{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T14:26:01Z","timestamp":1787063161241,"version":"build-2736575974"},"reference-count":29,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2021,2,17]],"date-time":"2021-02-17T00:00:00Z","timestamp":1613520000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Studies in Family Planning"],"published-print":{"date-parts":[[2021,3]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>While unmet need for contraception is commonly used to assess programmatic needs, it inadequately captures the complexity of fertility and contraceptive preferences,\u00a0including women's satisfaction with their contraceptive method. In their 2019 commentary, Sarah Rominski and Rob Stephenson propose reclassifying dissatisfied current users as having an unmet need for contraception.\u00a0As revising the current definition based on their proposal would require significant investment to update survey and monitoring systems, understanding the potential impact on current estimates of unmet need is critical. We estimated the impact of this approach in a Kenyan cohort of modern contraceptive users.\u00a0We found the prevalence of method dissatisfaction ranges from 6.6% (95% confidence interval [CI] 5.6\u20137.8%) to 18.9% (95% CI 17.1\u201320.9%); if applied nationally, this results in a large (approximately 25\u201370%) increase in Kenya's current estimate of unmet need for any contraception. Our findings suggest a large impact on unmet need estimates for equivalent populations. Overall, we advocate for better measurements of method satisfaction and acceptability, with metrics developed that are robust to socioeconomic gradients and validated in low\u2010 and middle\u2010income settings to ensure women's contraceptive needs are captured equitably.<\/jats:p>","DOI":"10.1111\/sifp.12146","type":"journal-article","created":{"date-parts":[[2021,2,18]],"date-time":"2021-02-18T00:59:13Z","timestamp":1613609953000},"page":"95-102","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":31,"title":["Incorporating Method Dissatisfaction into Unmet Need for Contraception: Implications for Measurement and Impact"],"prefix":"10.1111","volume":"52","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2419-9881","authenticated-orcid":false,"given":"Claire W.","family":"Rothschild","sequence":"first","affiliation":[{"name":"Claire W. Rothschild Department of Epidemiology University of Washington  Seattle USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Win","family":"Brown","sequence":"additional","affiliation":[{"name":"Win Brown The Bill &amp; Melinda Gates Foundation  Seattle WA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alison L.","family":"Drake","sequence":"additional","affiliation":[{"name":"Alison L. Drake Department of Global Health University of Washington  Seattle USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2021,2,17]]},"reference":[{"issue":"2","key":"e_1_2_5_2_1","first-page":"61","article-title":"Patient's Satisfaction toward Medical Centers with Health Care Services as an Indicator of Quality of Care","volume":"15","author":"Al\u2010Rabeah Abdullah","year":"2016","journal-title":"IOSR Journal of Dental and Medical 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