MICS4 Survey Design Workshop Multiple Indicator Cluster Surveys Survey Design Workshop Questionnaire for Individual Women: Unmet Need and Desire for Last Birth

MICS Indicators # 5.4 – Unmet Need Proportion of women age years who are currently married or in union who are fecund and want to space their births or limit the number of children they have and who are not currently using contraception MICS4 Survey Design Workshop

Background MDG5, Target B indicator (MDG # 5.6) Studies indicate that unwanted pregnancies pose greater risk

How to define unmet need? Women with an unmet need for family planning are women who –are married or in union –are fecund –not using any method of contraception –report not wanting any more children or wanting to delay the birth of their next child for at least two years MICS4 Survey Design Workshop

We also consider the following to have unmet need: Women* who are pregnant, but whose current pregnancy unwanted or mistimed Postpartum amenorrheic women* (not using contraception) whose last birth was unwanted or mistimed *Married/in union MICS4 Survey Design Workshop How to define unmet need?

Key indicator elements Marital status Current use of contraception (any method) Fecundity Pregnant or amenorrheic Desire for last birth Desire for future births MICS4 Survey Design Workshop

Questionnaire requirements Three modules: Contraception Desire for last birth Unmet need MICS4 Survey Design Workshop Other questions Currently pregnant (CP1) Return of period (MN23) Marital status (MA1)

MICS4 Survey Design Workshop

Indicators 1.Total unmet need 2.Unmet need for spacing (want to wait for two or more years) 3.Unmet need for limiting (want to stop childbearing altogether) These indicators provide programmatically useful information MICS4 Survey Design Workshop

Prepared by: Holly Newby Statistics and Monitoring Section UNICEF/New York