health: Science and Practice
JO GLOB HEALTH SCI PRACT
FD Johns Hopkins University- Global Health. Bloomberg School of Public Health, Center for Communication Programs
SP 564
OP 574
DO 10.9745/GHSP-D-19-00298
VO 7
IS 4
A1 Madeleine Short Fabic
A1 Apoorva Jadhav
YR 2019
UL http://www.ghspjournal.org/content/7/4/564.abstract
AB Because contraceptive prevalence and unmet need for family planning estimates for unmarried women vary widely depending on the chosen sexual recency inclusion factor, all data platforms should adopt a 1-month window in these calculations to have comparable and actionable estimates.Historically, the family planning practices and needs of married women have been monitored and reported uniformly. However, the same uniformity does not hold for unmarried women. Because key data and information platforms employ different measurement approaches—namely, different definitions of sexual recency—reports of contraceptive prevalence and unmet need among unmarried women are inconsistent. We examine how the measurement approaches employed by 3 large organizations yield such divergent estimates. We find that contraceptive prevalence and unmet need estimates among married women do not vary much by sexual recency. For unmarried women, contraceptive prevalence is systematically lower and unmet need is systematically higher as the sexual recency window widens. In the short term, we recommend using the 1-month cutoff as analyses reveal it yields the most precise estimates for better recognizing the needs of this important demographic group.