Determinants of modern contraceptive use: A cross-sectional study among market women in the Ashiaman Municipality of Ghana

Asiedu, A; Asare, Bernard Yeboah-Asiamah; Dwumfour-Asare, Bismark; Baafi, Diana; Adam, Abdul-Razak; Aryee, Sawdah Esaka; Ganle, John Kuumuori

doi:10.1016/j.ijans.2019.100184

Cited by 16 publications

(27 citation statements)

References 25 publications

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“…Seventeen independent variables that were theoretically and empirically related to contraceptive usage were considered in this study [ 27 – 33 ]. The variables comprised age, occupation, place of residence, region of residence, marital status, education, partner’s education, wealth, age at first sex, age at first childbirth, total children ever born, number of living children, husband’s desire for children, decision maker on contraception, frequency of listening to radio, frequency of watching television, and frequency of reading newspaper or magazine.…”

Section: Methodsmentioning

confidence: 99%

Modern contraceptive utilization and associated factors among married and cohabiting women in Papua New Guinea: a population-based cross-sectional study

Seidu

Agbaglo

Dadzie

et al. 2020

Contracept Reprod Med

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Background Universal access to family planning has been emphasized by the international development agenda, as evident in the Sustainable Development Goal 3.7. This notwithstanding, the use of modern contraceptives has been minimal in low- and middle-income countries, especially in Papua New Guinea. In view of this, we investigated the factors associated with the use of modern contraceptives and the associated factors among married and cohabiting women in Papua New Guinea. Methods The study utilised the Demographic and Health Survey data of 2345 women in sexual unions in Papua New Guinea. We employed a descriptive and binary logistic regression analyses. We presented the results as crude Odds Ratios (COR) and adjusted Odds Ratios (AOR), with 95% confidence intervals (CI) signifying level of precision. Level of statistical significance was set at p < 0.05. Results We found that 74.4% of the women were using modern contraceptives ranging from injectables (44.5%) to other modern methods (0.23%). Women aged 15–19 [AOR = 7.425, 95% CI = 2.853, 19.32], residents of the Highland region [AOR = 1.521, 95% CI =1.086, 2.131], self-employed women in the agricultural sector [AOR = 1.710, 95% CI = 1.218, 2.400], and women who listened to radio at least once a week [AOR = 1.409, 95% CI = 1.048, 1.895] had higher odds of modern contraceptive usage. However, women in the Islands region [AOR = 0.291, 95% CI = 0.224, 0.377], women whose husbands had higher education [AOR = 0.531,95%CI = 0.318,0.886], women in professional/technical/managerial work [AOR = 0.643, 95% CI = 0.420, 0.986], and those with no child [AOR = 0.213, CI = 0.0498,0.911] had lower odds of modern contraceptive use. Conclusion Out of the 2345 participants, we found that majority of them were using modern contraceptives and the commonly used modern contraceptive was injectables. Age, region of residence, partner's education, employment, partner's desire for children, and frequency of listening to radio are associated with modern contraceptive usage. Tailored reproductive healthcare should be developed for women who are disadvantaged when it comes to the usage of modern contraceptives in order to boost modern contraceptive use among them. Further investigation is needed to unravel the motivation for the high usage of injectables among married and cohabiting women in Papua New Guinea.

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Section: Methodsmentioning

confidence: 99%

Modern contraceptive utilization and associated factors among married and cohabiting women in Papua New Guinea: a population-based cross-sectional study

Seidu

Agbaglo

Dadzie

et al. 2020

Contracept Reprod Med

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“…Whereas these barriers are similar to what has been observed in other settings, some barriers such as unavailability of some methods, method stock outs, and lack of staff that are trained to offer surgical methods are structural barriers that can be alleviated. 39 , 45 , 51 , 52 To improve access and availability of FP methods in this mobile and remote community, a combined effort from the government, nongovernmental organizations and the private sector is required to ensure a method mix at all times and presence of trained personnel to provide the methods. This might improve FP use in these communities and thus potentially avert unintended pregnancies and their consequent adverse outcomes while controlling their population sizes.…”

Section: Discussionmentioning

confidence: 99%

“…While some studies from other settings have shown that FP knowledge does not translate into use, our study suggested that having satisfactory FP knowledge was correlated with use. [36][37][38][39][40] Pazol et al 41 reported that educational interventions can help increase knowledge of available methods, enabling individuals to make informed choices and use FP more effectively. As the government embarks on expanding its social services to reach remote populations, it is necessary that sexual and reproductive health sensitization, including education on FP is prioritized in the FCs.…”

Section: Discussionmentioning

confidence: 99%

Barriers and Facilitators of Family Planning Use in Fishing Communities of Lake Victoria in Uganda

Nanvubya

Wanyenze

Kamacooko

et al. 2020

J Prim Care Community Health

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Introduction: Family planning (FP) is a key element in the conduct of research and is essential in managing family sizes. Although fishing communities (FCs) are targeted populations for HIV prevention research, their FP practices are poorly understood. We explored barriers and facilitators of FP use in FCs of Lake Victoria in Uganda. Methods: We employed a mixed-methods approach comprising a cross-sectional survey, in-depth interviews, and focus group discussions in 2 FCs. Multivariable logistic regression was used to analyze quantitative data and a thematic approach to generate themes from the qualitative data. Results: Up to 1410 individuals participated in the survey and 47 in the qualitative study. Just over a third (35.6%) used FP. The most commonly used methods were condoms, pills, and injectables. In Kigungu community, participants whose religion was Anglican and Muslim were more likely to use FP than Catholics (adjusted odds ratio [aOR] 1.45; 95% CI 1.05-1.99 and aOR 1.45; 95% CI 1.05-2.07, respectively). Participants were more likely to use FP if they had satisfactory FP knowledge compared to those with no satisfactory FP knowledge (aOR 1.79; 95% CI 1.23-2.61), or if they were married compared to their single counterparts (aOR 1.84; 95% CI 1.32-2.57). In both communities, participants were more likely to use FP if they had 2 or more sexual partners in the past 12 months than those with less than 2 sexual partners (aOR 1.41 95% CI 1.07-1.87 and aOR 2.60; 95% CI 1.36-4.97). Excessive bleeding and delayed fecundity; fertility desire; gender preferences of children; method stock outs and lack of FP trained personnel constituted barriers to FP use. There were also cultural influences in favor of large families. Conclusion: FP use in FCs is suboptimal. Barriers of FP use were mainly biomedical, religious, social, and cultural, which underscores a need for FP education and strengthening of FP service provision in FCs.

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“…This focus is needed to help clear misconceptions and negative thoughts about modern contraception. 28 …”

Section: Discussionmentioning

confidence: 99%

The Association between Recent Sexual Activity and the Use of Modern Contraceptive Methods among Married/Cohabiting Women in Indonesia

Laksono

Wulandari

Matahari

2020

Journal of Public Health Research

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Background: Modern contraceptive methods are considered more reliable for preventing and spacing pregnancy than traditional methods in sexual activity. The study aimed to analyze the association between recent sexual activity and the use of modern contraceptive methods among married/cohabiting women in Indonesia. Design: The samples used were married/cohabiting women aged 15-49 years old. The sample size was 34,467 women. The variables analyzed included modern contraceptive use, recent sexual activity, age groups, marital status, education level, and wealth status. Analysis using multinomial logistic regression.Results: It was found that women who were sexually not active last 4 weeks had the likely to use modern contraceptive non-LARC (long-acting reversible contraceptives) 0.416 times compared to women who were sexually active last 4 weeks. Women who were sexually active last 4 weeks were more likely to use modern contraceptive LARC 0.535 times than women who were sexually active last 4 weeks. The results of this analysis inform that women who are sexually active last 4 weeks have a higher possibility to use modern contraceptives, both non-LARC and LARC types.Conclusions: Based on the results of the research analysis it could be concluded that recent sexual activity was associated with modern contraceptive use among married/cohabiting women in Indonesia.

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Determinants of modern contraceptive use: A cross-sectional study among market women in the Ashiaman Municipality of Ghana

Cited by 16 publications

References 25 publications

Modern contraceptive utilization and associated factors among married and cohabiting women in Papua New Guinea: a population-based cross-sectional study

Modern contraceptive utilization and associated factors among married and cohabiting women in Papua New Guinea: a population-based cross-sectional study

Barriers and Facilitators of Family Planning Use in Fishing Communities of Lake Victoria in Uganda

The Association between Recent Sexual Activity and the Use of Modern Contraceptive Methods among Married/Cohabiting Women in Indonesia

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