Correlates of Mistimed Pregnancy and Unmet Need for Family Planning among Women of Reproductive Age in Sandema, Ghana

Background: Globally, an estimated 80 million unintended pregnancies comprising both mistimed and unwanted pregnancies are recorded yearly. Yet only half of the women at risk of mistimed pregnancy use contraceptives. In developing countries, over 100 million females have unmet need, and national surveys in Ghana indicate 23% unmet need rate. Methods: Using a cross-sectional community-based approach, a sample size of 300 women of reproductive age were selected using multi-step cluster sampling techniques. The study was quantitative, using structured interviewer-administered questionnaires. Results: Two-third (66%) of the women in reproductive age still had unmet need, 71% were currently pregnant, and more than a third (36%) confirmed ever having a mistimed pregnancy. Fifty-three percent (53%) of the women confirmed never communicating with their partners on family planning issues, a little below half (45%) took their own health care decisions. Seventy nine percent (79%) ever received family planning services from a health professional. Factors related to unmet needs included mistimed pregnancy, level of education, preferred birth/pregnancy interval, communication between partners and the autonomy to spend self-earnings. Conclusion: Considering that high rates of unmet need results in mistimed pregnancy, improved policies around the influence of unmet need on mistimed pregnancies are needed.

Households＇ Assessment of the Water Quality and Services of Multi-model Urban Water Supply System in the Informal Settlements of Dar es Salaam, Tanzania

In the global south wide range of studies highlight the limitations of the single-modelled public urban water system to meeting the endogenous water preferences of the urban population. Studies also touched on the complementary roles of private water actors to the single-modelled public water supply system in the urban water supply network. Multiple of urban water supply systems （multi-model） co-exist in the urban landscape of global south. However, it is unclear and largely inconclusive on the suitable and satisfactory urban water supply model that meets the water consumption needs of informal settlement dwellers in the global south. This study draws the experiences of households in the informal settlements using a case-study with cross-sectional survey strategy to assess the suitability of the multi-model urban water supply system for sustainable urban water supply in the informal settlements. A total of 292 households were randomly sampled alongside 35 purposively sampled private water actors and public water departments. The data were collected through face to face interviews. Findings show that water supply services of the multi-model water supply system are inevitably suitable for the water consumption needs of informal settlements’s dwellers. The operation of the multi-model water supply system is flexible and able to accommodate the diverse water consumption preferences and choices of the different socio-economic groups in the informal settlements. We observed that multiplicity of urban water supply system increases households’ access to water but does not necessarily improve the quality of water serve in the informal settlements. The paper recommended for the formalisation and adoption of the multi-model urban water supply system to meet the growing demand for improved water supply and services in the informal settlements.