Indicators of young women’s modern contraceptive use in Burkina Faso and Mali from Demographic and Health Survey data

Abstract

BackgroundHigh total fertility rates in Burkina Faso and Mali are leading to population growth beyond the agricultural and fiscal means of its citizens. Providing access to affordable family planning methods is a key step in driving the demographic transition where fertility and mortality rates decline. Furthermore, both nations face significant challenges as climate change is projected to disproportionately impact the western Sahel region undermining environmental, social and economic stability within the region. This analysis was included in formative research to inform family planning programming. The aim of this study was to examine possible indicators of long acting and permanent contraceptive method (LAPM) and short-term method (STM) use for young women in Burkina Faso and Mali.MethodsSecondary data analysis was conducted using the three most recent Demographic and Health Survey (DHS) datasets for Burkina Faso (1998, 2003, 2010) and Mali (2001, 2006, 2012). Women ages 15–24, at risk for unwanted pregnancy were included in these analyses. Summary descriptive statistics across all time points are reported and multinomial logistic regression was used with the most recent data to determine potential indicators of different types of modern contraceptive methods.ResultsIn Burkina Faso in 2010, 24% of women ages 15–24 were using modern contraceptives. Only 2.9% reported using LAPMs in 2010, an increase from 0.3% in 1998. In Mali, modern contraceptive use increased more recently, rising from 9.4% in 2001 to 10.2% in 2006 to 15.3% in 2012. LAPM use also increased from 0.3% in 2001 to 4.1% in 2012. Significant indicators of LAPM contraceptive use in both countries included educational attainment, ideal family size, home ownership and husband’s desire for more children.ConclusionsYoung women in Burkina Faso and Mali are increasingly using modern contraceptives for family planning; however, the LAPM contraceptive prevalence rate remains low. Our analysis indicates that social norms around ideal family size for both men and women continue to drive young women’s choices around family planning and impede use of LAPMs. To increase modern contraceptive use and curb fertility rates, local governments and development organizations should focus on women’s empowerment and include male partners.Electronic supplementary materialThe online version of this article (10.1186/s40834-017-0053-6) contains supplementary material, which is available to authorized users.

Modern contraceptive utilization and associated factors among reproductive-age women in Ethiopia: evidence from 2016 Ethiopia demographic and health survey

“…The odds of modern contraceptive utilization among women whose husbands want more children was nearly 25% less likely than the odds of modern contraceptive utilization among women who want the same number of children with their husbands. This is consistent with the evidence from Bangladesh, Burkina Faso and Mali secondary data analysis of Demographic and Health Survey where husband's desired number of children had influenced modern contraceptive utilization among reproductiveage women [20,28]. This could be due to male dominance in decision making autonomy in developing countries including our country, Ethiopia.…”

“…It was also consistent with cross-sectional studies done in Ghana and Ethiopia in 2016 where 21 and 20.8% of reproductive age women used a modern contraceptive method respectively [9,18]. But the current prevalence is higher than the results of secondary data analysis of Nigeria (10.3%) and Mali (15.3%) Demographic and Health Survey which were conducted in 2013 and 2012 respectively [19,20], and lower than the results of secondary data analysis of Burkina Faso (24%) and Afghanistan (25.5%) Demographic and Health Survey which were conducted in 2012 and 2015respectively [20,21]. A cross-sectional multi-country analysis of Demographic and Health Surveys (DHS) conducted between 2008 and 2016 in 52 low and middleincome countries (LMICs) and taking 6857 representative sample from Ethiopia also showed that a prevalence of modern contraceptive method utilization among Ethiopian young reproductive-age women aged between 15 and 24 years was 12.1% which is by far lower than the result from the current study [15].…”

Individual and community-level factors associated with modern contraceptive use among adolescent girls and young women in Mali: a mixed effects multilevel analysis of the 2018 Mali demographic and health survey

“…Findings on the prevalence of modern contraceptive use is in line with the findings obtained in a previous study carried out to examine possible indicators of modern contraceptive use among young women's modern contraceptive use in Burkina Faso and Mali. The study found that in Mali, modern contraceptive use increased from 9.4% in 2001 to 10.2% in 2006 to 15.3% in 2012 [12]. The prevalence in our study also indicates an improvement from the prevalence of 15.3% in 2012, and an indication that the Government of Mali's objective of ensuring an increase in the rate of contraceptive use in Mali, from 9.9% in 2012 to at least 15% by 2018, through the reduction of unmet need for family planning and by targeting teens and young adults (ages 15 to 24) [22] has been met.…”

“…Only 16% of married women of reproductive age (15-49 years) used modern contraceptives in 2012 [11]. Among young women, only 15.3% used modern contraceptives in 2012 [12].…”

“…Understanding factors that influence the use of modern contraceptives among AGYW is needful for designing interventions, strategies, and policies to address early pregnancies, unsafe abortion, maternal mortality and sexually transmitted infections. Previous studies on modern contraceptives use focused generally on SSA [13] and some specific countries within the region such as Ghana [2,14], Ethiopia [15], Tanzania [5] and a joint study in Burkina Faso and Mali [12]. The study by O'Regan and Thompson [13], focused on the individual-level factors that influence modern contraceptive use and did not take into account the community-level factors and how they interact with individual-level factors to predict modern contraceptive use among AGYW.…”