scholarly journals Decomposition analysis of modern contraceptive use among currently married women in Ethiopia: EDHS 2000-2016

2020 ◽  
Author(s):  
Endalekachew Worku Mengesha ◽  
Desalegne Amare Zelellw ◽  
Haile Mekonnen Fenta

Abstract Background Contraceptive use is an essential care to reduce maternal and child mortality by preventing unwanted pregnancy and abortion. Despite different studies are conducted related to family planning services, difference in characteristics of changes and the effects of population behavior were not well addressed. Therefore, the aim of this study was to assess the trend of modern contraceptive use, and investigate the difference in characteristics of changes and the effects of population behavior in the use of modern contraceptives.Methods The data source were from a four consecutive Ethiopia demographic and health surveys of women with complete interview file from 2000 -2016. The total sampled married women considered for this study were 9,380 (2000), 8,644(2005), 10,204(2011) and 9,824 (2016). Descriptive analysis was applied to describe socio demographic variables, fertility desire and media exposure. Multivariate decomposition analysis was carried out to investigate the changes in characteristics and effect of population behavior in modern contraceptive use.Results The trend of modern contraceptive use was steadily increased from 6% in 2000 to 35% in 2016. The overall decomposition change in modern contraceptive use among married women was 8.3% (2000 to 2016); due to difference in characteristics. Variables contribute for the change are religion, residence, women’s and partners’ education, women’s and partners’ occupation, head of house hold, history of abortion and media of exposure.Conclusion The trend of modern contraceptive use was steadily increased in all surveys. The change in contraceptive use was due to change in characteristics and population health behavior.

2017 ◽  
Vol 6 (1) ◽  
pp. 48-53 ◽  
Author(s):  
S Uprety ◽  
I S Poudel ◽  
A Ghimire ◽  
M Poudel ◽  
S Bhattrai ◽  
...  

Contraceptive use and fertility rates vary substantially among developing countries. An important factor, which affects the fertility of any population, is Contraceptive. Contraceptive use varies by age. Nepal over the past 15 years show an impressive increase in the use of modern contraceptive methods from 26 percent in 1996 to 43 percent in 2011. Objectives of the is to assess the knowledge, attitude regarding family planning and the practice of contraceptives among the married women of Dhabi VDC of Eastern Nepal. A descriptive cross-sectional observational study was done in Dhabi VDC. Total of 300 married women age 15-49 sample were taken from family planning center situated in Dhabi. Knowledge, attitude and practice on contraceptives were evaluated with the help of a predesigned questionnaire. Descriptive analysis was done by using SPSS 11.5 software to obtain frequencies and percentages. Out of 300 interviewed women, the mean age was 27.94 years, 98% had heard about Family planning method. Radio was the main Source of family planning information. Regarding the usage of contraceptive methods, about 79.3% had ever used and 63.3 had current using some sort of contraception, among the method used Injectables were the commonly used methods About 71% of married women other child in the further. Despite the knowledge of all family planning methods majority of the women used Injectables. Easily accessible and easily to use were the main reasons for choosing Injectables methods. 


Demography ◽  
2021 ◽  
Author(s):  
Julia A. Behrman ◽  
Michelle A. Eilers ◽  
Isabel H. McLoughlin Brooks ◽  
Abigail Weitzman

Abstract This research note presents a multisited analysis of migration and contraceptive use by standardizing and integrating a sample of African migrants in France from six West and Central African countries in the Trajectoires et Origines survey with a sample of women living in the same six African countries in the Demographic and Health Surveys. Descriptive analyses indicate that the contraceptive use of migrants more closely aligns with that of native French women than with that of women from origin countries. In particular, migrants report dramatically higher use of long-acting reversible contraceptives and short-acting hormonal methods and lower use of traditional methods than do women in the countries of origin. Although migrants differ from women in the countries of origin on observed characteristics, including education and family background, reweighting women in the origin countries to resemble migrants on these characteristics does little to explain differences in contraceptive use between the groups. Given that contraceptive use is an important proximate determinant of fertility, our results suggest that contraceptive use should feature more prominently in the dominant demographic paradigms of migrant fertility.


2020 ◽  
Author(s):  
Betregiorgis Hailu Zegeye ◽  
Gashaw Woldeamanuel Garedew ◽  
Wassie Negash ◽  
Balkew Tegegn Asegidew

Abstract Background: Maternal mortality is unacceptability high in Sub-Saharan-African countries including Angola. Despite family planning is one of the vital intervention to reduce maternal death, the coverage of modern contraceptive use in Angola is extremely low and there is a paucity of evidence regarding current factors associated with contraceptive use in Angola. Therefore, this study aimed at investigating predictors of contraceptive use among married women in Angola using nationally representative data.Methods: The data were extracted from 2015/16 Angola Multiple Indicator and Health Survey for this study and approximately 8,033 married women aged 15 - 49 years were participated. Bivariate and multivariate logistic regression were performed using STATA version 14 software to identify the predictors, and p-value less than 0.05 was considered as statistically significant.Results: The coverage of modern contraceptive use among married women was 8.9%. Maternal age, women’s educational level, maternal occupation, place of residence, media exposure, number of living children, desire for more children and subnational region were main predictors for modern contraceptive use.Conclusion: Modern contraceptive use among married women in Angola was very low. Married women who were educated, wealthiest, exposed for media, who had living children, interested to have child after 2 years and those who were not interested to have at all were more likely to use contraceptive. Therefore, the government of Angola and other concerned bodies need to emphasize in empowering women through education and economy as well as dissemination of contraceptive related information through media especially for women’s living in rural settings.


2019 ◽  
Vol 16 (1) ◽  
Author(s):  
Nabamallika Dehingia ◽  
Anvita Dixit ◽  
Sarah Averbach ◽  
Vikas Choudhry ◽  
Arnab Dey ◽  
...  

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.


2020 ◽  
Vol 5 (1) ◽  
Author(s):  
Bright Opoku Ahinkorah

Abstract Background The use of modern contraceptives among adolescent girls and young women (AGYW) in sub-Saharan Africa (SSA) remains an issue that needs urgent attention. This present study assesses the individual and contextual factors associated with modern contraceptive use among AGYW in SSA. Methods Data for this study was obtained from the latest Demographic and Health Surveys (DHS) conducted between January 2010 and December 2018 across 29 countries in SSA. Data were analysed with Stata version 14.2 by employing both Pearson’s chi-square test of independence and a multilevel binary logistic regression. The selection of variables for the multilevel models was based on their statistical significance at the chi-square test at a p < 0.05. Model fitness for the multilevel models was checked using the log likelihood ratios and Akaike’s Information Criterion (AIC) and the results were presented using adjusted odds ratios (aOR) at 95% confidence interval (CI). Results It was found that 24.7% of AGYW in SSA use modern contraceptives. In terms of the individual level factors, the study showed that AGYW aged 15–19 [aOR = 0.86, CI = 0.83–0.90], those who were married [aOR = 0.83, CI = 0.79–0.87], Muslims [aOR = 0.59, CI = 0.57–0.62], working [aOR = 0.92, CI = 0.89–0.95], those who had no child [aOR = 0.44, CI = 0.42–0.47], those who had no exposure to newspaper/magazine [aOR = 0.44, CI = 0.63–0.71] and radio [aOR = 0.82, CI = 0.78–0.86] had lower odds of using modern contraceptives. Conversely, the use of modern contraceptives was high among AGYW whose age at first sex was 15–19 years [aOR = 1.20, CI = 1.12–1.28]. With the contextual factors, the odds of using modern contraceptives was low among AGYW who lived in rural areas [aOR = 0.89, CI = 0.85–0.93] and in communities with low literacy level [aOR = 0.73, CI = 0.70–0.77] and low socio-economic status [aOR = 0.69, CI = 0.65–0.73]. Conclusion Several individual and contextual factors are associated with modern contraceptive use among AGYW in SSA. Therefore, Governments in the various countries considered in this study should intensify mass education on the use of modern contraceptives. This education should be more centered on AGYW who are in socio-economically disadvantaged communities, those who are not married, Muslims, those with high parity and high fertility preferences and those who are working.


2017 ◽  
Vol 14 (1) ◽  
pp. 9-17 ◽  
Author(s):  
Benjamin Kaneka ◽  
Akim J. Mturi

Abstract The aim of the study was to examine the perceptions of young married women on meanings and motivations of partner opposition to their contraceptive use. Qualitative data was collected from focus group discussions and individual in-depth interviews with young married women and key informant interviews with health workers and traditional leaders in the districts of Ntcheu, Mangochi and Zomba in Malawi. Thematic data analysis was done using ATLAS ti software version 7. The results show that partners’ opposition to young married women’s use of contraceptives was perceived to be principally motivated by their husbands’ quest to control the sexual and reproductive lives of their spouses. Related to this aspect are the fears and misconceptions that use of modern contraceptives would relieve young married women of the fear of engaging in extra marital affairs as they would no longer be afraid of being discovered through pregnancy. Hence, the opposition was perceived to safeguard their marriages from instability and dissolution. The paper asserts that there should be a shift in the family planning programme delivery in the country aimed at reducing or eliminating partner opposition to young married women’s contraceptive use through involvement and inclusion of partners in the designing and implementation of contraceptive information and service provision interventions.


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