Sexuality, fertility and family planning characteristics of married women aged 15 to 19 years in Ethiopia, Nigeria and Tanzania: a comparative analysis of cross-sectional data

Atchison, Christina; Cresswell, Jenny A.; Kapiga, Saidi; Nsanya, Mussa Kelvin; Crawford, Emily; Mussa, Mohammed; Bottomley, Christian; Hargreaves, James; Doyle, Aoife

doi:10.1186/s12978-019-0666-0

Cited by 12 publications

(13 citation statements)

References 28 publications

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“…However, it is comparable with a review and study from sub-Saharan African countries that found 21-46% prevalence of unmet need for contraception among 15-24-year-old married women. 6,45 These confirm the evidence that showed that most sub-Saharan African countries are far from adequately meeting the needs of contraceptives in their youth population. 6 Nearly all (96.45%) of the study participants reported unmet need for spacing which is expected in that younger mothers might have not reached the desired fertility and hence preferred to space childbirths than the limit.…”

Section: Discussionsupporting

confidence: 74%

<p>Unmet Need for Contraception Among Young Married Women in Eastern Ethiopia</p>

Dingeta

Oljira

Worku

et al. 2019

OAJC

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Purpose: Addressing the contraceptive needs of young married women is critical to improve their health and well-being. In patriarchal societies, young married women are under intense pressure to demonstrate their fecundity. Therefore, research that specifically address the needs for contraception of young married women have been generally given less emphasis in Ethiopia. This study assessed the extent of unmet needs for contraception and its associated factors among young married women in Eastern Ethiopia. Methods: A community-based cross-sectional study was conducted among young married women (14-24 years of age) in Eastern Ethiopia. Data were collected using a structured questionnaire. The prevalence ratio (PR) with 95% confidence intervals (CIs) was calculated, and factors associated with unmet needs for contraception were identified using log-binomial regression statistical model. Results: Among 2933 young women interviewed, the unmet need for contraception was 1014 (34.6%; 95% CI, 32.9%-36.4%). The prevalence of unmet needs for contraception decreased with increased young women's household decision-making autonomy score (APR= 0. 76; CI=0.62-0.94). Exposure to family planning (FP) information during the last 12 months (APR= 1.24; CI=1.1-1.42), age 18 or more years (APR=1.25; CI=1.04-1.5), multiparty (APR= 1. 9; CI=1.7-2.1) and desire to have 5 children or lesser than 5 children (APR= 1. 2; CI=1.06-1.32) were associated with higher prevalence of unmet needs for contraception. Conclusion: One-third of married young women had unmet needs for contraception. More efforts to empower women to make decisions that affect their own life and providing appropriate family planning information are necessary to reduce the burden of unmet needs among young married women in rural settings in Ethiopia.

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Section: Discussionsupporting

confidence: 74%

<p>Unmet Need for Contraception Among Young Married Women in Eastern Ethiopia</p>

Dingeta

Oljira

Worku

et al. 2019

OAJC

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“… 10 Several studies have documented the same trends of low uptake of family planning in developing countries. 26 – 28 In this study, majority (73%) of respondents were between ages 20 and 24 years, as compared to previous studies conducted in other parts of Ghana on the predictors of contraceptive use among first-time adolescent mothers, 68% of respondents were within same age 15 as reported in this study. Even though age was significantly related to contraceptive use in this study, Ajah et al 27 reported contrary findings in a Nigerian study, suggesting that respondents’ age does not determine their contraceptive uptake.…”

Section: Discussionsupporting

confidence: 62%

“…Other authors have also expressed similar results. 27,28 More specifically, fear of infertility as the primary reason for low uptake of contraceptives is more prevalent among first-time mothers of age 15-19 years compared to older mothers. 37 This fear can be linked to the type of counselling services, hospital visits, and a lack of experience with postpartum contraceptives among first-time mothers.…”

Section: Discussionmentioning

confidence: 99%

Fear of infertility limits contraceptive usage among first-time mothers in Ghana: A cross-sectional study

Adofo¹,

Dun-Dery

Kotoh

et al. 2021

SAGE Open Medicine

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Objectives: This study aimed to determine postpartum modern contraceptive use among first-time young mothers attending child welfare clinics in the Eastern Region of Ghana and explore factors that influence family planning uptake after the first delivery, including fear of infertility. Methods: This facility-based, cross-sectional study used interviewer-administered structured questionnaires. The study recruited 422 first-time young mothers aged 15–24 years, with 6- to 18-month-old babies attending child welfare clinics. Results: Overall, less than half (44%) of first-time mothers used modern contraceptives within 18 months after delivery. Fear of infertility after contraceptive use (56%) is the main barrier reported as the reason for women’s non-use of modern contraceptives. Mothers with tertiary education have higher odds of using postpartum contraceptives (adjusted odds ratio =1.6, 95% confidence interval: 0.4–2.0). Compared to mothers with younger children, those with children older than 6 months have higher odds of postpartum contraceptive use (adjusted odds ratio = 1.3, 95% confidence interval: 0.3–1.7). Nonspousal communication (adjusted odds ratio = 0.1, 95% confidence interval: 0.1–0.3) as compared to communication among partners about contraception and those in formal employment (adjusted odds ratio = 0.3, 95% confidence interval: 0.1–0.7), were less likely to use postpartum contraceptives. Conclusion: Considering that there is low postpartum contraceptive utilization, mostly due to concerns about fear of infertility after use, it is paramount to intensify education on actual side effects and reformulate policies that address specific concerns of infertility among mothers and contraceptive use.

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“…In the studies reviewed, adolescents were involved as study participants but not in the development or analysis of research projects. Limited engagement through top down, generalized research and programming fails to recognize the intersectional, diverse and context-specific SRH experiences of adolescents in East African countries [2,29,30,[63][64][65]. The value of involving adolescents in SRH research, education and programming development is established [2,29,31,32,50,[66][67][68][69].…”

Section: Discussionmentioning

confidence: 99%

Exploring adolescent engagement in sexual and reproductive health research in Kenya, Rwanda, Tanzania, and Uganda: A scoping review

Chidwick

Baumann²,

Ogba³

et al. 2022

PLOS Glob Public Health

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Adolescent sexual and reproductive health (ASRH) in East Africa has prioritized research on the barriers to care, communication, and ASRH knowledge, attitudes, and practices. However, there is little research examining the extent to which meaningful adolescent engagement in research is achieved in practice and how this influences the evidence available to inform ASRH services. This review offers a critical step towards understanding current approaches to adolescent engagement in ASRH research and identifying opportunities to build a strengthened evidence base with adolescent voices at the centre. This scoping review is based on Arksey and O’Malley’s (2005) framework, employing a keyword search of four databases via OVID: Medline, Global Health, Embase and PsycINFO. Two reviewers screened title, abstract and full text to select articles examining ASRH in Tanzania, Rwanda, Kenya, and Uganda, published between 2000 and 2020. After articles were selected, data was extracted, synthesized, and thematically organized to highlight emerging themes and potential opportunities for further research. The search yielded 1201 results, 34 of which were included in the final review. Results highlight the methods used to gather adolescent perspectives of ASRH (qualitative), the content of those perspectives (knowledge, sources of information, gaps in information and adolescent friendly services), and the overall narratives that frame discussions of ASRH (risky sexual behaviour, stigma, and gender norms). Findings indicate the extent of adolescent engagement in ASRH research is limited, resulting in a lack of comprehensive evidence, consistent challenges with stigma, little information on holistic concepts and a narrow framing of ASRH. In conclusion, there is opportunity for more meaningful engagement of adolescents in ASRH research. This engagement can be achieved by involving adolescents more comprehensively throughout the research cycle and by expanding the range of ASRH topics explored, as identified by adolescents.

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Sexuality, fertility and family planning characteristics of married women aged 15 to 19 years in Ethiopia, Nigeria and Tanzania: a comparative analysis of cross-sectional data

Cited by 12 publications

References 28 publications

<p>Unmet Need for Contraception Among Young Married Women in Eastern Ethiopia</p>

<p>Unmet Need for Contraception Among Young Married Women in Eastern Ethiopia</p>

Fear of infertility limits contraceptive usage among first-time mothers in Ghana: A cross-sectional study

Exploring adolescent engagement in sexual and reproductive health research in Kenya, Rwanda, Tanzania, and Uganda: A scoping review

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