Journal article

Risk factors and knowledge associated with high unintended pregnancy rates and low family planning use among pregnant women in Papua New Guinea

Elizabeth Peach, Christopher Morgan, Michelle JL Scoullar, Freya J Fowkes, Elissa Kennedy, Pele Melepia, Primrose Homiehombo, Lucy Au, Stanley Luchters, Alexandra J Umbers, Andrew Vallely, Lisa M Vallely, Angela Kelly-Hanku, Leanne J Robinson, Brendan S Crabb, Arthur Elijah, Peter M Siba, William Pomat, James G Beeson



Unintended pregnancy is a major driver of poor maternal and child health in resource-limited settings. Data on pregnancy intention and use of family planning (FP) is scarce in Papua New Guinea (PNG), but are needed to inform public health strategies to improve FP accessibility and uptake. Data from a facility-based cross-sectional sample of 699 pregnant women assessed prevalence and predictors of unintended pregnancy and modern FP use among pregnant women in East New Britain Province, PNG. More than half (55%) the women reported their pregnancy as unintended. Few (18%) reported ever having used a modern FP method, and knowledge of different methods was low. Being single, separated or divorce..

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Funding Acknowledgements

Funding was provided by the Burnet Institute through philanthropic support from numerous private and business donors in Australia and PNG. Major funding was provided by Principal Sponsor Bank South Pacific Papua New Guinea (through a Community Grant); June Canavan Foundation Australia; National Health and Medical Research Council (NHMRC) of Australia (Senior Research Fellowship and Investigator Grant to JGB, Program Grant to JGB and BSC, Career Development Fellowships to FJIF and LJR, Postgraduate Research Scholarship to CM); Gras Foundation, Finkel Foundation, Naylor Stewart Ancillary Fund, and Chrysalis Foundation. MJLS received a Basser Research Entry Scholarship from the Royal Australasian College of Physicians Foundation (2018 and 2020). The Burnet Institute is supported by an Operational Infrastructure Grant from the State Government of Victoria, Australia, and the Independent Research Institutes Infrastructure Support Scheme of the NHMRC of Australia. The funders had no role in the study design, data collection and analysis, decision to publish, or preparation of the manuscript.