Islam, Polygyny and Modern Contraceptive Use in Francophone sub-Saharan Africa

The purpose of this study was to systematically review the literature regarding factors influencing contraceptive use in sub-Saharan Africa between 2005 and 2015. A total of 58 studies from twelve Sub-Saharan African countries were reviewed. Keywords were grouped using the PEN-3 cultural model. Negative factors prohibiting or reducing contraceptive use were women’s misconceptions of contraceptive side–effects, male partner disapproval, and social/cultural norms surrounding fertility. Positive factors included education, employment, and communication with male partner. Increasing modern contraceptive use in Sub-Saharan Africa is a multi-faceted problem that will require community and systems wide interventions that aim to counteract negative perceptions and misinformation.

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Trends in Modern Contraceptive Use among Young Adult Women in sub‐Saharan Africa 1990 to 2014

Studies in Family Planning ◽

10.1111/sifp.12075 ◽

2018 ◽

Vol 49 (4) ◽

pp. 319-344 ◽

Cited By ~ 3

Author(s):

Julia Andrea Behrman ◽

Kelsey Quinn Wright ◽

Monica J. Grant ◽

Erica Soler‐Hampejsek

Keyword(s):

Young Adult ◽

Contraceptive Use ◽

Sub Saharan Africa ◽

Adult Women ◽

Modern Contraceptive ◽

Young Adult Women ◽

Modern Contraceptive Use ◽

Sub Saharan

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As long as (I think) my husband agrees…: role of perceived partner approval in contraceptive use among couples living in military camps in Kinshasa, DRC

Reproductive Health ◽

10.1186/s12978-021-01256-y ◽

2022 ◽

Vol 19 (1) ◽

Author(s):

Julie H. Hernandez ◽

Saleh Babazadeh ◽

Philip A. Anglewicz ◽

Pierre Z. Akilimali

Keyword(s):

Family Planning ◽

Contraceptive Use ◽

Educational Achievement ◽

Sub Saharan Africa ◽

Modern Contraceptive ◽

Common Error ◽

Couple Communication ◽

Female Partners ◽

Modern Contraceptive Use ◽

Sub Saharan

Abstract Background Male partner’s approval is a key determinant of contraceptive use for women living in Sub-Saharan Africa and improving men’s support and couple communication is a cornerstone of family planning programs. However, approval is often only measured through the women’s perception of their partner’s opinion. Methods This study conducted in Kinshasa compares contraceptive approval variables from matched male and female partners (n = 252 couples) to establish the frequency of (in)accurate perceptions by the woman, then test their association with modern contraceptive use. Additional regressions estimate individual and couple variables associated with (in)correct perceptions. Results Results confirm women are poorly aware of their partner’s opinion but indicate that perceived approval or disapproval by the woman is a much stronger determinant of modern contraceptive use than her partner’s actual opinion. Higher educational achievement from the woman is the strongest driver of misunderstanding her partner’s approval. Conclusions Women’s perceptions of partner’s approval are much stronger determinant of contraceptive use than the latter’s actual opinion, and stereotyping men’s opinion of family planning is a common error of appreciation. However, findings also suggest these misunderstandings might serve women’s capacity to negotiate contraceptive use.

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Contextual Influences on Modern Contraceptive Use in Sub-Saharan Africa

American Journal of Public Health ◽

10.2105/ajph.2005.071522 ◽

2007 ◽

Vol 97 (7) ◽

pp. 1233-1240 ◽

Cited By ~ 112

Author(s):

Rob Stephenson ◽

Angela Baschieri ◽

Steve Clements ◽

Monique Hennink ◽

Nyovani Madise

Keyword(s):

Contraceptive Use ◽

Sub Saharan Africa ◽

Modern Contraceptive ◽

Contextual Influences ◽

Modern Contraceptive Use ◽

Sub Saharan

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As Long as (I Think) My Husband Agrees…: Role of Perceived Partner Approval in Contraceptive Use Among Military Couples Living in Kinshasa, DRC

10.21203/rs.3.rs-647149/v1 ◽

2021 ◽

Author(s):

Julie H. Hernandez ◽

Saleh Babazadeh ◽

Philip Anglewicz ◽

Pierre Z Akilimali

Keyword(s):

Family Planning ◽

Contraceptive Use ◽

Educational Achievement ◽

Sub Saharan Africa ◽

Modern Contraceptive ◽

Common Error ◽

Couple Communication ◽

Female Partners ◽

Modern Contraceptive Use ◽

Sub Saharan

Abstract Background: Male partner’s approval is a key determinant of contraceptive use for women living in Sub-Saharan Africa and improving men’s support and couple communication is a cornerstone of family planning programs. However, approval is often only measured through the women’s perception of their partner’s opinion.Methods: This study conducted in Kinshasa compares contraceptive approval variables from matched male and female partners to establish the frequency of (in)accurate perceptions by the woman, then test their association with modern contraceptive use. Additional regressions estimate individual and couple variables associated with (in)correct perceptions. Results: Results confirm women are poorly aware of their partner’s opinion but indicate that perceived approval or disapproval by the woman is a much stronger determinant of modern contraceptive use than her partner’s actual opinion. Higher educational achievement from the woman is the strongest driver of misunderstanding her partner’s approval. Conclusions: Women’s perceptions of partner’s approval are much stronger determinant of contraceptive use than the latter’s actual opinion, and stereotyping men’s opinion of family planning is a common error of appreciation. However, findings also suggest these misunderstandings might serve women’s capacity to negotiate contraceptive use.

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Women’s modern contraceptive use in sub-Saharan Africa: does men’s involvement matter?

Journal of Global Health Reports ◽

10.29392//001c.12029 ◽

2019 ◽

Author(s):

Shireen Assaf ◽

Lwendo Moonzwe Davis

Keyword(s):

Contraceptive Use ◽

Sub Saharan Africa ◽

Modern Contraceptive ◽

Modern Contraceptive Use ◽

Sub Saharan ◽

Men’S Involvement

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Islam, Polygyny and Modern Contraceptive Use in Francophone sub-Saharan Africa

African Population Studies ◽

10.11564/0-0-631 ◽

2014 ◽

Vol 28 (3) ◽

pp. 1389 ◽

Cited By ~ 2

Author(s):

Margaret Farrell ◽

Adeline Masquelier ◽

Emily Tissot ◽

Jane Bertrand

Keyword(s):

Contraceptive Use ◽

Sub Saharan Africa ◽

Modern Contraceptive ◽

Modern Contraceptive Use ◽

Sub Saharan

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Coverage and Determinants of Modern Contraceptive Use in Sub-saharan Africa: Further Analysis of Demographic and Health Surveys

10.21203/rs.3.rs-882664/v1 ◽

2021 ◽

Author(s):

Isaac Boadu

Keyword(s):

Family Planning ◽

Contraceptive Use ◽

Reproductive Age ◽

Sub Saharan Africa ◽

Demographic And Health Surveys ◽

Modern Contraceptive ◽

Women Of Reproductive Age ◽

Modern Contraceptives ◽

Modern Contraceptive Use ◽

Sub Saharan

Abstract Background: The use of modern contraceptives (MC) in most African countries has been low despite the high fertility rate and unmet need for family planning. This study sought to determine the coverage and determinants of modern contraceptive use among women of reproductive age in Sub-Saharan Africa (SSA). Methods: Data for the study was obtained from the latest Demographic and Health Surveys (DHS) conducted between 1995-2020 across 37 SSA countries. Women of reproductive age (15-19 years) was the unit of analysis. Analyses of data was done using STATA version 16 for windows. A bivariate Rao Scott’s chi-square test of independence was done to determine factors associated with the use of modern contraceptives. Factors that showed significance (p<0.05) were included in a multilevel logistic regression to determine significant predictors of modern contraceptives. Clustering, stratification and sample weighting were accounted for in the analyses. Results: The overall prevalence of the use of MC was found to be 22.0%. This ranged from 3.5% in the Central Africa Republic to 49.7% in Namibia. The most common type of contraceptives used were injections (39.4%), condoms (17.5%) and implants (26.5%). Women were less likely to use contraceptive if they: had no education (aOR = 0.4, 95% CI: 0.38-0.44), had no children (aOR=0.27-0.42), not told of family planning at a health facility (aOR = 0.69, 95% CI: 0.67-0.71), not heard of family planning in the media (aOR = 0.77, 95% CI: 0.74-0.79) and being poor (aOR=0.76, 95%CI: 0.73-0.79). On the other hand, women were more likely to use modern contraceptive if they were between the age of 35-39 years (aOR=1.69, 95%CI: 0.73-0.79), married (aOR=2.66, 95%CI: 2.50-2.83), had seven or more children (aOR=1.27, 95%CI:1.17-0.38), had knowledge of any method of contraceptives (aOR=303.8, 95%CI: 89.9-1027.5) and when field worker visited and talked about family planning (aOR=1.53, 95%CI: 1.39-0.68).Conclusion: The study showed a low prevalence of modern contraceptive use in Sub-Sahara Africa. Findings from the study highlight the need to provide education to women to increase uptake of contraceptive use and also re-enforce contraceptive interventions to improve women’s health and well-being.

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