Estimates of unwanted family planning (UFP), which are based on a desire to have a child in the next nine months among current contraceptive users, exclude women who are sterilized since these women are not asked about their fertility preferences; all sterilized women are assumed to have a “met need” for family planning. However, the India National Family Health Survey asks sterilized women if they regret being sterilized and whether they were told that the operation would result in their permanent inability to have children. We extend the concept of UFP by classifying sterilized women who express regret or who were not informed about the procedure's permanence, as having UFP. When limiting our analysis of UFP to nonsterilized contraceptive users, we find that 0.9 percent of Indian women had UFP in 2019–2021. In this period, 29.9 percent of Indian women were sterilized. We estimate that 4.9 percent of sterilized women express regret and 16.3 percent were not told of the procedure's permanence. Adding sterilized women who express regret raises our UFP estimate in India to 2.3 percent, while also including sterilized women who were not told about the procedure's permanence yields an overall UFP estimate of 6.9 percent in India.

中文翻译：

---

不想要的计划生育，包括不想要的绝育：印度的初步流行率估计


对不想要的计划生育 （UFP） 的估计是基于当前避孕药具使用者在未来 9 个月内生育孩子的愿望，排除了绝育妇女，因为这些妇女没有被询问她们的生育偏好;所有绝育妇女都被认为对计划生育有“满足需求”。然而，印度全国家庭健康调查询问绝育妇女是否后悔被绝育，以及她们是否被告知手术将导致她们永久无法生育。我们通过将表示遗憾或未被告知手术持久性的绝育妇女归类为患有 UFP 来扩展 UFP 的概念。当我们将 UFP 分析限制在未绝育避孕药具使用者时，我们发现 0.9% 的印度女性在 2019-2021 年患有 UFP。在此期间，29.9% 的印度妇女接受了绝育手术。我们估计 4.9% 的绝育妇女表示后悔，16.3% 的妇女没有被告知该程序的持久性。加上表示遗憾的绝育妇女，我们在印度的 UFP 估计值提高到 2.3%，同时还包括未被告知该程序永久性的绝育妇女，印度的 UFP 总体估计值为 6.9%。