The unmet needs for family planning and associated risk factors in Alexandria, Egypt: a hospital-based survey.

OBJECTIVES: This study investigated the causes of unmet family planning (FP) needs in Alexandria, aiming to decrease unintended pregnancies and overall birth rates among Egyptian women. METHODS: A cross-sectional survey in Alexandria, Egypt involved married women aged 18-49, recruited from primary healthcare facilities and hospitals. Data was collected through face-to-face interview using a structured predesigned questionnaire. RESULTS: A study of 2558 married women in Alexandria found that 17.5% of women had unmet needs for FP. The mean age of the participants was 33.3±11.1 years. Oral contraceptive pills (OCPs) and injectables were the most used methods. Fear of side effects was the most common reason for non-use. Knowledge of FP from neighbors and relatives was associated with higher adjusted odds of unmet needs (aOR= 2.17, 95%CI: 1.14-4.14, p= 0.018). Individuals who were aware of the possibility of using the loop after a cesarean operation have significantly lower adjusted odds of unmet need (aOR = 0.54, 95% CI: 0.43-0.67,p< 0.001). Husbands opposing contraception usage were significantly associated with increasing adjusted odds of unmet needs (aOR = 2.42, 95%CI: 1.81-3.22, p< 0.001). CONCLUSIONS: Through a comprehensive analysis of demographic characteristics, knowledge and beliefs about FP, interspousal discussions, contraceptive methods, and associated risk factors, we have provided valuable insights into the complex dynamics influencing reproductive health outcomes in this population.