More than 160 million women and adolescents in the world did not have their contraceptive needs met in 2019, according to n a study that confirms the difference between regions and “the gap” that continues to exist in the use of contraceptives, despite the “great advances” that have occurred since 1970.
The results of the analysis, based on data from 1,162 surveys and modeling, are published in The Lancet, in an article that provides estimates on the use, need and type of contraceptives in 204 territories and countries. from 1970 to 2019.
The authors recall that allowing motherhood planning allows adolescents to stay in school and for women to continue with their education and a job that, later in life, life will lead to social and economic empowerment.
understand what Which age groups have more unmet needs is vital for policy makers to adapt and make contraceptive types accessible, they add.
The study defines the modern contraceptive prevalence rate as the proportion of women of reproductive age (15-49 years) who use modern contraceptive methods, including sterilization, the pill , condoms, or the IUD (all the others, such as douching, abstinence periods, or the calendar method, are traditional).
Thus, around the world, the proportion of women of reproductive age using modern contraceptive methods increased from 28% in 1970 to 48% in 2019. The satisfied demand went from from 55% in 1970 to 79% in 2019.
Despite the significant increases, the study estimates that 163 million women who were not using contraceptives in 2019 were considering doing so.
Annie Haakenstad of the University of Washington says the results indicate that Where a woman lives in the world and her age continue to significantly influence contraceptive use.
By region, Southeast Asia, East Asia, and Oceania had the highest modern contraceptive use (65%) and demand met (90%), while Sub-Saharan Africa had the highest. the lowest modern contraceptive use (24%) and met demand (52%).
Across countries, levels of modern contraceptive use ranged from 2% in South Sudan to 88% in Norway (in Spain it was 57%, while the demand for satisfaction reached 90%).
The unmet need was higher in South Sudan (35 %), Central African Republic (29%) and Vanuatu (28%).
The study concludes that, compared to other groups, women and adolescents aged 15 to 19 and 20 to 24 years have the lowest rates of satisfied demand worldwide, estimated at 65 % and 72%, respectively.
43 million young women and adolescent girls around the world did not have access to the contraceptives they needed in 2019.
By type, female sterilization and oral contraceptives were dominant in Latin America and the Caribbean, the oral contraceptive pill and condoms in high-income countries, and IUDs and condoms in Central Europe, Eastern Europe, and Central Asia.
Female sterilization accounted for more than half of contraceptive use in South Asia.
In addition, in In twenty-eight countries, more than half of the women used the same method, indicating that there may be limited availability of options in these areas.
For Rafael Lozano, also from According to the University of Washington, the study shows that not only must contraceptives be made available to all women, but they must also be offered adequate options.
“Diversify options in areas that may be overly dependent on a single m This could help increase its use, especially when the most widely used method is permanent,” he added.