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medRxiv PreprintsInternational4 November 2026

Spatial distribution and factors associated with unmet need for family planning among women of reproductive age in Zambia: Evidence from the 2024 Zambia Demographic and Health Survey

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Unmet need for family planning contributes to unintended pregnancies, unsafe abortions, and preventable maternal and child deaths, and remains high in sub-Saharan Africa. In Zambia, national estimates may conceal important geographic inequalities. We assessed the spatial distribution of, and factors associated with, unmet need for family planning among women of reproductive age in Zambia. We conducted a cross-sectional analysis of the 2024 Zambia Demographic and Health Survey (ZDHS), including 12,133 women aged 15-49 years. Survey-weighted logistic regression, accounting for the stratified two
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