Who Meets the Contraceptive Needs of Young Women in Sub-Saharan Africa?

Radovich, Emma; Dennis, Mardieh; Wong, Kerry L. M.; Ali, Moazzam; Lynch, Caroline A.; Cleland, John; Owolabi, Onikepe; Lyons-Amos, Mark; Beňová, Lenka

doi:10.1016/j.jadohealth.2017.09.013

Cited by 83 publications

(109 citation statements)

References 26 publications

(51 reference statements)

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“…; Radovich et al. ). For example, a study of young adult women from 18 African countries suggests that the median proportion of condoms for pregnancy prevention use rose from 5 percent to 19 percent between 1993 and 2001 (Cleland and Ali ).…”

Section: Young Adult Women's Use Of Modern Contraceptive Methods In Smentioning

confidence: 99%

“…Nonetheless, available evidence suggests that young adult women disproportionately use short‐term methods (e.g., condoms), whereas older African women use a combination of short‐ and long‐term methods (Radovich et al. ). Furthermore, on average 26–30 percent of currently married women ages 15–24 and 40–41 percent of currently unmarried women ages 15–24 report an unmet need for family planning in the West/Central and East/South regions of Africa (MacQuarrie ).…”

Section: Young Adult Women's Use Of Modern Contraceptive Methods In Smentioning

confidence: 99%

“…; Radovich et al. ). Second, we disaggregate all analyses by parity status in contrast to many studies on the topic that examined how contraceptive use varies by marital status (Cleland, Ali, and Shah ; Blanc et al.…”

mentioning

confidence: 99%

“…; Radovich et al. ). In doing so, we contribute to a small but growing literature highlighting that parous women who have had a child and nulliparous women who have not had a child may have differential access to reproductive health services and differential reproductive health needs.…”

mentioning

confidence: 99%

“…; Bankole and Malarcher ; Prata, Weidert, and Sreenivas ; HIP ; Santhya and Jejeebhoy ; Radovich et al. ). Young adult women have a unique set of reproductive health needs and face distinct challenges in accessing reliable contraception (Marston and King ; Williamson et al.…”

mentioning

confidence: 99%

See 4 more Smart Citations

Trends in Modern Contraceptive Use among Young Adult Women in sub‐Saharan Africa 1990 to 2014

Behrman¹,

Wright²,

Grant³

et al. 2018

Studies in Family Planning

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This article provides updated estimates of trends in modern contraceptive use among young adult women (aged 15–24) who have had sex, using Demographic and Health Survey data from 23 sub‐Saharan African countries (1990–2014). In East/South Africa, parous women had higher modern contraceptive use than nulliparous women and larger increases in modern contraceptive use over time. In the West/Central region, nulliparous women had higher modern contraceptive use than parous women and larger increases in modern contraceptive use over time. Most of the increase in modern contraceptive use was driven by an increase in short‐acting—rather than long‐acting—methods across regions and parity groups. Although parous women had higher unmet need for family planning in both regions, nulliparous women had larger increases in unmet need for family planning over time in the East/South region. Decomposition analysis suggests that increases in use of modern contraceptives are largely driven by increases in the rate of contraceptive use rather than changes in the parity composition of women.

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Section: Young Adult Women's Use Of Modern Contraceptive Methods In Smentioning

confidence: 99%

Section: Young Adult Women's Use Of Modern Contraceptive Methods In Smentioning

confidence: 99%

mentioning

confidence: 99%

mentioning

confidence: 99%

mentioning

confidence: 99%

See 3 more Smart Citations

Trends in Modern Contraceptive Use among Young Adult Women in sub‐Saharan Africa 1990 to 2014

Behrman¹,

Wright²,

Grant³

et al. 2018

Studies in Family Planning

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The Contraceptive Revolution

Segal

2022

International Handbook of Population Policies

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Fertility knowledge, contraceptive use and unintentional pregnancy in 29 African countries: a cross-sectional study

Iyanda

Dinkins

Osayomi

et al. 2020

Int J Public Health

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Objectives We examined the association between incorrect knowledge of ovulation and unintentional pregnancy and child among young women in sub-Saharan Africa countries. Methods Using Pearson's Chi-square, t test, multiple logistic regression, and likelihood ratio test, we analyzed Demographic and Health Survey data (2008-2017) of 169,939 young women (15-24 year). Results The range of prevalence of incorrect knowledge of ovulation was 51% in Comoros and 89.6% in Sao Tome and Principe, while unintentional pregnancy ranged between 9.4% in the Republic of Benin and 59.6% in Namibia. The multivariate result indicates a strong association between incorrect knowledge of ovulation and unintentional pregnancy (OR = 1.17; p \ 0.05) and unintentional child (OR = 1.15; p \ 0.05). Conclusions Adolescent women (15-19) generally have poor knowledge of ovulation and are more likely to report an unintentional pregnancy/child than women between ages 20-24. To reduce the burden of unintentional child/pregnancy in Africa, fertility knowledge should not only be improved on but must consider the sociocultural context of women in different countries that might affect the adoption of such intervention programs. Pragmatic efforts, such as building community support for young women to discuss and share their experiences with professionals and educate them on fertility and sexuality, are essential. Keywords Adolescence Á Reproductive health Á Knowledge of ovulation Á Fertility awareness Á Contraception Á Unintentional pregnancy Á Medical geography Á Africa This article is part of the special issue ''Sexual and reproductive health of young people-Focus Africa''. The Rudolf Geigy Foundation (Basel, Switzerland) funded the open access publication of this article.

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Who Meets the Contraceptive Needs of Young Women in Sub-Saharan Africa?

Cited by 83 publications

References 26 publications

Trends in Modern Contraceptive Use among Young Adult Women in sub‐Saharan Africa 1990 to 2014

Trends in Modern Contraceptive Use among Young Adult Women in sub‐Saharan Africa 1990 to 2014

The Contraceptive Revolution

Fertility knowledge, contraceptive use and unintentional pregnancy in 29 African countries: a cross-sectional study

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