Factors influencing unmet need for family planning among Ghanaian married/union women: a multinomial mixed effects logistic regression modelling approach

Guure, Chris; Maya, Ernest; Dery, Samuel; Vrom, Baaba da-Costa; Alotaibi, Refah; Rezk, Hoda; Yawson, Alfred Edwin

doi:10.1186/s13690-019-0340-6

Cited by 43 publications

(60 citation statements)

References 18 publications

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“…Considering that out of wedlock childbearing is ostracized in SSA for social, religious and cultural principles [ 55 ], this finding is anticipated. The observation that women from female-headed households have high odds of unmet need for contraception concurs with some previous studies from Ghana [ 35 ]. This finding could imply that the female household heads are older women (e.g.…”

Section: Discussionsupporting

confidence: 91%

Sexual violence and unmet need for contraception among married and cohabiting women in sub-Saharan Africa: Evidence from demographic and health surveys

et al. 2020

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Introduction Contraception plays a significant role in fertility regulation and determines the reproductive health rights of women. Studies in other parts of the world have found that sexual violence has negative effects on unmet need for contraception. There has not been any study on the association between these two phenomena in sub-Saharan Africa using current nationally-representative survey data. We investigated the association between sexual violence and unmet need for contraception among married and cohabiting women in sub-Saharan Africa. Materials and methods This study was based on secondary datasets from 26 sub-Saharan African countries’ Demographic and Health Surveys conducted between 2010 and 2018. A sample of 101,968 women in sexual unions (married and cohabiting) with complete information on sexual violence and all the variables of interest were included in the analyses. Both bivariate and multilevel logistic regression analyses were carried out to examine the association between sexual violence and unmet need for contraception. Other individual and contextual level socio-economic and demographic variables were considered as covariates. Crude odds ratios [cOR] and adjusted odds ratios [aOR] with their corresponding 95% confidence intervals [CI], signifying precision, were presented. Level of statistical significance was declared at p<0.05. Results The overall prevalence of sexual violence and unmet need for contraception in the 26 sub-Saharan African countries were 8.7% and 28.7% respectively. Experience of sexual violence within the last 12 months resulted in 10% increase in unmet need for contraception [OR = 1.10, CI = 1.03–1.14] and 5% increase in unmet need for contraception after controlling for individual and contextual level factors [aOR = 1.05, CI = 1.01–1.11]. With the individual level factors, women with 4 or more births [aOR = 4.85, CI = 4.41–5.33], those cohabiting [aOR = 1.43, CI = 1.37–1.47], those in female headed households [aOR = 1.22, CI = 1.18–1.27] and those who watched television at least once a week [aOR = 1.12, CI = 1.07–1.16] had higher odds of unmet need for family planning. However, those aged 30–34 [aOR = 0.56, CI = 0.52–0.61], those with secondary/higher level of education [AOR = 0.80, CI = 0.77–0.84], those who read newspaper less than once a week [aOR = 0.75, CI = 0.71–0.79] and those who listened to radio at least once a week [aOR = 0.94, CI = 0.90–0.97] had lower odds of unmet need for contraception. In terms of the contextual factors, women in rural areas [aOR = 0.87, CI = 0.84–0.91] and those in the richest wealth quintile households [aOR = 0.80, CI = 0.75–0.85] had lower odds of unmet need for contraception. Conclusion Our study has shown an association between sexual violence and unmet need for contraception in sub-Saharan Africa. Experiencing sexual violence increases the likelihood of unmet need for contraception in sub-Saharan Africa. It is also worthy to no...

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Section: Discussionsupporting

confidence: 91%

Sexual violence and unmet need for contraception among married and cohabiting women in sub-Saharan Africa: Evidence from demographic and health surveys

et al. 2020

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“…Higher levels of education and urban living increased the likelihood of unmet need for contraception. Similar findings were obtained in Nigeria [44] and Ghana [48]. Just like Solanke, Oyinlola [44] admitted in their study, these findings are counter intuitive.…”

Section: Plos Onesupporting

confidence: 71%

“…In this study, it was found that the likelihood of unmet need for contraception was low among AGYW aged 20-24 compared to those aged 15-19. Although previous studies have found all AGYW aged 15-24 to be more likely to have unmet need for contraception, [30,[46][47][48], the lower odds among older AGYW (20-24) compared to those aged 15-19, could be attributed to barriers to contraceptive access in low-and middle-income countries [49,50] and PLOS ONE Table 3. Multilevel logistic regression models for individual and household/community predictors of unmet need for contraception.…”

Section: Discussionmentioning

confidence: 90%

Predictors of unmet need for contraception among adolescent girls and young women in selected high fertility countries in sub-Saharan Africa: A multilevel mixed effects analysis

Ahinkorah

2020

PLoS ONE

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Introduction Despite the desire of adolescent girls and young women (AGYW) in sub-Saharan Africa (SSA) to use contraceptives, the majority of them have challenges with access to contraceptive services. This is more evident in high fertility countries in SSA. The purpose of this study was to examine the predictors of unmet need for contraception among AGYW in selected high fertility countries in SSA. Materials and methods Data from current Demographic and Health Surveys (DHS) carried out between 2010 and 2018 in 10 countries in SSA were analysed. A sample size of 24,898 AGYW who were either married or cohabiting was used. Unmet need for contraception was the outcome variable in this study. The explanatory variables were age, marital status, occupation, educational level, frequency of reading newspaper/magazine, frequency of listening to radio, frequency of watching television and parity (individual level variables) and wealth quintile, sex of household head, place of residence and decision-maker in healthcare (household/community level variables). Descriptive and multilevel logistic regression analyses were carried out. The results of the multilevel logistic regression analyses were reported using adjusted odds ratios at 95% confidence interval. Results The prevalence of unmet need for contraception in all the countries considered in this study was 24.9%, with Angola, recording the highest prevalence of 42.6% while Niger had the lowest prevalence of 17.8%. In terms of the individual level predictors, the likelihood of unmet need for contraception was low among AGYW aged 20-24

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“…This means that the use of modern contraceptives in order to minimize fertility, morbidity and mortality in mothers and children is better appreciated by educated women. Also, these women may have better chances to seek appropriate counselling from health workers concerning adverse effects of contraceptives and how to avoid them [26]. Moreover, access to education could increase job/employment opportunities and therefore income earning opportunities which may translate into improved contraceptive access and hence usage [24].…”

Section: Discussionmentioning

confidence: 99%

Prevalence and determinants of unmet need for contraception in North Gonja District, Ghana

et al. 2020

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Background Unmet need for contraception contributes to the burden of unwanted pregnancies, which are correlated with a host of adverse maternal and child outcomes. The aim of this study was to determine the prevalence and identify the determinants of unmet need for contraception in North Gonja District, Ghana. Methods A cross-sectional survey involving 386 randomly selected women of childbearing age was conducted in North Gonja district, Ghana, with the use of a questionnaire in household interviews. Women were classified as having unmet need for contraception if they were fecund, sexually active and wished to postpone the next birth or halt childbearing completely but were not using any form of contraception. Chi-square/Fisher’s exact test and logistic regression analysis were used to identify the determinants of unmet need. Results The mean age of the study population was 26.1 (±8.4) years and awareness on contraception was almost universal in the district (95.9%). The overall prevalence of unmet need for contraception was 38.9%, with 27.5% having unmet need for limiting and 12.2% unmet need for spacing. In multivariate analysis, compared to women aged 25–29 years, those aged 20–24 years [Adjusted Odds Ratio (AOR) 0.26; 95% Confidence Interval (CI) 0.11–0.58] and 30 years and above (AOR 0.25; 95% CI 0.09–0.73) were less likely to have unmet need for contraception. However, uneducated women (AOR 5.06; 95% CI 1.07–24.01) compared with those educated to tertiary level; those unaware of family planning (AOR 3.93; 95% CI 1.12–13.80) compared to those aware; and those who had not previously practised contraception (AOR 1.81; 95% CI 1.09–3.00) compared to those who did were more likely to have unmet need. Conclusions The present study found high prevalence of both awareness on and unmet need for contraception among the study population. Unmet need for contraception is associated with age, educational status, awareness on family planning and previous contraception practice. Educational campaigns to promote contraception should prioritize women of middle age and low educational status. Further studies are needed to understand the low correlation between awareness on and unmet need for contraception.

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Factors influencing unmet need for family planning among Ghanaian married/union women: a multinomial mixed effects logistic regression modelling approach

Cited by 43 publications

References 18 publications

Sexual violence and unmet need for contraception among married and cohabiting women in sub-Saharan Africa: Evidence from demographic and health surveys

Sexual violence and unmet need for contraception among married and cohabiting women in sub-Saharan Africa: Evidence from demographic and health surveys

Predictors of unmet need for contraception among adolescent girls and young women in selected high fertility countries in sub-Saharan Africa: A multilevel mixed effects analysis

Prevalence and determinants of unmet need for contraception in North Gonja District, Ghana

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