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A GLOBAL RISK IN THE COVID-19 PANDEMIC: ANALYSIS OF WOMEN'S UNMET NEEDS FOR MODERN CONTRACEPTIVE

Year 2025, Volume: 10 Issue: 1, 52 - 61, 28.02.2025
https://doi.org/10.33457/ijhsrp.1508922

Abstract

The unmet need for contraception in the COVID-19 pandemic is a global risk. This study analyzed the unmet modern contraceptive needs of Turkish women in the COVID-19 pandemic. This cross-sectional study was conducted with 263 Turkish women of reproductive age who were reached through social media channels between February and December 2022. Categorical data on unmet family planning needs were compared using Chi-square tests, and the effects of risk factors were analyzed through multivariate logistic regression. Women were administered a web-based online questionnaire with data. During the COVID-19 pandemic, the risk of unmet needs increased 5.29 times in women aged 30-39 years compared to women aged <30 years (p=0.028). The risk of unmet need was 4.69 times higher in women whose husbands had a high school education level or less compared to women whose husbands had a university degree (p=0.044). The unmet need of those who did not have an abortion during the pandemic increased 5.34 times (p=0.013). Women who did not receive information on modern contraceptive methods from nurses/midwives had a 15.6-fold higher risk of unmet needs than those who did (p=0.013). Being in their 30s during the COVID-19 pandemic, having a spouse's education level of high school or less, not experiencing abortion during the pandemic, and not receiving information about contraceptive methods from nurses/midwives were factors that increased the risk of unmet modern contraceptive need. Contraceptive healthcare providers should prioritize women at risk, especially during times of restrictions such as the pandemic. They should guide all women, men, and adolescents with telemedicine and/or hybrid care practices.

Ethical Statement

Ethics committee approval was obtained from the Committee for Evaluation of Non-invasive Scientific Research of Trakya University, Faculty of Medicine (TUTF-GOBAEK 2022/30).

Thanks

We thank Professor Necdet Sut for Data Analysis to this study. We also appreciate our participants who to this research.

References

  • World Health Organization (WHO), Coronavirus disease (COVID-19) [Online]. Available: https://www.who.int/health-topics/coronavirus#tab=tab_1
  • Wright, K. O., Wusu, O., Akinyinka, M., Adebayo, B., Adepoju, F., Bashir, K., Anifowose, A., Ezenwanne, F., & Banke-Thomas, A. O., “Use of modern contraceptives in Lagos Nigeria during the COVID-19 pandemic,” Health Care Women Int, 43(4), 382–397, 2022. doi: 10.1080/07399332.2021.1982946.
  • Karaahmet, A. Y., & Bilgiç, F. Ş., “COVID-19: the unmet need for family planning and its effects on sexuality: a cross-sectional study,” Rev Assoc Med Bras, 68(6), 827–832, 2022. doi: 10.1590/1806-9282.20220138.
  • Ahmed, Z., & Sonfield, A., The COVID-19 outbreak: potential fallout for sexual and reproductive health and rights [Online]. Guttmacher Institute. Available: https://www.guttmacher.org/article/2020/03/covid-19-outbreak-potential-fallout-sexual-and-reproductive-health-and-rights
  • Turkish Medical Association. (2022, Apr.). Evaluation Report for the Second Year of the Pandemic [Online]. Available: https://www.ttb.org.tr/kutuphane/pandemi_2yil.pdf
  • Dasgupta, A., Kantorová, V., & Ueffing, P., “The impact of the COVID-19 crisis on meeting needs for family planning: a global scenario by contraceptive methods used,” Gates Open Res, 4, 102, 2020. doi: 10.12688/gatesopenres.13148.2.
  • HUIPS (Hacettepe University Institute of Population Studies). (2019, Nov.). Turkey Demographic and Health Survey (TDHS) 2018 [Online]. Available: https://fs.hacettepe.edu.tr/hips/dosyalar/Ara%C5%9Ft%C4%B1rmalar%20-%20raporlar/2018%20TNSA/TNSA2018_ana_Rapor_compressed.pdf
  • Turkish Statistical Institute. (2021, Feb. 2). Sustainable Development Indicators, 2010-2019 [Online]. Available: https://data.tuik.gov.tr/Bulten/Index?p=Sustainable-Development-Indicators-2010-2019-37194
  • United Nations Population Fund (UNFPA). (2020, Apr. 27). Impact of the COVID-19 Pandemic on Family Planning and Ending Gender-based Violence, Female Genital Mutilation and Child Marriage [Online]. Available: https://www.unfpa.org/sites/default/files/resource-pdf/COVID-19_impact_brief_for_UNFPA_24_April_2020_1.pdf
  • Bellizzi, S., Pichierri, G., Napodano, C. M. P., Picchi, S., Fiorletta, S., Panunzi, M. G., Rubattu, E., Nivoli, A., Lorettu, L., Amadori, A., Padrini, S., & Ronzoni, A. R., “Access to modern methods of contraception in Italy: Will the COVID-19 pandemic be aggravating the issue?,” J Glob Health, 10(2), 020320, 2020. doi: 10.7189/jogh.10.020320.
  • Riley, T., Sully, E., Ahmed, Z., & Biddlecom, A., “Estimates of the Potential Impact of the COVID-19 Pandemic on Sexual and Reproductive Health In Low- and Middle-Income Countries,” Int Perspect Sex Reprod Health, 46, 73-76, 2020. doi: 10.1363/46e9020.
  • World Health Organization (WHO). (2020, Jun. 1). Maintaining essential health services: operational guidance for the COVID-19 context [Online]. Available: https://www.who.int/publications/i/item/WHO-2019-nCoV-essential_health_services-2020.2
  • Asali, F., Abu Mahfouz, I., Al-Kamil, E., Alsayaideh, B., Abbadi, R., & Zurgan, Z., “Impact of coronavirus 19 pandemic on contraception in Jordan,” J Obstet Gynaecol (Lahore), 42(6), 2292–2296, 2022. doi: 10.1080/01443615.2022.2040969.
  • Akinyemi, J. O., Dipeolu, O. I., Adebayo, A. M., Gbadebo, B. M., Ajuwon, G. A., Olowolafe, T. A., Adewoyin, Y., & Odimegwu, C. O., “Social consequences of COVID-19 on fertility preference consistency and contraceptive use among Nigerian women: insights from population-based data,” Contracept Reprod Med, 7(1), 14, 2022. doi: 10.1186/s40834-022-00181-0.
  • Roy, N., Amin, M. B., Maliha, M. J., Sarker, B., Aktarujjaman, M., Hossain, E., & Talukdar, G., “Prevalence and factors associated with family planning during COVID-19 pandemic in Bangladesh: A cross-sectional study,” PLoS One, 16(9), e0257634, 2021. doi: 10.1371/journal.pone.0257634.
  • Caruso, S., Rapisarda, A. M. C., & Minona, P., “Sexual activity and contraceptive use during social distancing and self-isolation in the COVID-19 pandemic,” The European Journal of Contraception & Reproductive Health Care, 25(6), 445–448, 2020. doi: 10.1080/13625187.2020.1830965.
  • Coombe, J., Kong, F., Bittleston, H., Williams, H., Tomnay, J., Vaisey, A., Malta, S., Goller, J., Temple-Smith, M., Bourchier, L., Lau, A., & Hocking, J. S., “Contraceptive use and pregnancy plans among women of reproductive age during the first Australian COVID-19 lockdown: findings from an online survey,” The European Journal of Contraception & Reproductive Health Care, 26(4), 265–271, 2021. doi: 10.1080/13625187.2021.1884221.
  • Phelan, N., Behan, L. A., & Owens, L., “The Impact of the COVID-19 Pandemic on Women’s Reproductive Health,” Front Endocrinol (Lausanne), 12, 642755, 2021, doi: 10.3389/fendo.2021.642755.
  • Kavanaugh, M. L., Pleasure, Z. H., Pliskin, E., Zolna, M., & MacFarlane, K., “Financial Instability and Delays in Access to Sexual and Reproductive Health Care Due to COVID-19,” J Womens Health, 31(4), 469–479, 2022. doi: 10.1089/jwh.2021.0493.
  • Krishna U. R., “Reproductive Health During the COVID-19 Pandemic,” The Journal of Obstetrics and Gynecology of India, 71(S1), 7–11, 2021. doi: 10.1007/s13224-021-01546-2.
  • Ferreira-Filho, E. S., de Melo, N. R., Sorpreso, I. C. E., Bahamondes, L., Simões, R. D. S., Soares-Júnior, J. M., & Baracat, E. C., “Contraception and reproductive planning during the COVID-19 pandemic,” Expert Rev Clin Pharmacol, 13(6), 615–622, 2020. doi: 10.1080/17512433.2020.1782738.
  • Molla, W., Hailemariam, S., Mengistu, N., Madoro, D., Bayisa, Y., Tilahun, R., Wudneh, A., & Ayele, G. M., “Unintended pregnancy and associated factors during COVID-19 pandemic in Ethiopia: Community-based cross-sectional study,” Women’s Health, 18, 174550572211181, 2022. doi: 10.1177/17455057221118170.
  • Chong, E., Shochet, T., Raymond, E., Platais, I., Anger, H. A., Raidoo, S., Soon, R., Grant, M. S., Haskell, S., Tocce, K., Baldwin, M. K., Boraas, C. M., Bednarek, P. H., Banks, J., Coplon, L., Thompson, F., Priegue, E., & Winikoff, B., “Expansion of a direct-to-patient telemedicine abortion service in the United States and experience during the COVID-19 pandemic,” Contraception, 104(1), 43–48, 2021. doi: 10.1016/j.contraception.2021.03.019.
  • Rao, L., Comfort, A. B., Dojiri, S. S., Goodman, S., Yarger, J., Shah, N., Folse, C., Blum, M., Hankin, J., & Harper, C. C., “Telehealth for Contraceptive Services During the COVID-19 Pandemic: Provider Perspectives,” Women’s Health Issues, 32(5), 477–483, 2022. doi: 10.1016/j.whi.2022.05.001.
  • Zapata, L. B., Curtis, K. M., Steiner, R. J., Reeves, J. A., Nguyen, A. T., Miele, K., & Whiteman, M. K., “COVID-19 and family planning service delivery: Findings from a survey of U.S. physicians,” Prev Med (Baltim), 150, 106664, 2021. doi: 10.1016/j.ypmed.2021.106664.
Year 2025, Volume: 10 Issue: 1, 52 - 61, 28.02.2025
https://doi.org/10.33457/ijhsrp.1508922

Abstract

References

  • World Health Organization (WHO), Coronavirus disease (COVID-19) [Online]. Available: https://www.who.int/health-topics/coronavirus#tab=tab_1
  • Wright, K. O., Wusu, O., Akinyinka, M., Adebayo, B., Adepoju, F., Bashir, K., Anifowose, A., Ezenwanne, F., & Banke-Thomas, A. O., “Use of modern contraceptives in Lagos Nigeria during the COVID-19 pandemic,” Health Care Women Int, 43(4), 382–397, 2022. doi: 10.1080/07399332.2021.1982946.
  • Karaahmet, A. Y., & Bilgiç, F. Ş., “COVID-19: the unmet need for family planning and its effects on sexuality: a cross-sectional study,” Rev Assoc Med Bras, 68(6), 827–832, 2022. doi: 10.1590/1806-9282.20220138.
  • Ahmed, Z., & Sonfield, A., The COVID-19 outbreak: potential fallout for sexual and reproductive health and rights [Online]. Guttmacher Institute. Available: https://www.guttmacher.org/article/2020/03/covid-19-outbreak-potential-fallout-sexual-and-reproductive-health-and-rights
  • Turkish Medical Association. (2022, Apr.). Evaluation Report for the Second Year of the Pandemic [Online]. Available: https://www.ttb.org.tr/kutuphane/pandemi_2yil.pdf
  • Dasgupta, A., Kantorová, V., & Ueffing, P., “The impact of the COVID-19 crisis on meeting needs for family planning: a global scenario by contraceptive methods used,” Gates Open Res, 4, 102, 2020. doi: 10.12688/gatesopenres.13148.2.
  • HUIPS (Hacettepe University Institute of Population Studies). (2019, Nov.). Turkey Demographic and Health Survey (TDHS) 2018 [Online]. Available: https://fs.hacettepe.edu.tr/hips/dosyalar/Ara%C5%9Ft%C4%B1rmalar%20-%20raporlar/2018%20TNSA/TNSA2018_ana_Rapor_compressed.pdf
  • Turkish Statistical Institute. (2021, Feb. 2). Sustainable Development Indicators, 2010-2019 [Online]. Available: https://data.tuik.gov.tr/Bulten/Index?p=Sustainable-Development-Indicators-2010-2019-37194
  • United Nations Population Fund (UNFPA). (2020, Apr. 27). Impact of the COVID-19 Pandemic on Family Planning and Ending Gender-based Violence, Female Genital Mutilation and Child Marriage [Online]. Available: https://www.unfpa.org/sites/default/files/resource-pdf/COVID-19_impact_brief_for_UNFPA_24_April_2020_1.pdf
  • Bellizzi, S., Pichierri, G., Napodano, C. M. P., Picchi, S., Fiorletta, S., Panunzi, M. G., Rubattu, E., Nivoli, A., Lorettu, L., Amadori, A., Padrini, S., & Ronzoni, A. R., “Access to modern methods of contraception in Italy: Will the COVID-19 pandemic be aggravating the issue?,” J Glob Health, 10(2), 020320, 2020. doi: 10.7189/jogh.10.020320.
  • Riley, T., Sully, E., Ahmed, Z., & Biddlecom, A., “Estimates of the Potential Impact of the COVID-19 Pandemic on Sexual and Reproductive Health In Low- and Middle-Income Countries,” Int Perspect Sex Reprod Health, 46, 73-76, 2020. doi: 10.1363/46e9020.
  • World Health Organization (WHO). (2020, Jun. 1). Maintaining essential health services: operational guidance for the COVID-19 context [Online]. Available: https://www.who.int/publications/i/item/WHO-2019-nCoV-essential_health_services-2020.2
  • Asali, F., Abu Mahfouz, I., Al-Kamil, E., Alsayaideh, B., Abbadi, R., & Zurgan, Z., “Impact of coronavirus 19 pandemic on contraception in Jordan,” J Obstet Gynaecol (Lahore), 42(6), 2292–2296, 2022. doi: 10.1080/01443615.2022.2040969.
  • Akinyemi, J. O., Dipeolu, O. I., Adebayo, A. M., Gbadebo, B. M., Ajuwon, G. A., Olowolafe, T. A., Adewoyin, Y., & Odimegwu, C. O., “Social consequences of COVID-19 on fertility preference consistency and contraceptive use among Nigerian women: insights from population-based data,” Contracept Reprod Med, 7(1), 14, 2022. doi: 10.1186/s40834-022-00181-0.
  • Roy, N., Amin, M. B., Maliha, M. J., Sarker, B., Aktarujjaman, M., Hossain, E., & Talukdar, G., “Prevalence and factors associated with family planning during COVID-19 pandemic in Bangladesh: A cross-sectional study,” PLoS One, 16(9), e0257634, 2021. doi: 10.1371/journal.pone.0257634.
  • Caruso, S., Rapisarda, A. M. C., & Minona, P., “Sexual activity and contraceptive use during social distancing and self-isolation in the COVID-19 pandemic,” The European Journal of Contraception & Reproductive Health Care, 25(6), 445–448, 2020. doi: 10.1080/13625187.2020.1830965.
  • Coombe, J., Kong, F., Bittleston, H., Williams, H., Tomnay, J., Vaisey, A., Malta, S., Goller, J., Temple-Smith, M., Bourchier, L., Lau, A., & Hocking, J. S., “Contraceptive use and pregnancy plans among women of reproductive age during the first Australian COVID-19 lockdown: findings from an online survey,” The European Journal of Contraception & Reproductive Health Care, 26(4), 265–271, 2021. doi: 10.1080/13625187.2021.1884221.
  • Phelan, N., Behan, L. A., & Owens, L., “The Impact of the COVID-19 Pandemic on Women’s Reproductive Health,” Front Endocrinol (Lausanne), 12, 642755, 2021, doi: 10.3389/fendo.2021.642755.
  • Kavanaugh, M. L., Pleasure, Z. H., Pliskin, E., Zolna, M., & MacFarlane, K., “Financial Instability and Delays in Access to Sexual and Reproductive Health Care Due to COVID-19,” J Womens Health, 31(4), 469–479, 2022. doi: 10.1089/jwh.2021.0493.
  • Krishna U. R., “Reproductive Health During the COVID-19 Pandemic,” The Journal of Obstetrics and Gynecology of India, 71(S1), 7–11, 2021. doi: 10.1007/s13224-021-01546-2.
  • Ferreira-Filho, E. S., de Melo, N. R., Sorpreso, I. C. E., Bahamondes, L., Simões, R. D. S., Soares-Júnior, J. M., & Baracat, E. C., “Contraception and reproductive planning during the COVID-19 pandemic,” Expert Rev Clin Pharmacol, 13(6), 615–622, 2020. doi: 10.1080/17512433.2020.1782738.
  • Molla, W., Hailemariam, S., Mengistu, N., Madoro, D., Bayisa, Y., Tilahun, R., Wudneh, A., & Ayele, G. M., “Unintended pregnancy and associated factors during COVID-19 pandemic in Ethiopia: Community-based cross-sectional study,” Women’s Health, 18, 174550572211181, 2022. doi: 10.1177/17455057221118170.
  • Chong, E., Shochet, T., Raymond, E., Platais, I., Anger, H. A., Raidoo, S., Soon, R., Grant, M. S., Haskell, S., Tocce, K., Baldwin, M. K., Boraas, C. M., Bednarek, P. H., Banks, J., Coplon, L., Thompson, F., Priegue, E., & Winikoff, B., “Expansion of a direct-to-patient telemedicine abortion service in the United States and experience during the COVID-19 pandemic,” Contraception, 104(1), 43–48, 2021. doi: 10.1016/j.contraception.2021.03.019.
  • Rao, L., Comfort, A. B., Dojiri, S. S., Goodman, S., Yarger, J., Shah, N., Folse, C., Blum, M., Hankin, J., & Harper, C. C., “Telehealth for Contraceptive Services During the COVID-19 Pandemic: Provider Perspectives,” Women’s Health Issues, 32(5), 477–483, 2022. doi: 10.1016/j.whi.2022.05.001.
  • Zapata, L. B., Curtis, K. M., Steiner, R. J., Reeves, J. A., Nguyen, A. T., Miele, K., & Whiteman, M. K., “COVID-19 and family planning service delivery: Findings from a survey of U.S. physicians,” Prev Med (Baltim), 150, 106664, 2021. doi: 10.1016/j.ypmed.2021.106664.
There are 25 citations in total.

Details

Primary Language English
Subjects Obstetrics and Gynocology Nursing
Journal Section Article
Authors

Hatice Kahyaoğlu Süt 0000-0001-8840-6846

Zeliha Elkan Kiyat 0000-0001-5886-3229

Early Pub Date February 26, 2025
Publication Date February 28, 2025
Submission Date July 2, 2024
Acceptance Date November 28, 2024
Published in Issue Year 2025 Volume: 10 Issue: 1

Cite

IEEE H. Kahyaoğlu Süt and Z. Elkan Kiyat, “A GLOBAL RISK IN THE COVID-19 PANDEMIC: ANALYSIS OF WOMEN’S UNMET NEEDS FOR MODERN CONTRACEPTIVE”, IJHSRP, vol. 10, no. 1, pp. 52–61, 2025, doi: 10.33457/ijhsrp.1508922.

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