Contraceptive use in Eswatini: do contextual influences matter?

Odimegwu, Clifford; Chemhaka, Garikayi B.

doi:10.1017/s0021932019000889

Cited by 6 publications

(9 citation statements)

References 35 publications

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“…The findings further show that the community's access to mass media was associated with increased odds of antenatal service utilization (Ononokpono et al, 2013). A study conducted in Eswatini indicated at the bivariate level that women living in communities with lower levels of media exposure had reduced rates of contraceptive use (Odimegwu & Chemhaka, 2021). In Ethiopia, communities with higher electronic media possession had an increased likelihood of family planning use compared to communities with lower reports of electronic media possession (Alemayehu et al, 2020).…”

Section: Community Mass Media and Access To Safe Watermentioning

confidence: 83%

“…However, after controlling for individual factors, the contextual factors were insignificantly associated with contraceptive use. This shows that contextual factors may have important implications for contraceptive use (Odimegwu & Chemhaka, 2021). The beliefs and myths in communities play a vital role in influencing reproductive health outcomes in different parts of Sub-Saharan Africa.…”

Section: Community Beliefs and Mythsmentioning

confidence: 97%

“…Not only does region and place of residence influence the health-seeking behaviours of mothers but also impact their reproductive health. Women residing in rural areas have higher fertility compared to those in urban areas (Odimegwu & Chemhaka, 2021). Women residing in urban areas have a higher likelihood of using modern contraceptives than those in rural areas (Zegeye et al 2021).…”

Section: Region and Place Of Residencementioning

confidence: 99%

“…A study conducted in Zimbabwe indicated that residing in communities with a higher mean number of children ever born per woman reduced modern contraceptive use among adolescent women (Ngome & Odimegwu, 2014). In Eswatini, women living in communities with high fertility norms whose ideal number of children was four had a significantly lower likelihood of using contraceptives (Odimegwu & Chemhaka, 2021). However, after controlling for individual factors, the contextual factors were insignificantly associated with contraceptive use.…”

Section: Community Beliefs and Mythsmentioning

confidence: 99%

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Systematic review of multilevel models involving contextual characteristics in African demographic research

2023

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Multilevel modelling has become a popular analytical approach for many demographic and health outcomes. The objective of this paper is to systematically review studies which used multilevel modelling in demographic research in Africa in terms of the outcomes analysed, common findings, theoretical rationale, questions addressed, methodological approaches, study design and data sources. The review was conducted by searching electronic databases such as Ebsco hosts, Science Direct, ProQuest, Scopus, PubMed and Google scholar for articles published between 2010 and 2021. Search terms such as neighbourhood, social, ecological and environmental context were used. The systematic review consisted of 35 articles, with 34 being peer-reviewed journal articles and 1 technical report. Based on the systematic review community-level factors are important in explaining various demographic outcomes. The community-level factors such as distance to the health facility, geographical region, place of residence, high illiteracy rates and the availability of maternal antenatal care services influenced several child health outcomes. The interpretation of results in the reviewed studies mainly focused on fixed effects rather than random effects. It is observed that data on cultural practices, values and beliefs, are needed to enrich the robust evidence generated from multilevel models.

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Section: Community Mass Media and Access To Safe Watermentioning

confidence: 83%

Section: Community Beliefs and Mythsmentioning

confidence: 97%

Section: Region and Place Of Residencementioning

confidence: 99%

Section: Community Beliefs and Mythsmentioning

confidence: 99%

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Systematic review of multilevel models involving contextual characteristics in African demographic research

2023

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“…Using the 2017 GMHS, we investigate the factors that account for women’s immediate and subsequent or future use of contraception following abortion, considering socio-demographic, reproductive, partner-related, and facility-level factors. Several studies have investigated factors associated with contraceptive use among women in reproductive ages [ 14 – 18 ] but, abortion seekers have unique characteristics that put them at risk of experiencing multiple abortions. Abortion seekers in Ghana are younger, reside in urban areas, have a higher socio-economic status, and have no child or few children [ 19 ].…”

Section: Introductionmentioning

confidence: 99%

Women’s post-abortion contraceptive use: Are predictors the same for immediate and future uptake of contraception? Evidence from Ghana

et al. 2021

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This study seeks to identify the socio-demographic, reproductive, partner-related, and facility-level characteristics associated with women’s immediate and subsequent use of post-abortion contraception in Ghana. Secondary data from the 2017 Ghana Maternal Health Survey were utilized in this study. The weighted data comprised 1,880 women who had ever had an abortion within the five years preceding the survey. Binary logistic regression analyses were performed to examine the associations between the predictor and outcome variables. Health provider and women’s socio-demographic characteristics were significantly associated with women’s use of post-abortion contraception. Health provider’s counselling on family planning prior to or after abortion and place of residence were associated with both immediate and subsequent post-abortion uptake of contraception. Among subsequent post-abortion contraceptive users, older women (35–49), women in a union, and women who had used contraception prior to becoming pregnant were strong predictors. Partner-related and reproductive variables did not predict immediate and subsequent use of contraception following abortion. Individual and structural/institutional level characteristics are important in increasing women’s acceptance and use of contraception post abortion. Improving and intensifying family planning counselling services at the health facility is critical in increasing contraceptive prevalence among abortion seekers.

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DYnamics of Contraception in Eswatini (DYCE): protocol for a high-frequency, longitudinal cell phone survey

Greenleaf,

Nhlabatsi,

Mahlalela

et al. 2024

BMJ Open

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IntroductionBy 2030, an estimated 42% of the world’s adolescent girls and young women (AGYW) will live in sub-Saharan Africa (SSA), where a quarter of AGYW pregnancies are undesired and AGYW represent 75% of new HIV infections. Most AGYW in SSA use short-acting contraceptive methods, including many who rely solely on condoms, which results in variable patterns of protection against undesired pregnancies and HIV. Dynamics of contraceptive use and HIV prevention efforts are poorly understood but the DYnamics of Contraception in Eswatini study will contribute to the understanding of the complex relationship between sexual behaviours, risk perception and HIV and pregnancy prevention.Methods and analysisAll AGYW 18–24 years who participated in a 2021 nationally representative, population-based (face-to-face) HIV survey, consented to future research and provided a mobile phone number will be contacted for enrolment. Consenting AGYW will complete a baseline questionnaire and be surveyed biweekly for 2 years. The three objectives of the study are to (1) investigate how changing individual context (schooling, income, residential mobility) impact contraceptive use; (2) examine the relationship between pregnancy desires and contraceptive use and (3) test whether changes in a woman’s perception of her HIV risk changes her probability of contraceptive use and HIV protective behaviours. Data collection will take place from March 2024 to March 2026 via computer-assisted telephone interviews. During recruitment (March–April 2024), two interviewers called 794 AGYW, of whom 326 completed the baseline questionnaire (41%) and 321 consented to biweekly follow-up (40% American Association for Public Opinion Research response rate #1). Analyses will mainly use hybrid within-between logistic regression models.Ethics and disseminationThis protocol was reviewed and approved by the Eswatini National Health Research Review Board in 2024 and Columbia University Medical Center Institutional Review Board in 2023. Findings from the study will inform the Eswatini Ministry of Health approaches to mitigating undesired pregnancies and HIV among AGYW. Second, few examples exist of high-frequency longitudinal data collection in SSA, and this study will contribute to the survey method knowledge. Finally, the rich dataset will available for secondary data analysis.

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Contraceptive use in Eswatini: do contextual influences matter?

Cited by 6 publications

References 35 publications

Systematic review of multilevel models involving contextual characteristics in African demographic research

Systematic review of multilevel models involving contextual characteristics in African demographic research

Women’s post-abortion contraceptive use: Are predictors the same for immediate and future uptake of contraception? Evidence from Ghana

DYnamics of Contraception in Eswatini (DYCE): protocol for a high-frequency, longitudinal cell phone survey

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