Utilization, non compliance and causes of unmet needs of family planning among women served by family medicine centers in Menyat Sandoub , Dakahlia , Egypt

Background : Family planning has a great impact on women’s health. The practice of family planning helps in reducing the rate of maternal and child mortality thus help in improving maternal and child health. Aim: To identify pattern of contraception use, causes of non compliance,and determinants of unmet needs among rural women in Meniet Sandoub, Dakahlia Governorate. Subjects and methods: A comparative cross sectional study was conducted in Menyat Sandoub family medicine center. The studys composed of two groups, the first group were female contraceptive users, and the second group were FP un-met-needs outreached from the catchment area served by the study family medicine center . All target women groups were subjected to a structured questionnaire including sociodemographic, reproductive characteritcs , contraception use pattern as well as causes of family planing and unmet needs client satifaction with provided services. Results: Proportionate utilization rate among attendants was 73.14% while prevalence of contraception use was 58.8% with 3.9% discontinuation rate. Working husband and duration of marriage (≤10years) decreased the risk for family planning unmet needs by logistic regression models (OR=0.28, delete OR=0.19 respectively). Causes of unmet needs were , male baby wish by the family(32%) and related health concerns (32%) , negative religious idea (28%).68.6% of compliant users had health barriers during regular use . Conclusion: Contraception prevalence was 58.8%. Male baby wish, rumors about side effects, and husband disapproval were determinants of unmet needs that necessitate community based intervention to increase family planning utilization conducive to acceleration of Egypt’s progress towards development goals.