While the gap in demand satisfied for modern family planning between rich and poor young women is improving, equitable access to family planning is still challenging. Wealth-based inequity remains persistent in most regions of sub-Saharan Africa, even accounting for factors such as educational attainment, urban/rural residence, and age.
PRB’s Population Bulletin, revised as of June, 2019 from the original version, assesses whether demand satisfied for family planning, as a key indicator of universal access to sexual and reproductive health, is equitable among young women ages 15 to 24 in low- and middle-income countries, and to what extent that inequity has changed over time. We consider these questions at the global, regional, and national levels, drawing on survey data from 33 countries. The results show that globally, education and marital status affect demand satisfied for family planning among young women at least as much as wealth. Further, increases in contraceptive use, rather than decreases in unmet need, have been the primary factor driving recent improvements in demand satisfied among young women.