Factors Impacting Family Planning Use in Mali and Senegal

Sidibe, Aissata Mahamadou; Kadetz, Paul; Hesketh, Thérèse

doi:10.3390/ijerph17124399

Cited by 16 publications

(25 citation statements)

References 30 publications

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“…Married women who were sterilized and declared as infecund were excluded from the analysis. Several individual and community-level explanatory variables were chosen based on prior evidence [ 6 , 14 – 16 , 18 , 19 , 36 , 47 – 50 ].…”

Section: Methodsmentioning

confidence: 99%

“…In Senegal, despite the low contraceptive utilization, few studies have focused on factors associated with the low contraceptive usage [13,17,[34][35][36]. Moreover, available studies on utilization of contraceptivs were either based on the 2012/13 DHS [35] and 1992-2013/14 DHS data [13], focused on single factor [13,34] and limited to a single study area [34,36]. None of these studies have examined the association between individual and community-level factors and utilization of contraceptives in Senegal.…”

Section: Introductionmentioning

confidence: 99%

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

Zegeye¹,

Idriss-Wheeler

Olorunsaiye

et al. 2021

BMC Public Health

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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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Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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

Zegeye¹,

Idriss-Wheeler

Olorunsaiye

et al. 2021

BMC Public Health

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“… 19 For example, some research has shown that opposition from others, including spouses, mothers-in-law, or providers and community members may influence women’s, men’s, and couple’s family planning decisions. 17 , 20 – 24 A couple-level analysis from Ethiopia found that husband’s opinions about contraception and childbearing carried more weight than the opinions of his female partner. 25 In the 2018 Senegal Demographic and Health Survey, men in union reported a higher ideal number of children (8.0) on average than women in union (5.9), 26 and a husband’s higher ideal number of children may influence his wife’s decisions to use (or not use) contraception.…”

Section: Introductionmentioning

confidence: 99%

“… 25 In the 2018 Senegal Demographic and Health Survey, men in union reported a higher ideal number of children (8.0) on average than women in union (5.9), 26 and a husband’s higher ideal number of children may influence his wife’s decisions to use (or not use) contraception. 20 Social norms may also limit contraceptive use: in a recent study in Senegal, 25% of women believed that their religion (primarily Islam) prohibited family planning use. 20 …”

Section: Introductionmentioning

confidence: 99%

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Couple communication and contraception use in urban Senegal

et al. 2021

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Objectives: Couple communication about family planning has been shown to increase uptake of contraception. However, couple communication is often measured based solely on one partner’s report of communication. This research investigates the influence of couple-reported communication about family planning on current and future use of contraception using couple-level data. Methods: We used baseline data from the Measurement, Learning, and Evaluation (MLE) project collected through household surveys in 2011 from a cross-sectional representative sample of women and men in urban Senegal to conduct secondary data analysis. We used multivariable logit models to estimate the average marginal effects of couple communication about family planning on current contraception use and future intention to use contraception. Results: Couple communication about family planning reported by both partners was significantly associated with an increased likelihood of current use of contraception and with future intention to use contraception among non-contracepting couples. Couples where one partner reported discussing family planning had a 25% point greater likelihood of current contraception use than couples where neither partner reported discussing, while couples where both partners reported discussing family planning had a 56% point greater likelihood of current contraception use, representing more than twice the effect size. Among couples not using contraception, couples where one partner reported discussing family planning had a 15% point greater likelihood of future intention to use contraception than couples where neither partner reported discussing, while couples where both partners reported discussing family planning had a 38% point greater likelihood of future intention to use contraception. Conclusion: These findings underscore the importance of the inclusion of both partners in family planning programs to increase communication about contraception and highlight the need for future research using couple-level data, measures, and analysis.

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Effect of women's literacy on maternal and child health: Evidence from demographic Health Survey data in Senegal

Diallo

Mbaye

Aidara

2023

Health Planning & Management

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Background Senegal has certainly made significant efforts in adult literacy and in the fight against maternal and infant mortality. However, a large proportion of the female population is illiterate, and the country's maternal and infant mortality rates are still higher than WHO recommendations. This article examined the effect of women's literacy on maternal and child health in Senegal. Methods Data were extracted from the last Senegal Demographic and Health Surveys (DHS) collected in 2019. A binary logistic model was performed to assess the effect of women's literacy on ten outcomes of maternal and child health indicators. Results Results indicate that women's literacy has a positive and significant effect on nine of key indicators outcomes. For instance, women's literacy increases the odds of contraceptive use by 1.29 (95% Confidence Interval [CI], 1.13–1.48; p < 0.01), compliance with the number of prenatal visits by 1.57 (95% CI, 1.35–1.83; p < 0.01) and consultation in the first trimester of pregnancy by 1.52 (95% CI, 1.31–1.78; p < 0.01). Literacy is associated with increased odds of breastfeeding up to six months (Odds Ratio [OR], 1.17; 95% CI, 0.97–1.42; p < 0.1) and healthy birth interval (OR, 1.18; 95% CI, 0.97–1.44; p < 0.1) only in rural areas. Women literacy reduces the risk of stunting by 0.81 (95% CI, 0.68–0.96; p < 0.05) and the risk of underweight by 0.72 (95% CI, 0.59–0.87; p < 0.01) among children under five years. The mother's ability to read and write favors compliance with the increase of odds of DPT vaccination record of her children, especially in rural areas (OR, 1.69; 95% CI, 1.05–2.74; p < 0.05). Moreover, there are serval other factors influencing positively the maternal and child health, like health insurance access, media exposure, and clean water and improved sanitation facilities access. Conclusions This study emphasizes on the need to strengthen adult literacy programs, especially for women in rural areas. Indeed, this could help generalize health insurance by income‐sensitive premiums or exemptions for the poor as well as increased awareness campaigns to promote reproductive and maternal health benefits, via the radio or television. Furthermore, improving access to clean water supply and improved sanitation facilities would greatly ameliorate maternal and child health.

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Factors Impacting Family Planning Use in Mali and Senegal

Cited by 16 publications

References 30 publications

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

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

Couple communication and contraception use in urban Senegal

Effect of women's literacy on maternal and child health: Evidence from demographic Health Survey data in Senegal

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