FACTORS AFFECTING CONTRACEPTIVE USE IN GHANA

1997 ◽  
Vol 29 (2) ◽  
pp. 141-149 ◽  
Author(s):  
E. O. TAWIAH

The relationships between selected demographic and socioeconomic variables and current use status of contraception were examined using logistic regression technique. Information on current contraceptive use was provided by 3156 out of 4488 currently married women aged 15–49 interviewed in the 1988 Ghana Demographic and Health Survey. Respondents' approval of family planning emerged as the most important predictor of current contraceptive use, followed by discussion of family planning with partner and level of education. As a policy measure, information, education and communication programmes on family planning should be intensified, particularly in rural areas. Female education, at least up to secondary level, should be given top priority.

2014 ◽  
Vol 8 (1) ◽  
pp. 85-97
Author(s):  
Fauzia Maqsood ◽  
Steven M. Albert

We examined determinants of ever use of contraceptives among women living in urban slums of Pakistan. Data were drawn from a nationwide study, “Living Conditions in Urban Slums of Selected Cities of Pakistan,” jointly conducted by University of Gujrat; UNFPA, Islamabad; and UN Habitat, Islamabad, Pakistan. The sample consisted of 2420 married women from six cites. The study was conducted within the socio-ecological framework and examined individual, social, and geographic contextual factors. Multivariate logistic regression model with robust standard errors was used to estimate the contribution of different socio-ecologic factors for use of contraception. Results of logistic regression showed that individual, social, and geographic factors affect use of contraceptives among women in Pakistani urban slums. The socio-ecologic model can help to identify correlates of contraceptive use, especially among developing nations.


Author(s):  
James N. Mulenga ◽  
Bupe B. Bwalya ◽  
Mulenga C. Mulenga ◽  
Kakoma Mumba

Unmet need for family planning remains a major family planning problem in most countries around the world. It presents serious consequences for the women, their families and society at large. This study was undertaken to establish the factors that affect total unmet need for family planning and its components in Zambia. This study used the 2013/14 Zambia Demographic Health Survey (ZDHS) dataset focusing on currently married women aged 15 to 49. Data analysis took the form of descriptive, binary logistic and multinomial logistic regressions. The study shows that although there has been a substantial increase in contraceptive use, combined unmet need for family planning has only decreased slightly over time and currently stand at 21%, made up of 14% limiters and 7% spacers. Various factors were identified as determinants of unmet need for spacing, limiting or total unmet need for family planning. These included age, partner’s level of education, contraceptive side effects, husband opposition to contraceptives and number of living children. To enhance utilization, policy should not be blind to the respective factors that influence combined unmet, unmet need for spacing and limiting.


Author(s):  
Andualem Zenebe ◽  
Abayneh Ayele ◽  
Tesfaye Woltamo ◽  
Kaleab Tesfaye Tegegne

<p><strong>Background:</strong> Family planning is one of the factors which have a great role in the reduction of global poverty by positively contributing to socio-economic development. Additionally controlling both the number and timing of births through utilization of contraception is associated with improved maternal and neonatal health outcomes. The aim of the study was to assess utilization of modern contraception among married women.</p><p><strong>Methods:</strong> A community based cross- sectional study with quantitative and qualitative study methods was conducted from February 15 to March 15, 2016 in Aleta Chuko district, Southern Ethiopia. Multistage cluster sampling procedure was used to select a total of 364 married women of reproductive age (18-49). Descriptive statistics, Bivariate and multivariate logistic regression analyses were performed using SPSS version 20.0. On the other hand, qualitative data were analyzed thematically and the result was presented in narration.</p><p><strong>Results:</strong> Contraceptive prevalence rate among married women in Aleta Chuko district was 45.5%. Results of Multiple Binary Logistic Regression revealed that residence, educational level of the respondents, discussion about modern contraceptives with husband, partner’s approval of modern contraceptive use and joint decision on the number of children were significantly associated with modern contraceptive use.</p><p><strong>Conclusions:</strong> Therefore, district health office and concerned stakeholders should focus on couples to encourage girl’s education, communication between couples, and male involvement for family planning.</p>


2019 ◽  
Vol 15 (1) ◽  
pp. 117-123
Author(s):  
Haerawati Idris

Rapid population growth has become a major concern and attention of many national governments and international community. Most developing countries have acknowledged the role of family planning as an effective way to improve maternal/child health and suppress population growth. This study aimed to investigate the socioeconomic and demographic factors that influence the use of contraceptives in Indonesia. This was a cross-sectional study using secondary data derived from National Socio-Economic Survey (SUSENAS) in 2014. A sample of 286,695 married women was selected for this study. Multiple logistic regression analyses were used to estimate the effects of socio-economic and demographic variables on contraceptive use. Only 42% of married women in Indonesia used contraceptive method. The most popular contraceptive method was injection (55%). Factors affecting contraceptive use were maternal age of 30-34 year, living in the urban area, family wealth status in the 4th quintile, secondary school, working women, residing in Java/Bali, and the number of living children > 2. Family planning policy information, education, and communication program should consider these determinants of contraceptive use.


1996 ◽  
Vol 35 (1) ◽  
pp. 1-22 ◽  
Author(s):  
Naushin Mahmood ◽  
Karin Ringheim

Using data from the Pakistan Demographic and Health Survey of 1990-91, this study examines the effect of selected socio-cultural and supply factors on contraceptive use as reported by married women of reproductive ages. In addition to the expected positive relationship of woman’s age, number of living children, education, and place of residence with contraceptive use, it is theorised that there are five factors potentially affecting fertility regulation in the socio-structural context of Pakistan. These include the extend of communication between husbands and wives, religious beliefs, female autonomy, son preference, and the family planning service and supply variables. Using logistic regression analysis, the results of the study indicate that the explanatory power of these five factors is significant in affecting the use of contraception in both urban and rural areas. While knowledge of a source for family planning is the strongest predictor of contraceptive use, husband-wife communication and religious attitudes are also significant. The fact that the inclusion of the theoretical variables dampens the predictive effect of the primary and secondary education for women leads to the speculation that while the extremely low levels of literacy among women must be addressed through government commitment to universal education, scarce family planning programme resources can be focused more effectively on promoting spousal communication, about family size and contraceptive use, and on soliciting the support of religious leaders to counteract the misperceptions about Islamic teachings on family planning and reliance on fate. With high quality and accessible services, these measures could go a long way towards providing couples with the means to meet their reproductive goals.


2019 ◽  
Vol 10 (1) ◽  
pp. 23-27
Author(s):  
Abu Noman Mohammed Mosleh Uddin ◽  
Mehedi Hasan Jewel

Aims: Introduction: Bangladesh has impressive gains in indicators related to population and family planning. Therefore, the unmet need for family planning should be addressed with utmost importance. Materials and Methods: A descriptive type of cross sectional study was conducted at four villages of Saturia Upazilla of Manikganj district to find out unmet need of family planning among married women of reproductive age including the status of contraceptive use and obstacles toward using family planning methods. The duration of study was from November 2017 to March 2018. The sample size was 480 in number. Results: In the study, 87.5% respondents were Muslims. Regarding level of education 18.75% of the respondents was illiterate, 22.19% of the respondents completed their primary education and 31.35% passed the secondary school certificate Examination. Most of the respondents (92.92%) were housewives. Out of 480 families, 51% belongs to nuclear family. 23.13% of the respondents had income below 10,000 Tk. and about 27.50% had an income more than 20,000 Tk. Among 480 respondents, 42.06% had 2 living children and about 33.78% had a single child. 89.17% of the respondents knew about contraceptive method. OCP was the most preferred method among 57.62% respondents. 61% respondents were using contraceptive method. The reason for not using any contraceptive method were fear of side effects (28.03%), eager to conceive (13.63%), and non-co-operative attitude of the husband (7.58%). In this study 58.13% respondents had the knowledge about permanent method of contraception. Conclusion: Family planning is more of a health necessity than an option. Though family planning program has remarkable success over the past decade, but still there is unmet need. Anwer Khan Modern Medical College Journal Vol. 10, No. 1: Jan 2019, P 23-27


2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Kriti Yadav ◽  
Monika Agarwal ◽  
Mukesh Shukla ◽  
Jai Vir Singh ◽  
Vijay Kumar Singh

Abstract Background NFHS-4 stated high unmet need for family planning (FP) among married women in Uttar Pradesh. Unmet need is highest among age groups: 15–19 and 20–24 years. Currently few data is available about unmet need for FP among vulnerable section of the community, i.e.15–24 year’s age group living in the urban slums. Therefore this study was conducted to assess the unmet need for FP services and its determinants among this under-privileged and under-served section of society residing in urban slums of Uttar Pradesh, India. Methods Cross sectional study was conducted in the slums of Lucknow, India. One Urban-Primary Health Centre (U-PHC) was randomly selected from each of the eight Municipal Corporation zones in Lucknow and two notified slums were randomly selected from each U-PHC. All the households in the selected slums were visited for interviewing 33 young married women (YMW) in each slum, with a pre-structured and pre tested questionnaire, to achieve the sample size of 535. Analysis of the data was done using logistic regression. Results The unmet need for family planning services among YMW was 55.3%. About 40.9% of the unmet need was for spacing methods and 14.4% for limiting methods. Important reasons cited for unmet need for family planning services were negligent attitude of the women towards family planning, opposition by husband or others, embarrassment / hesitation / shyness for contraceptive use, poor knowledge of the FP method or availability of family planning services. Among method related reasons health concerns and fear of side effects were frequently cited reasons. On multiple logistic regression: age, educational status, duration of marriage, number of pregnancies, knowledge of contraceptive methods, opposition to contraceptive use and contact with Auxiliary Nurse Midwife (ANM) showed independently significant association with unmet need for family planning services. Conclusions Unmet need for family planning services is very high among the YMW of urban slums. The findings stress that program managers should take into cognizance these determinants of high level of unmet need for family planning among YMW and make intense efforts for addressing these issues in a holistic manner.


2019 ◽  
Vol 3 ◽  
pp. 1463
Author(s):  
Abibatou Agbéké Olakunle ◽  
Boladé Hamed Banougnin

Background: Low contraceptive use among women in Niger is one of main causes of early childbearing and unwanted pregnancies, which affect maternal and child health. Education and place of residence have been cited as factors affecting modern contraceptive use. Methods: We investigated the separate and joint effects of the place of residence and education on the time to modern contraceptive uptake among women aged 15-24 in Niger. The study used data from the second round of the 2016 Niger Performance Monitoring and Accountability 2020 (PMA2020) project. Survival analysis was applied for 830 women. Results: Nelson-Aalen curves show that urban women had higher hazards of (and shorter delays in) modern contraceptive uptake as compared to their rural counterparts. Also, the higher the level of education, the higher the hazards of (and the shorter the delays in) modern contraceptive uptake. Findings from the multivariate (survival) analysis confirms these figures and provides the net effect of the place of residence on modern contraceptive uptake. Whether living in urban or rural areas of Niger, what matters more is the level of education. Conclusions: Family planning programmes concerning adolescent and young women should focus more on women with no education and those that are illiterate.


Author(s):  
Deepak Jamadar ◽  
K. P. Joshi

Background: Unmet need for family planning, which refers to the condition in which there is the desire to avoid or post-pone child bearing, without the use of any means of contraception, has been a core concept in the field of international population. This study aimed to determine the factors affecting for unmet need for family planning among married women in the age group of 15-49 years of rural areas of Kalaburagi. By multiple logistic regression model and stepwise forward logistic regression model to estimate the parameters of the model, odds ratios and log likelihood values are computed. Testing of hypothesis of goodness of fit of the model is carried out by Hosmer and Lemeshow test.Methods: 600 married women in the age group of 15-49 years were the study participants who were selected randomly from the 7 taluks of rural areas by using multistage sampling techniques.Results: Total of 26 explanatory variables are included in the model, in which only 5 explanatory variables (19.00%) are found to be significant regression coefficients i.e., education of married women, abortion, physical deformities baby, ideal gap between children, contraceptive used in past normal level of significance (p<0.05).Conclusions: The test statistic of all five models, only model 4 and model 5 fit well with response variable for the rural sample data.


2019 ◽  
Vol 34 (Spring 2019) ◽  
pp. 157-173
Author(s):  
Kashif Siddique ◽  
Rubeena Zakar ◽  
Ra’ana Malik ◽  
Naveeda Farhat ◽  
Farah Deeba

The aim of this study is to find the association between Intimate Partner Violence (IPV) and contraceptive use among married women in Pakistan. The analysis was conducted by using cross sectional secondary data from every married women of reproductive age 15-49 years who responded to domestic violence module (N = 3687) of the 2012-13 Pakistan Demographic and Health Survey. The association between contraceptive use (outcome variable) and IPV was measured by calculating unadjusted odds ratios and adjusted odds ratios with 95% confidence intervals using simple binary logistic regression and multivariable binary logistic regression. The result showed that out of 3687 women, majority of women 2126 (57.7%) were using contraceptive in their marital relationship. Among total, 1154 (31.3%) women experienced emotional IPV, 1045 (28.3%) women experienced physical IPV and 1402 (38%) women experienced both physical and emotional IPV together respectively. All types of IPV was significantly associated with contraceptive use and women who reported emotional IPV (AOR 1.44; 95% CI 1.23, 1.67), physical IPV (AOR 1.41; 95% CI 1.20, 1.65) and both emotional and physical IPV together (AOR 1.49; 95% CI 1.24, 1.72) were more likely to use contraceptives respectively. The study revealed that women who were living in violent relationship were more likely to use contraceptive in Pakistan. Still there is a need for women reproductive health services and government should take initiatives to promote family planning services, awareness and access to contraceptive method options for women to reduce unintended or mistimed pregnancies that occurred in violent relationships.


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