Factors Influencing Modern Contraceptive Use among Adolescents in Nepal

Subedi, Ranjeeta; Jahan, Israt; Baatsen, Pam

doi:10.33314/jnhrc.v16i3.1258

Cited by 13 publications

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“…Married young women are under pressure to prove fertility and they may be planning for a child and not using contraception. 45 Nearly 16% of non-pregnant married women in this study wanted to have children within 2 years ( online supplemental table 6 ). However, 58.1% of married women who wanted to delay the birth of the next child for 2 or more years were not using any modern contraception ( online supplemental table 7 ).…”

Section: Discussionmentioning

confidence: 99%

“… 52 Additionally at the family/societal level, family members and teachers fail to discuss sexual health issues and contraception particularly with unmarried adolescents due to restrictive cultural norms around sexuality and fear of promoting premarital sex. 45 Service providers’ judgemental attitude and reluctance to provide services, including perceived discomfort among adolescents, particularly unmarried ones, to ask for services from providers of opposite gender, are important barriers at the provider level. 52 53 Likewise, health facility location, service hours and distance are additional barriers at the health facility level.…”

Section: Discussionmentioning

confidence: 99%

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Modern contraceptive use among young women aged 15–24 years in selected municipalities of Western Nepal: results from a cross-sectional survey in 2019

Angdembe¹,

Sigdel²,

Paudel³

et al. 2022

BMJ Open

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ObjectiveTo estimate the modern contraceptive prevalence rate (mCPR) and its predictors among young women aged 15–24 years.DesignCross-sectional analysis of Adolescent Youth Project baseline survey.Setting29 municipalities within Lumbini Province and Sudurpaschim Province in Western Nepal.Participants683 young women aged 15–24 years who were living in the catchment area of the selected 30 private OK network health facilities at the study sites from November to December 2019 and who provided informed consent or assent.Outcome measuremCPR among young women aged 15–24 years.ResultsThe mean age of the respondents was 19 years, 61.7% never had sex and 63.9% were unmarried. The mCPR was 11.9% (95% CI 9.5 to 14.8). Of those who reported using a modern method of contraception, injectables (37.9%) were the most common, followed by male condom (35.9%) and implants (8.8%). Majority (86.4%) of the respondents reported currently not using any method of contraception. In the binary logistic regression analysis, the odds of contraceptive use were higher among women aged 20–24 years (adjusted OR (AOR)=5.50, 95% CI 2.94 to 10.29) and those of Janajati caste/ethnicity (AOR=2.08, 95% CI 1.16 to 3.71), while the odds were lower among women who faced high level of barriers (individual, family/societal, service provider and health facility barriers) to contraceptive use (AOR=0.36, 95% CI 0.14 to 0.98).ConclusionsThe mCPR among young women aged 15–24 years was low but similar to the national level. Sexual and reproductive health programmes aiming to improve the mCPR in this population of young women should consider the reported level of sexual activity. Reaching young women to improve their knowledge and self-efficacy for contraception is critical to ensure they can access contraception when needed. The focus should be on reaching not just young women but also key influencers and service providers and making health facilities adolescent-friendly to reduce barriers to contraceptive uptake and to realise self-efficacy.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Modern contraceptive use among young women aged 15–24 years in selected municipalities of Western Nepal: results from a cross-sectional survey in 2019

Angdembe¹,

Sigdel²,

Paudel³

et al. 2022

BMJ Open

View full text Add to dashboard Cite

show abstract

“…In addition, the region is marked by cultural norms of early age of sexual debut, early marriage, large spousal age gaps, and high adolescent birth rates ( 22 , 23 ). Larger gaps between age groups were also found in the Asian region, especially in India and Nepal, countries where contraceptive use among adolescents is low and almost unchanged in the last years, where there is societal pressure to conceive soon after marriage, and where female permanent contraception is the method most used ( 24 – 26 ).…”

Section: Discussionmentioning

confidence: 99%

What are the sources of contraceptives for married and unmarried adolescents: Health services or friends? Analysis of 59 low- and middle-income countries

Hellwig

Barros²

2023

Front. Public Health

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BackgroundDespite the efforts to promote universal coverage for family planning, inequalities are still high in several countries. Our aim was to identify which sources of contraceptives women mostly rely on in low- and middle-income countries (LMICs). We also explored the different sources according to age and marital status.MethodsWe used data from national health surveys carried out in 59 LMICs since 2010. Among all sexually active women at reproductive age, we explored inequalities in demand for family planning satisfied by modern methods (mDFPS) and in the source of modern contraceptives according to women's age, classified as: 15–19, 20–34, or 35–49 years of age. Among adolescents, mDFPS and source of method were explored by marital status, classified as married or in union and not married nor in a union.ResultsmDFPS was lower among adolescents than among adult women in 28 of the 59 countries. The lowest levels of mDFPS among adolescents were identified in Albania (6.1%) and Chad (8.2%). According to adolescents' marital status, the pattern of inequalities in mDFPS varied widely between regions, with married and unmarried adolescents showing similar levels of coverage in Latin America and the Caribbean, higher coverage among unmarried adolescents in Africa, and lower coverage among unmarried adolescents in Asia. Public and private health services were the main sources, with a lower share of the public sector among adolescents in almost all countries. The proportion of adolescents who obtained their contraceptives in the public sector was lower among unmarried girls than married ones in 31 of the 38 countries with data. Friends or relatives were a more significant source of contraceptives among unmarried compared to married adolescents in all regions.ConclusionsOur findings indicate lower levels of mDFPS and lower use of the public sector by adolescents, especially unmarried girls. More attention is needed to provide high-quality and affordable family planning services for adolescents, especially for those who are not married.

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Midwives and women's perspectives on family planning in Jordan: human rights, gender equity, decision-making and power dynamics

Al-Sheyab

Nsour

Khader

et al. 2021

Heliyon

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Objectives This study explored midwives' and Jordanian and Syrian women's perceptions towards family planning (FP) counseling and the process of FP decision making mechanism to provide evidence for expanding the access and improving the quality and utilization of FP services in Jordan. Methods Explorative qualitative study that purposively recruited 24 women for 4 focus group discussions (FDGs) and 17 midwives for in-depth interviews from two governorates in Jordan. The transcribed narratives were subjected to deductive content analysis. Results Two themes were extracted from the narratives: The power dynamics in FP decision-making process and the barriers and motivators of FP decision making. The first theme was built on the perceived influence of gender equity and social pressures and gender-based violence on FP decision making. The second theme was constructed on the respondents' beliefs about reproductive health including FP as a human right and their perceptions of the obstacles and facilitators of FP Decision Making. Overall, husbands have an influential role, and perhaps the final say, in deciding whether to use FP services or not as well as the type of method to use. However, wives must initiate the family planning conversation with her husband and do so in a way that will be pleasing to the husband. Whether the husband agrees with the wife's idea to use family planning and gives her permission and funds for use, depends largely on her presentation of the idea, her husband's education level, and his personality. Conclusions This study revealed several relevant issues that play a role in Jordanian and Syrian women's decision to seek FP services. While cultural and social norms related to family planning and decision making continue to exert pressure on women, women have a deep interest in continuing to broaden their knowledge about family planning services. Engaging men and incorporating digital technology in family planning counselling has the potential to improve shared FP decision-making process among Jordanian couples and overcome some of the barriers.

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Factors Influencing Modern Contraceptive Use among Adolescents in Nepal

Cited by 13 publications

References 0 publications

Modern contraceptive use among young women aged 15–24 years in selected municipalities of Western Nepal: results from a cross-sectional survey in 2019

Modern contraceptive use among young women aged 15–24 years in selected municipalities of Western Nepal: results from a cross-sectional survey in 2019

What are the sources of contraceptives for married and unmarried adolescents: Health services or friends? Analysis of 59 low- and middle-income countries

Midwives and women's perspectives on family planning in Jordan: human rights, gender equity, decision-making and power dynamics

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