Modern contraceptive utilization and its associated factors among married women in Senegal: a multilevel analysis

Abstract Background Utilization of modern contraceptives is still low in low-and middle-income countries, although fertility and population growth rates are high. In Senegal, modern contraceptive utilization is low, with few studies focusing on its associated factors. This study examined modern contraceptive use and its associated factors among married women in Senegal. Methods Data from the 2017 Continuous Demographic and Health Survey (C-DHS) on 11,394 married women was analysed. We examined the associations between the demographic and socioeconomic characteristics of women and their partners and modern contraceptive use using multilevel logistic regression models. Adjusted odds ratios with 95% confidence intervals (CI) were estimated. Results The utilization of modern contraceptives among married women was 26.3%. Individual level factors associated with modern contraceptive use were women’s age (45–49 years-aOR = 0.44, 0.30–0.63), women’s educational level (higher-aOR = 1.88, 1.28–2.76) husband’s educational level (higher-aOR = 1.43, 1.10–1.85)), number of living children (5 or more children-aOR = 33.14, 19.20–57.22), ideal number of children (2 children-aOR = 1.95, 1.13–3.35), desire to have more children (wants no more-aOR = 2.46, 2.06–2.94), ethnicity (Diola-aOR = 0.70, 0.50–0.99), media exposure (yes-aOR = 1.44, 1.16–1.79)), wealth index (richer-aOR = 1.31, 1.03–1.67) and decision making power of women (decision making two-aOR = 1.20, 1.02–1.41). Whereas, region (Matam-aOR = 0.35, 0.23–0.53), place of residence (rural-aOR = 0.76, 0.63–0.93), community literacy level (high-aOR = 1.31, 1.01–1.71) and community knowledge level of modern contraceptives (high-aOR = 1.37, 1.13–1.67) were found as significant community level factors. Conclusions The findings indicate that both individual and community level factors are significantly associated with modern contraceptive use among married women in Senegal. Interventions should focus on enhancing literacy levels of women, their husbands and communities. Furthermore, strengthening awareness and attitude towards family planning should be given priority, especially in rural areas and regions with low resources.

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The role of empowerment in the use of modern contraceptives among women in need of family planning in Burkina Faso: A multilevel analysis

10.21203/rs.3.rs-17908/v1 ◽

2020 ◽

Author(s):

Sylvain Y. M. SOME ◽

Christy Pu ◽

Song-Lih Huang

Keyword(s):

Secondary Education ◽

Family Planning ◽

Burkina Faso ◽

Gender Equality ◽

Multilevel Analysis ◽

Contraceptive Use ◽

Community Level ◽

Modern Contraceptive ◽

Modern Contraceptives ◽

Modern Contraceptive Use

Abstract Background In Burkina Faso, women still have difficulty satisfying their family planning demand because of the patriarchal and gender-unequal society. Despite evidence that women’s empowerment can help, few studies have measured its impact at both community and household levels. Taking into account these two parameters, we looked into the association between women’s empowerment and modern contraception use among Married Women of Reproductive Age (MWRA) with no desire for having children in Burkina Faso. Methods Using the 2010 Demographic and Health Survey (DHS), we analyzed data from 4714 MWRA with family planning needs from 573 communities. Indicators of gender equality at the community level were composed of aggregated variables for each primary sampling unit, and domains of women’s agency in households matters were derived with principal component analysis. A multilevel logistic regression model was used to gauge the effects of empowerment on modern contraceptives use adjusted for household socioeconomic status and demographics of women. Results Among MWRA, 30.8% satisfied their demand for family planning using modern methods. At the community level, higher women’s assets ownership (aOR 1.26, CI 1.04 - 1.54), secondary education (aOR 1.45, OR 1.08 - 1.64), and exposure to family planning messages (aOR 1.33, CI 1.08 - 1.64) were associated with more modern contraceptive use; higher ideal number of children was negatively associated (aOR 0.76, CI 0.61 - 0.95). Unexpectedly, higher community prevalence of female genital mutilation was positively associated with contraceptive use (aOR 1.25, CI 1.03-1.52). Women’s agency in household matters, including opposing domestic violence, involved with decisions and enjoying freedom in seeking healthcare were positively associated with use, but only the last domain remained significant in multilevel analysis (aOR 1.29, CI 1.08 - 1.54). Living in richer household, being older, and having secondary education level were also positively associated with modern contraceptive use. Conclusion Gender equality at the community level and women’s situation in the household constitute the context in which women’s demand for family planning is determined. Therefore, promoting gender equality and ensuring women’s entitlement to make life choices have the potential to increase modern contraceptive coverage along with improved life conditions.

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Family planning counseling and its associations with modern contraceptive use, initiation, and continuation in rural Uttar Pradesh, India

Reproductive Health ◽

10.1186/s12978-019-0844-0 ◽

2019 ◽

Vol 16 (1) ◽

Cited By ~ 3

Author(s):

Nabamallika Dehingia ◽

Anvita Dixit ◽

Sarah Averbach ◽

Vikas Choudhry ◽

Arnab Dey ◽

...

Keyword(s):

Family Planning ◽

Contraceptive Use ◽

Uttar Pradesh ◽

Married Women ◽

Modern Contraceptive ◽

Advantages And Disadvantages ◽

Modern Contraceptives ◽

Modern Contraceptive Use ◽

Continued Use

Abstract Background We examine the association between the quality of family planning (FP) counseling received in past 24 months, and current modern contraceptive use, initiation, and continuation, among a sample of women in rural Uttar Pradesh, India. Methods This study included data from a longitudinal study with two rounds of representative household survey (2014 and 2016), with currently married women of age 15–49 years; the analysis excluded women who were already using a permanent method of contraceptive during the first round of survey and who reported discontinuation because they wanted to be pregnant (N = 1398). We measured quality of FP counseling using four items on whether women were informed of advantages and disadvantages of different methods, were told of method(s) that are appropriate for them, whether their questions were answered, and whether they perceived the counseling to be helpful. Positive responses to every item was categorized as higher quality counseling, vs lower quality counseling for positive response to less than four items. Outcome variables included modern contraceptive use during the second round of survey, and a variable categorizing women based on their contraceptive use behavior during the two rounds: continued-users, new-users, discontinued-users, and non-users. Results Around 22% had received any FP counseling; only 4% received higher-quality counseling. Those who received lower-quality FP counseling had 2.42x the odds of reporting current use of any modern contraceptive method (95% CI: 1.56–3.76), and those who received higher quality FP counseling at 4.14x the odds of reporting modern contraceptive use (95% CI: 1.72–9.99), as compared to women reporting no FP counseling. Women receiving higher-quality counseling also had higher likelihood of continued use (ARRR 5.93; 95% CI: 1.97–17.83), as well as new use or initiation (ARRR: 4.2; 95% CI: 1.44–12.35) of modern contraceptives. Receipt of lower-quality counseling also showed statistically significant associations with continued and new use of modern contraceptives, but the effect sizes were smaller than those for higher-quality counseling. Conclusions Findings suggest the value of FP counseling. With a patient-centered approach to counseling, continued use of modern contraceptives can be supported among married women of reproductive age. Unfortunately, FP counseling, particularly higher-quality FP counseling remains rare.

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Modern contraceptive use and associated factors among married women in Finote Selam town Northwest Ethiopia: a community based cross-sectional study

Women s Midlife Health ◽

10.1186/s40695-018-0044-z ◽

2018 ◽

Vol 4 (1) ◽

Cited By ~ 4

Author(s):

Alehegn Bishaw Geremew ◽

Abebaw Addis Gelagay

Keyword(s):

Associated Factors ◽

Contraceptive Use ◽

Cross Sectional Study ◽

Northwest Ethiopia ◽

Married Women ◽

Modern Contraceptive ◽

Sectional Study ◽

Community Based ◽

Cross Sectional ◽

Modern Contraceptive Use

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Geographical variation and factor associated with modern contraceptive utilization among Young married women aged between 15-24 years: Spatial and multilevel analysis of EDHS 2016.

10.21203/rs.3.rs-55326/v3 ◽

2020 ◽

Author(s):

Kedir Abdu Yesuf ◽

Ayesheshim Muluneh Kassa ◽

Eueail Teferi Asrese

Keyword(s):

Contraceptive Use ◽

Addis Ababa ◽

Married Women ◽

Scan Statistics ◽

Modern Contraceptive ◽

Age Group ◽

Contraceptive Utilization ◽

Modern Contraceptive Use ◽

Spatial Scan ◽

Low Prevalence

Abstract Introduction: Despite increase in trend of modern contraceptive use in worldwide it was still low in developing country. In Ethiopia modern contraceptive utilization among young married women was low which shows gaps between women reproductive desire to avoid pregnancy and contraceptive behavior. This study showsvaration in modern contraceptive utilization and factor associated with it among young merried age group between 15-24 years in Ethiopia.Objective: The aim of the study was to assess the geographical varation of modern contraceptive utilization and associated factor among young married women aged between 15- 24 year in Ethiopia. Methods:In this study cross-sectional study design was conducted using Ethiopia demographic and health survey 2016 data. The sample size was 2298 young married women aged between 15-24 years.Geographical variation assessed by Spatial analysis using spatial autocorrelation Moran’s I, Gettis-OrdGi* and spatial scan statics to identify significant clusters of modern contraceptive utilization among young married women. Determinant factor for modern contraceptive use were analyzed using a two level-mixed-effects logistic regression model which include both the individual and community level factors.Result: In Ethiopia, prevalence of modern contraceptive utilization among young married women age group between 15-24 years was 36.7 %. Geographical varaition asessed by spatial scan statistics identified primary clusters of modern contraceptive utilization were all zone of Amhara, Addis Ababa and Shewa. In other hand,Gettis-OrdGi* analysisindicated zone 1 of Afar region, Borena zone of Oromia region and all zone of Somalia regions were low prevalencespot region. In this study religion, respondent working status, number of living children, husband desire more children, region, community mas media exposure and community educational level were statically significant variables for modern contraceptive utilization among young married women.Conclusions: There is low prevalence of modern contraceptive utilization among young married women and it was varied across zone of Ethiopia. High and low prevalence spot area, most likely cluster, community and individual level factor associated with modern contraceptive utilization is identified which is important to prioritize family planning strategythat focus particularly for young population segment. Therefore, exerting much effort on all of this area is supreme important as it has significant public health contributions.

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Utilization and associated factors of modern contraceptives during postpartum period among women who gave birth in the last 12 months in injibara town Awi Zone, North-West Ethiopia 2019

10.21203/rs.2.16566/v1 ◽

2019 ◽

Author(s):

Getachew Andualem Belete ◽

Almaz Aklilu Getu ◽

Getahun Belay Gela

Keyword(s):

Family Planning ◽

Antenatal Care ◽

Postpartum Period ◽

Postnatal Care ◽

Associated Factors ◽

Contraceptive Use ◽

Postpartum Women ◽

Modern Contraceptive ◽

Modern Contraceptives ◽

Modern Contraceptive Use

Abstract Background: The postpartum period is an important entry point for family planning service providers to reduce unintended and too closely spaced pregnancy. A postpartum modern contraceptive service is one of the recommended public health interventions for reducing maternal and child morbidity and mortalities. However, In Ethiopia modern contraceptive use during the postpartum period is low; resulting in unintended pregnancies and unwanted childbearing . there for this study was done to assess utilization and associated factors of modern contraceptives during the postpartum period among women who gave birth in the last 12 months in Injibara Town Awi Zone, North-Western Ethiopia. Methods: A Community based cross-sectional study design was conducted from March 01 to 15/2019 on 400 women who gave birth in the last 12 months preceding the survey. A simple random sampling technique was used to recruit study subjects. Data was collected using interviewer-administered pretested and structured questionnaires. Data were entered using Epi data 3.5 and exported to SPSS version 23 for analysis. The association between variables was analyzed using Bivariate and multivariable logistic regression models and p-value < 0.05 at 95% Confidence interval was considered as statistically significant. Result: The prevalence of modern contraceptive utilization was 58.5% (95% CI: 53.5- 63%) among postpartum mothers. Secondary school and higher educational levels [AOR= 5.02; 95% CI (1.53-16.47)],[AOR= 4.25; 95% CI:(1.32-13.64) respectively)], previous history of abortion [AOR= 3.93; 95%, CI: (1.43-10.84)], having three and four antenatal care visit [AOR= 4.74; 95%, CI: (1.94-11.54)] [AOR= 5.9; 95%, CI: (2.42-14.39) respectively], family planning counselling during antenatal care [AOR=2.81; 95% ,CI: (1.63- 4.86)], having postnatal care [AOR =1.79, 95%, CI: (1.09-2.96)], menses returning after birth [AOR=2.84, 95% CI: (1.77- 4.57)] and resuming sexual activity [AOR= 2.86, 95% CI: (1.71-4.78)] were factors affecting contraceptive use in postpartum period. Conclusion : The prevalence of modern contraceptive use among postpartum women was found to be high in Injibara town. Therefore, strengthen family planning counseling during antenatal care and postnatal care to reduce the missed opportunity of postpartum women to get family planning methods, especially long-acting reversible contraceptives.

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Prevalence of Modern Contraceptive Use and Associated Factors among Married Women at Quante Town, Gurage Zone Ethiopia, 2019

10.21203/rs.2.15253/v2 ◽

2020 ◽

Author(s):

Sahle Jabo Asfaw ◽

Kelemua Bereda Asfaw

Keyword(s):

Associated Factors ◽

Contraceptive Use ◽

Married Women ◽

Modern Contraceptive ◽

Modern Contraceptive Use

Abstract The authors have withdrawn this preprint due to a need to make corrections.

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Modern contraceptive use among female refugee adolescents in Northern Uganda: prevalence and associated factors

10.21203/rs.2.24713/v2 ◽

2020 ◽

Author(s):

Ritah Bakesiima ◽

Amanda Cleeve ◽

Elin Larsson ◽

James K. Tumwine ◽

Grace Ndeezi ◽

...

Keyword(s):

Decision Making ◽

Contraceptive Use ◽

Analytical Techniques ◽

Cross Sectional Study ◽

Northern Uganda ◽

Modern Contraceptive ◽

Cross Sectional ◽

Modern Contraceptives ◽

Fertility Decision ◽

Modern Contraceptive Use

Abstract Background: Adolescent pregnancies are persistently high among refugees. The pregnancies have been attributed to low contraceptive use in this population. The aim of this study was to determine the prevalence and factors associated with modern contraceptive use among female refugee adolescents in Northern Uganda. Methods: This was a cross sectional study using both descriptive and analytical techniques. The study was carried out in Palabek refugee settlement in Northern Uganda from May to July 2019. A total of 839 refugee adolescents who were sexually active or in-union were consecutively enrolled. Interviewer administered questionnaires were used for data collection. Results: Modern contraceptive prevalence was 8.7% (95% CI: 7.0 to 10.8). The injectable was the most commonly used modern contraceptive method [42.5% (95% CI: 31.5 to 54.3)], and most of the participants had used the contraceptives for six months or less (59.7%). Reasons for not using modern contraceptives included fear of side effects (39.3%), partner prohibition (16.4%), and the desire to become pregnant (7.0%). Participants who were married (OR=0.11, 95% CI: 0.04 to 0.35, p<0.001), cohabiting (OR=0.43, 95% CI: 0.20 to 0.93, p=0.032) or having an older partner (OR=0.93, 95% CI: 0.86 to 0.99, p=0.046) were less likely to use modern contraceptives.Conclusion: Modern contraceptive use among female refugee adolescents was very low, and few reported a desire to become pregnant, leaving them vulnerable to unplanned pregnancies. Least likely to use modern contraceptives were participants who were married/cohabiting and those having older partners implying a gender power imbalance in fertility decision making. There is an urgent need for innovations to address the gender and power imbalances within relationships, which could shape fertility decision-making and increase modern contraceptive use among refugee adolescents.

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Impact of exposure to mass media on utilization modern contraceptive among adolescent married women in Ethiopia: evidence from Ethiopia demographic health survey 2016

International Journal of Scientific Reports ◽

10.18203/issn.2454-2156.intjscirep20213257 ◽

2021 ◽

Vol 7 (9) ◽

pp. 434

Author(s):

Kedir Abdu Yesuf ◽

Atrsaw Dessie Liyew ◽

Amare Kassie Bezabih

Keyword(s):

Family Planning ◽

Mass Media ◽

Contraceptive Use ◽

Married Women ◽

Modern Contraceptive ◽

Media Impact ◽

Lack Of Information ◽

Contraceptive Utilization ◽

Modern Contraceptive Use ◽

Media Message

Background: More than one billion of world population was adolescent age group. Adolescents are high risk of unwanted pregnancy related to pregnancy is preventable. This complication can be prevented by use of family planning method. One of the challenges to use family planning was lack of information about contraceptive. This study was investigated mass media impact on use of modern contraceptive among adolescent in Ethiopia, 2016 E. C.Methods: This study conducted based on EDHS (Ethiopia demographic health survey) 2016 data which was cross-sectional study design. Sample size for this study was 588 adolescent married women that completed interview in EDHS 2016. Mass media impact on modern contraceptive use were analyzed using propensity score matching. Recursive biprobit probit model was used to determine factor associated with mass media exposure on modern contraceptive utilization.Results: In Ethiopia about 31.8% of adolescent married women currently used modern contraceptive. Expose to family planning message had 16.8%, 13.2%, 17% and 21.9% point higher modern contraceptive use than unexposed to mass media message. In this study significant factor affected modern contraceptive use included residence, wealth index, radio message, exposed to TV message, magazine message and exposure to mass media message family planning.Conclusions: This study shows magnitude of contraceptive utilization was low and it might be due to lack of information about family planning. Therefore, policy maker and concerned body should consider dissemination family of planning information by mass media.

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Modern Contraceptive Utilization and Its Associated Factors among Indigenous and Nonindigenous Married Women of Reproductive Age Group in Jigjiga Town, Eastern Ethiopia, 2018

BioMed Research International ◽

10.1155/2020/6878075 ◽

2020 ◽

Vol 2020 ◽

pp. 1-9

Author(s):

Hagos Degefa Hidru ◽

Tariku Dingeta ◽

Bezatu Menigiste ◽

Berhe Etsay ◽

Haftay Gebremedhin ◽

...

Keyword(s):

Associated Factors ◽

Statistical Significance ◽

Married Women ◽

Reproductive Age ◽

Modern Contraceptive ◽

Age Group ◽

Eastern Ethiopia ◽

Modern Contraceptives ◽

Contraceptive Utilization ◽

Reproductive Age Group

Background. The use of birth control and its promotion has potential benefits of reducing poverty, maternal, and child mortality. However, there is limited evidence regarding modern contraceptive utilization among indigenous and nonindigenous married women of the reproductive age group in Ethiopia. Therefore, this study aimed to assess the magnitude of modern contraceptive utilization and its associated factors among indigenous and nonindigenous married women in Eastern Ethiopia. Methodology. A community based comparative cross-sectional study design was conducted among married women of the reproductive age group from February 01 to March 01/2018 in Jigjiga town, Eastern Ethiopia. A total of 1004 married women were selected using a simple random sampling method. The collected data were entered into EpiData software version 3.1 and exported to SPSS version 22.0 for analysis. Bivariable and multivariable logistic regression analyses were used to identify the associated factors. Statistical significance was declared using 95% confidence interval and p value of less than 0.05. Result. A total of 987 study participants were included in the study with a response rate of 98.3%. The overall prevalence of modern contraceptive utilization among married reproductive age group women was found to be 19.9% (95% CI (17.4%-22.3%) with 26.5% and 11.4% for nonindigenous and indigenous women, respectively. Primary level of education (AOR 0.84; 95% CI (0.15-0.85) p 0.0001) and Somali in ethnicity (AOR 0.75; 95% CI (0.15-0.94) p 0.03) were associated factors among indigenous group, while age group 30-34 years (AOR 1.56; 95% CI (1.31-9.52) p 0.02) and being a housewife in occupation (AOR 0.49; 95% CI (0.42-0.96) p 0.04) were the associated factors among the nonindigenous group. Conclusion. Overall utilization of modern contraceptives was approximately one-fifth, with markedly lower use among indigenous participants. One-third of nonindigenous and less than one-seventh of indigenous were utilizing modern contraceptive methods. There is a need to further explore and understand the factors across indigenous and nonindigenous women for the use of modern contraceptives; hence, a longitudinal study is desirable.

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Rural-urban Correlates of Modern Contraceptives Utilization Among Adolescents in Zambia: a National Cross-sectional Survey

10.21203/rs.3.rs-321775/v1 ◽

2021 ◽

Author(s):

Quraish Sserwanja ◽

Milton W. Musaba ◽

Linet M. Mutisya ◽

David Mukunya

Keyword(s):

Rural Areas ◽

Urban Areas ◽

Contraceptive Use ◽

Modern Contraceptive ◽

Factors Associated ◽

Modern Contraceptives ◽

Rural And Urban ◽

Contraceptive Utilization ◽

Modern Contraceptive Use ◽

Context Specific

Abstract Background: Modern contraceptive use among adolescents is low despite the adverse effects of adolescent pregnancies and births. Understanding the predictors of modern contraceptive use in different settings is key to design effective context-specific interventions. We aimed to determine factors associated with modern contraceptives use among adolescents in rural and urban settings of Zambia. Methods: We analyzed data from 2018 Zambia demographic and health survey (ZDHS) focusing on adolescent girls aged 15–19 years. We conducted multilevel logistic regression using SPSS version 25 to examine rural-urban variations in factors associated with modern contraceptive utilization.Results: Overall, 12.0% (360/3000, 95% CI: 10.9-13.2) of adolescents in Zambia were using modern contraceptives. Use of modern contraceptives was higher in rural areas at 13.7% (230/1677, 95% CI: 12.1-15.3) compared to 9.8% (130/1323, 95% CI: 8.3-11.6) in urban areas. In the rural areas, having a child (aOR = 13.46; 95% CI 8.28 to 21.90), marriage (aOR = 1.97; 95% CI 1.25 to 3.08), older age (being 19 years) (aOR = 3.97; 95% CI 1.51 to 10.1) and belonging to the richest wealth quintile (aOR = 3.01; 95% CI 1.06 to 8.58) were positively associated with contraceptive utilization. In the urban areas, older age (being 19 years) (aOR = 4.80; 95% CI 1.55 to 14.84) and having a child (aOR = 18.52; 95% CI 9.50 to 36.14) were the only factors positively associated with modern contraceptive utilization.Conclusions: Having shown that some factors (age and having a child) were associated with modern contraceptive use in both rural and urban areas while some were only significant in rural areas (province, marital status and wealth index), indicates that the urban-rural differences in modern contraceptives use are both due to differences in the levels and nature or type of determinants. Therefore, interventions aiming to increase contraceptive utilization should be context specific.

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