TABLE 1.

Broadened definition of unmet need incorporating actual and perceived statuses

Actual no need	Realizes correctly that pregnancy is not possible, and uses no method, for example, in menopause, had a hysterectomy, pregnant, or not having sexual relations
Actual met need	Realizes pregnancy is possible and uses a modern method
Perceived met need	Realizes pregnancy is possible and uses a traditional method in the belief of being protected
Perceived no need	Believes pregnancy is not possible, even though at biological risk, for example, breastfeeding, postpartum, infrequent sex
Perceived unmet need	Realizes that pregnancy is possible, but does not use a method for various reasons, for example, partner disapproval, sterility, or poor health

SOURCE: Sinai et al. (2017).