Prevalence and factors associated with modern contraceptives utilization among female adolescents in Uganda

Sserwanja, Quraish; Musaba, Milton W.; Mukunya, David

doi:10.1186/s12905-021-01206-7

Cited by 75 publications

(125 citation statements)

References 39 publications

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“…These variables were not determined a priori, but were selected based on their significant associations with contraceptive use among adolescent girls in previous studies. [40][41][42]…”

Section: Independent Variablesmentioning

confidence: 99%

Unequal access and use of contraceptives among parenting adolescent girls in sub-Saharan Africa: a cross-sectional analysis of demographic and health surveys

2021

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ObjectiveWe examined the divergent patterns, prevalence and correlates of contraceptive use among parenting adolescents in sub-Saharan Africa using the Demographic and Health Survey datasets of 17 countries.DesignWe included a weighted sample of 9488 parenting adolescent girls in our analysis. Current contraceptive use was defined as the use of any methods to delay or avoid getting pregnant at the survey time. We reported the prevalence of any contraceptive use for all countries and used multilevel binary logistic regression analysis to examine the individual and contextual factors associated with contraceptive use.Outcome measuresContraceptive use.ResultsWe found an overall contraceptive prevalence of 27.12% (CI 27.23% to 28.03%) among parenting adolescent girls in sub-Saharan Africa, ranging from 70.0% (CI 61.76% to 77.16%) in South Africa to only 5.10% (CI 3.04% to 8.45%) in Chad. The prevalence of contraceptive use was lowest in West andCentral Africa, with most countries having less than 20% prevalence. Increasing age (adjusted OR (aOR)=1.46, 95% CI 1.28 to 1.65), being married (aOR=1.63, 95% CI 1.43 to 1.87), having a secondary or higher level of education (aOR=2.72, 95% CI 2.25 to 2.3.27), and media exposure (aOR=1.21, 95% CI 1.08 to 1.36), were associated with higher odds of contraceptive use in the pooled data but preference for a higher number of children (more than five children) (aOR=0.61, 95% CI 0.52 to 0.72) was related to lower likelihood of use. Significant heterogeneity was observed in the country-level disaggregated results.ConclusionAfrican countries differ widely when it comes to contraceptive use among parenting adolescent girls, with only three countries having a relatively high prevalence of use. The governments of countries in sub-Saharan Africa, particularly those in West and Central Africa, should invest in expanding access to contraceptives for adolescent mothers to prevent repeat pregnancy and improve the overall well-being of parenting adolescent girls.

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“…These variables were not determined a priori, but were selected based on their significant associations with contraceptive use among adolescent girls in previous studies. [40][41][42]…”

Section: Independent Variablesmentioning

confidence: 99%

Unequal access and use of contraceptives among parenting adolescent girls in sub-Saharan Africa: a cross-sectional analysis of demographic and health surveys

2021

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“…Majority of these preventable maternal and perinatal deaths occur in the intrapartum and immediate postpartum period [ 4 ] and have been linked to behavioral risk factors [ 5 ]. The direct maternal deaths and could be prevented by strengthening and improving access to the whole continuum of maternity care [ 6 , 7 ]. Additionally, 1 in 12 children die before reaching the age of five years and most of these deaths occur in the neonatal period [ 8 , 9 ].…”

Section: Introductionmentioning

confidence: 99%

Continuum of maternity care in Zambia: a national representative survey

Sserwanja¹,

Musaba

Mutisya

et al. 2021

BMC Pregnancy Childbirth

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Background Globally, over half of maternal deaths are related to pregnancy-related complications. Provision of a continuum of care during pregnancy, childbirth and the postnatal period results in reduced maternal and neonatal morbidity and mortality. Hence this study determined the prevalence of the continuum of care and its determinants among women in Zambia. Methods We used weighted data from the Zambian Demographic and Health Survey (ZDHS) of 2018 for 7325 women aged 15 to 49 years. Multistage stratified sampling was used to select study participants. Complete continuum of care was considered when a woman had; at least four antenatal care (ANC) contacts, utilized a health facility for childbirth and had at least one postnatal check-up within six weeks. We conducted multivariable logistic regression to explore continuum of care in Zambia. All our analyses were done using SPSS version 25. Results Of the 7,325 women, 38.0% (2787/7325) (95% confidence interval (CI): 36.9-39.1) had complete continuum of maternal healthcare. Women who had attained tertiary level of education (adjusted odds ratio (AOR): 1.93, 95% CI: 1.09-3.42) and whose partners had also attained tertiary level of education (AOR: 2.58, 95% CI: 1.54-4.32) were more likely to utilize the whole continuum of care compared to those who had no education. Women who initiated ANC after the first trimester (AOR: 0.46, 95% CI: 0.39-0.53) were less likely to utilize the whole continuum of care compared to those who initiated in the first semester. Women with exposure to radio (AOR: 1.58, 95% CI: 1.27-1.96) were more likely to utilize the whole continuum of care compared to those who were not exposed to radio. Women residing in the Western province were less likely to utilize the entire continuum of care compared to those in the other nine provinces. Conclusion Level of education of the women and of their partners, early timing of ANC initiation, residing in other provinces other than the Western province, and exposure to information through radio were positively associated with utilization of the entire continuum of care. Improving literacy levels and promoting maternity services through radio may improve the level of utilization of maternity services.

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“…Adolescents' sexual and reproductive health needs remain largely unmet. 13 Over 20 million of them are not able to access and use a modern contraceptive method. Even when the level of knowledge of contraception is high, it does not necessarily translate into high utilization of these services.…”

Section: Adolescents' Knowledge Of Contraceptive Usementioning

confidence: 99%

“…In fact, health literacy has been known to increase the ability to seek health information and to make informed choices regarding reproductive health. [11][12][13] Whereas several studies highlight an unmet need for modern contraception among adolescents, and the weighty risks involved, several of them are contextualized. A paucity of documentation of the knowledge and attitude towards contraceptive use among adolescents on a continental scale is until to date glaring which purposed this study.…”

Section: Introductionmentioning

confidence: 99%

Knowledge and attitude towards contraceptive use among adolescents in Africa: a systematic review

Atuhaire

Ngendakumana

Galadima

et al. 2021

Int J Reprod Contracept Obstet Gynecol

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A 46% rate of unintended pregnancies among adolescents in Africa is a glaring notification of the barriers to contraception. There is little documentation of the knowledge and attitude towards contraceptive use among adolescents in Africa especially from systematic review perspective, which purposed this study. An E-literature search of the studies on the topic was conducted through PubMed, and Google Scholar, considering a period between January 2015 to August 2021. The search strategy used; “knowledge and attitude towards contraceptive use among adolescents in Africa”, which was sorted by date. The search resulted in 14,468 journal articles: 14,300 from Google Scholar, and 168 from PubMed but only 27 studies qualified for inclusion. Results indicate inadequate knowledge of contraception but this varies by age, level of education, marital status and geographical distribution. The majority of adolescents are aware of emergency contraception and traditional methods such as abstinence, lactational amenorrhea, and coïtus interruptus. Even with this knowledge, a larger proportion of adolescents do not use contraception due to limited access, misinformation on side effects and the negative attitude shaped by religious and socio-cultural beliefs and attitude of health care providers to them. Adolescent boys have more knowledge of contraception than the adolescent girls do but their use of contraceptives is not well documented. The low level of knowledge and negative attitude limits the use of these services and could be addressed by a well-informed approach on sexuality literacy and contraception that involves not only adolescents but also parents, the community and health care providers.

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Prevalence and factors associated with modern contraceptives utilization among female adolescents in Uganda

Cited by 75 publications

References 39 publications

Unequal access and use of contraceptives among parenting adolescent girls in sub-Saharan Africa: a cross-sectional analysis of demographic and health surveys

Unequal access and use of contraceptives among parenting adolescent girls in sub-Saharan Africa: a cross-sectional analysis of demographic and health surveys

Continuum of maternity care in Zambia: a national representative survey

Knowledge and attitude towards contraceptive use among adolescents in Africa: a systematic review

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