233 million women may need contraception by 2015

By Tanya Lewis, LiveScience

More women are using birth control worldwide, but an unmet need for contraception persists, a new study shows.

Researchers estimated the contraceptive use and unmet contraceptive need among married or cohabiting women of reproductive age for 194 countries between 1990 and 2010. The researchers defined an unmet need as the proportion of women who would like to delay or stop childbearing but who are not using any method of contraception to prevent pregnancy.

Global use of contraceptives by these women increased from 55 percent to 63 percent over the period from 1990 to 2010, while unmet need decreased from 15 percent to 12 percent, the results showed. Despite this, the researchers project that 233 million women will have an unmet need for modern birth control by 2015.

"The changes over time that we see — in terms of increases in contraceptive prevalence and reductions in need — are in the right direction," study leader Ann Biddlecom, a fertility and family planning researcher in the United Nations Department for Economic and Social Affairs, told LiveScience. "But there are still parts of the world where there remains a high level of unmet need for family planning."

The biggest surge in contraceptive use between 1990 and 2010 occurred in southern Asia and eastern, northern and southern Africa. Birth control usage was also high in developed countries, but decreased slightly in Western Europe, Australia and New Zealand.

Other areas showed a very low rate of contraceptive use. In central and western Africa fewer than 1 in 5 married women of reproductive age used any kind of birth control as of 2010.

The study shows the discrepancies of access to contraception in different subregions of Africa, Biddlecom said. Eastern and central Africa had similar rates of contraceptive use in 1990, but by 2010, the rate of use had grown twice as much in eastern Africa.

Most of the rise was in modern methods of contraception (such as condoms or hormonal forms of birth control), as opposed to traditional methods such as withdrawal before ejaculation or the rhythm method. Worldwide, 9 out of 10 married women using birth control were using a modern form in 2010. [ Birth Control Quiz: Test Your Contraception Knowledge ]

As contraceptive use has grown, the unmet need for family planning has fallen. Even so, about 146 million married women of reproductive age still had unmet need for birth control in 2010, the researchers estimated, or 221 million women if those using traditional methods are included. More than 20 percent of married women in eastern, central and western Africa had an unmet need for family planning in 2010.

"Things have gotten somewhat better, but the reality is we have a ways to go," obstetrician/gynecologist Ronald Burkman of Tufts University School of Medicine, who was not involved in the study, told LiveScience.

Where there were gaps in the data on contraceptive use, the researchers used data from nearby countries to model the missing information. The study only looked at married or cohabiting women, but unmarried women tend to have even higher contraceptive needs, according to the researchers. In order to meet the worldwide need for contraceptive methods, increased investment will be necessary, they say.

The findings were detailed today (March 11) in the journal The Lancet.

More from LiveScience:

Discuss this post

Unfortunately many of these women will refuse or be denied due to religious fanatacism. Maybe the new Pope will bring the Catholic Church into the 21st century. [Sarcasm intended]

  • 3 votes
Reply#1 - Tue Mar 12, 2013 3:49 PM EDT

Dave: If Catholic women want to access contraception, they do. Priests do not stop or deny Catholic women from getting birth control...you are truly ignorant.

  • 4 votes
#1.1 - Tue Mar 12, 2013 4:08 PM EDT

They do discourage it and claim it's a sin.

  • 4 votes
#1.2 - Tue Mar 12, 2013 4:36 PM EDT

Been to Africa lately, Juanita? It has a growing Catholic demographic.

  • 1 vote
#1.3 - Tue Mar 12, 2013 6:38 PM EDT

goodforgoodnesssake - I guess the 98 percent of Catholic women in the US who use birth control aren't overly concerned with what the church's opinion is on this subject.

  • 1 vote
#1.4 - Wed Mar 13, 2013 10:57 AM EDT

Perhaps not Lee, but according to the article, this is a world-wide issue. Maybe folks from other parts aren't as defiant as American Catholics.

  • 1 vote
#1.5 - Wed Mar 13, 2013 12:47 PM EDT
Reply

The study only looked at married or cohabiting women, but unmarried women tend to have even higher contraceptive needs, according to the researchers. In order to meet the worldwide need for contraceptive methods, increased investment will be necessary, they say.

Of course. Why expect people to not act like animals and practice some control over their impulses?

    Reply#2 - Tue Mar 12, 2013 4:01 PM EDT

    Your comment is logical.... considering your moniker....... Sexual activity is not necessarily "impulse." The gist of this article is that women consciously desire effective family planning. In its absence, they use whatever means at hand - including rhythm, abstinence during supposed fertile times, even citrus halve stuffed as makeshift diaphrams. It is much more responsible for advanced nations to assist in providing effective birth control - including accurate education - than to stick their heads in the sand (or tea leaves....) and pontificate about narrow moral positions..... while the world's population continues to explode.

    • 6 votes
    #2.1 - Tue Mar 12, 2013 4:08 PM EDT

    Of course. Why expect people to not act like animals and practice some control over their impulses?

    So let's see, hubby browbeats wifey until she gives in and lets him do that disgusting thing that she'd rather not do at all, then 9 months later Junior arrives, and it's wifey's fault for not "controlling her impulses".

    If you think that women get pregnant because they can't resist their own impulses, you've never been married.

    • 2 votes
    #2.2 - Wed Mar 13, 2013 10:28 AM EDT
    Reply

    It's enough that Obama mandated that insurance companies pay for contraceptives for American women...I object to paying for ALL women's contraceptives.

    • 1 vote
    Reply#3 - Tue Mar 12, 2013 4:03 PM EDT

    Barefoot, pregnant, and in the kitchen. A child a year throughout fertile years - ya gotta keep 'em busy, ya know.....

    • 5 votes
    #3.1 - Tue Mar 12, 2013 4:14 PM EDT

    Juanita @#3, let us reason together. As a taxpayer, which would you rather subsidize for 20 years or more: A pack of birth control pills once a month, or the cost of raising a child including food, shelter, health, and education?

    • 5 votes
    #3.2 - Tue Mar 12, 2013 7:00 PM EDT

    Actually, I'd love to see most of our foreign aid converted into sponsoring birth control. If there's one thing that the world needs tons of, it's birth control.

    I'll never complain about any tax money that prevents more people!

    • 3 votes
    #3.3 - Wed Mar 13, 2013 10:58 AM EDT
    Reply

    What is the church stance on penile implants, Viagra and Cialis? Do people think that those shouldn't be covered by insurance?

    • 2 votes
    Reply#4 - Tue Mar 12, 2013 4:08 PM EDT

    Why do you have an issue with Cialis? It is not used just for ED--it is also used to treat BPH.

      #4.1 - Tue Mar 12, 2013 5:13 PM EDT

      Funny, most people realize that BCPs aren't only used for contraception, yet that doesn't stop the wing nuts from trying to legislate it to death.

      • 4 votes
      #4.2 - Tue Mar 12, 2013 5:38 PM EDT

      Bingo, I have to take hormones (at 22) so that I don't go into premature menopause. Which, incidentally, would be very dangerous for my health during my twenties...

        #4.3 - Tue Mar 12, 2013 7:53 PM EDT

        Do you think the Church would approve of Pos-T-Vac?

        • 1 vote
        #4.4 - Tue Mar 12, 2013 8:13 PM EDT

        People shouldn't be covered for anything they don't need, but rather want. Cosmetic surgery, implants, and medication for ED in most cases. These are wants. Acquiring them will not improve your health in most cases...it is called Health insurance, not Feel-Good insurance. The cause of ED is often long term smoking or drug use. People shouldn't be covered for direct or indirect costs of addiction and/or obesity. We collectively pay into an insurance company's financial pool. Why should those of us with self-control suffer higher rates because of those without?

          #4.5 - Wed Mar 13, 2013 5:54 AM EDT
          Reply

          I dont want anything to do with birth control. It increases breast cancer risk in many people. I would love to have a duaghter but I have PCOS so I cant. I love my husband and we control our selves by not having sex.

            Reply#5 - Tue Mar 12, 2013 7:08 PM EDT

            Plenty of people who have polycystic ovarian syndrome manage to have children, Amanda. I know that it's anecdotal, but I have a close family relative and two high school friends who have PCOS and have had successful pregnancies. (My relative was undiagnosed at the time she become pregnant with her son, despite the fact that she had many of the most common symptoms. One friend has had two sons with no fertility treatments, although it did take her quite some time to become pregnant with her second son.) As for birth control, there are many other methods that you and your husband could use to prevent pregnancy that are hormone-free such as a cervical cap or a diaphragm. If your gynecologist cannot fit you for either one (unfortunately, many doctors only seem to know how to prescribe hormonal birth control) , find one that can. There's no need in this day and age to make you or your husband endure a sexless marriage out of fear of pregnancy.

            • 1 vote
            #5.1 - Tue Mar 12, 2013 8:40 PM EDT

            Your husband is a lucky guy

            • 1 vote
            #5.2 - Wed Mar 13, 2013 8:13 AM EDT
            Reply

            223 million women by 2015? Hell's best anthracite! There are several billion women who need contraception now. And Amanda, please give your husband my sympathy for being your husband.

            • 4 votes
            Reply#6 - Tue Mar 12, 2013 7:59 PM EDT

            Sorry - most women don't "need" birth control. They may want it, but they don't need it. As a woman, and representative of a large majority of women, there is one simple way to avoid pregnancy. It's not rocket science. I am not speaking to women who take the pill for legitimate medical reasons but rather to those who strictly use the pill to prevent pregnancy. I'm sure this post will elicit a good deal of backlash. But, the fact remains that there is a very short window of opportunity during which one can become pregnant. Surely, we can take back control over our lives and our actions rather than give it to a pill that itself is known to carry with it its own dangers from use. eg. migraines, stroke, cancer and perhaps other diseases that have become more prevalent in our children over the past 40 years.

              Reply#7 - Tue Mar 12, 2013 8:31 PM EDT

              I am all for women using birth control. I just shouldn't have to pay for it.

              • 3 votes
              Reply#8 - Tue Mar 12, 2013 9:29 PM EDT

              Hope all of you are working so you can pay for it!! It's a "right" to have birth control and you shouldn't have to put a dent in your double latte money!

              • 1 vote
              Reply#9 - Wed Mar 13, 2013 12:09 AM EDT

              Alas, the simplest form of birth control is still the good ole fashioned male condom. Well, actually it's......nevermind.

                Reply#10 - Wed Mar 13, 2013 5:58 AM EDT

                Ahaha, if you click the link above from LiveScience "7 Surprising Facts About the Pill", two things mentioned are how it pollutes our waters and how it makes women choose poor mates...This article says demand for The Pill is increasing....

                WE'RE DOOMED to drink tainted water, suffer hormonal imbalances, and evolutionarily regress from poor Natural Selection...by "WE" I mean all animals that drink the water, who are in essence, also taking The Pill.

                  Reply#11 - Wed Mar 13, 2013 6:08 AM EDT

                  For years the progressive/anti-conservative message has been to keep government laws/regulations out of the bedroom so people can do as they please in private. Also the basis of Roe v Wade.

                  On the other hand, those same people are demanding government intervention on an international basis because men continue to procreate and women have no control over their own bodies.

                  Sounds to me as though it's no longer a privacy issue but an entitlement taxpayers must shell out money to accomplish.

                    Reply#12 - Wed Mar 13, 2013 8:45 AM EDT

                    I'm all for insurance companies covering birth control. The bigger picture for me is it encourages and enables people to be more responsible with family planning and makes it easier to do that. It allows couples to hold off on having children until they are emotionally and financially ready for them. As a society, don't we want to make that more available instead of less through the provision of birth control? Don't we want our children born into families that are ready for them? The easier we make that the better off we will be as a whole, for a minimal cost.

                    As to paying or it, which is better, $20 a month for birth control or thousands of dollars for prenatal care, labor and delivery, newborn care, well baby checkups, etc, etc, etc. Think about it.

                    • 5 votes
                    Reply#13 - Wed Mar 13, 2013 9:22 AM EDT

                    Very well said. Thank you for the cogent, calm, logical discourse.

                      #13.1 - Wed Mar 13, 2013 9:34 AM EDT

                      Thank you for a common sense and intelligent comment.

                        #13.2 - Wed Mar 13, 2013 4:19 PM EDT
                        Reply

                        Taxpayers are going to have to choose, one or the other: Pay for birth control NOW —or— pay for govt assistance to the poor later. If you insist on paying for neither, then don't be surprised when some kids are born dirt-poor in the inner city, possibly abused & never wanted, who learn to break the law (stealing) in order to survive because they don't have the financial resources, never were given role models to encourage going to college and make something more of themselves, nor have enough of their own private money to go (grants & scholarships amounts aren't enough)—so that in 20 years they will be coming to YOUR house in an armed robbery to steal your hard earned possessions that they want to sell, in order to pay for their rent that month. Makes more sense to pay for birth control in the long run, no?

                        • 1 vote
                        Reply#14 - Wed Mar 13, 2013 11:28 AM EDT

                        i am so tired of this @!$%# with people and their idiot idea of what they want their money to go for. i don't want my taxes paying for this and that and not the other thing either. get over it its not a line item veto. you pay for health insurance and go to the docotor as you see fit i don't give a crap as to why you go. and yes the premiums go up (never down) but not because of the fat people and the drunks and women on birth control or the guys with a limp biscuits but because the insurance company wants to make more profits. it is 2013 and birth control is the hottest topic of the decade really?

                        • 1 vote
                        Reply#15 - Wed Mar 13, 2013 1:21 PM EDT

                        We are overpopulating this planet and birth control is a sure means to help with this problem. Unfortunately, many women do not have a choice in birth control because of societal/religious mores.

                        Until all women have complete control of their own bodies we will continue to have unplanned/unwanted pregnancies and babies, babies that may end up abused, malnourished, etc.

                          Reply#16 - Wed Mar 13, 2013 4:21 PM EDT
                          You're in Easy Mode. If you prefer, you can use XHTML Mode instead.
                          As a new user, you may notice a few temporary content restrictions. Click here for more info.