Contextual influences on contraceptive use in the Eastern Cape, South Africa

Stephenson, Rob; Beke, Andy; Tshibangu, Delphin

doi:10.1016/j.healthplace.2008.01.005

Cited by 31 publications

(45 citation statements)

References 43 publications

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“…[23] Education and wealth command the respect of others and have been widely reported to be associated with both women's household decision-making [24], [25] and their use of modern contraception. [12], [26] This suggests that women who were of high social standing also reported greater involvement in household decision-making and were able to control their fertility through the use of modern contraception.…”

Section: Discussionmentioning

confidence: 99%

Having a Say Matters: Influence of Decision-Making Power on Contraceptive Use among Nigerian Women Ages 35–49 Years

OlaOlorun

Hindin

2014

PLoS ONE

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BackgroundResearch suggests that women of reproductive age who are involved in household decision-making are more likely than those who are not involved to be able to control their fertility. Little is known, however, about this relationship among women at the upper end of the reproductive spectrum. The aim of this study was to determine the association between household decision-making power and modern contraceptive use among Nigerian women ages 35–49 years.MethodsA descriptive, cross-sectional study involving a secondary analysis of data from the Nigerian 2008 Demographic and Health Survey was conducted among women ages 35–49 years who were considered to be in need of contraception. The outcome was modern contraceptive use while the main independent variable was a woman's household decision-making power score, constructed using principal component analysis. Multivariate logistic regression was performed to determine whether the women's household decision-making power score, categorized into tertiles, was independently associated with modern contraceptive use. Data were weighted and adjusted for the complex survey design.ResultsPrevalence of modern contraceptive use among Nigerian women deemed to be in need of contraception in this study was 18.7%. Multivariate logistic regression showed that women's decision-making power remained statistically significantly associated with modern contraceptive use, even after adjusting for age, education, religion, polygyny, parity, wealth and domicile. Women who were in the highest decision-making power tertile had more than one and a half times the odds of using modern contraception compared with women in the lowest tertile [Adjusted Odds Ratio = 1.70; 95% Confidence Interval = 1.31–2.21, p<0.001].SignificanceOlder Nigerian women who are involved in making household decisions are also able to make decisions related to their fertility. Programs in Nigeria focused on increasing modern contraceptive use should include strategies to increase women's status through encouraging more visible involvement in decision-making across different spheres of their lives.

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Section: Discussionmentioning

confidence: 99%

Having a Say Matters: Influence of Decision-Making Power on Contraceptive Use among Nigerian Women Ages 35–49 Years

OlaOlorun

Hindin

2014

PLoS ONE

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“…These findings are especially pertinent because the sample is made up largely of poor, rural women, who are at increased risk of having an unmet need for contraception. 13,15,[25][26][27]43 Moreover, even in analyses that controlled for such key social and demographic characteristics as education, age and socioeconomic status, certain aspects of social support remained associated with modern method use.…”

Section: Discussionmentioning

confidence: 99%

“…Women with a high number of births are less likely than others to complete their education, participate in the labor force and have high levels of income; 10,11 on the other hand, women who use contraceptives tend to have a better quality of life, higher social status and greater autonomy. [11][12][13][14][15] The health care costs associated with complications of pregnancy and childbirth can strain families with limited resources. 16,17 In countries where resources for health care are low, high fertility can further encumber fragile health systems.…”

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confidence: 99%

The Role of Social Support and Parity in Contraceptive Use in Cambodia

Samandari¹,

Speizer²,

O’Connell³

2010

IPSRH

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“…A similar study in Uganda identified several infrastructural and service characteristics, including running water, electricity, and staff accommodations, to be strongly associated with increased deliveries [19]. However, in a study conducted in South Africa, few facility characteristics were found to be associated with contraceptive adoption, though human resource availability was correlated with choice of contraception methods [20].…”

Section: Introductionmentioning

confidence: 96%

Supply-Side Barriers to Maternity-Care in India: A Facility-Based Analysis

Kumar

2014

PLoS ONE

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BackgroundHealth facilities in many low- and middle-income countries face several types of barriers in delivering quality health services. Availability of resources at the facility may significantly affect the volume and quality of services provided. This study investigates the effect of supply-side determinants of maternity-care provision in India.MethodsHealth facility data from the District-Level Household Survey collected in 2007–2008 were analyzed to explore the effects of supply-side factors on the volume of delivery care provided at Indian health facilities. A negative binomial regression model was applied to the data due to the count and over-dispersion property of the outcome variable (number of deliveries performed at the facility).ResultsAvailability of a labor room (Incidence Rate Ratio [IRR]: 1.81; 95% Confidence Interval [CI]: 1.68–1.95) and facility opening hours (IRR: 1.43; CI: 1.35–1.51) were the most significant predictors of the volume of delivery care at the health facilities. Medical and paramedical staff were found to be positively associated with institutional deliveries. The volume of deliveries was also higher if adequate beds, essential obstetric drugs, medical equipment, electricity, and communication infrastructures were available at the facility. Findings were robust to the inclusion of facility's catchment area population and district-level education, health insurance coverage, religion, wealth, and fertility. Separate analyses were performed for facilities with and without a labor room and results were qualitatively similar across these two types of facilities.ConclusionsOur study highlights the importance of supply-side barriers to maternity-care India. To meet Millennium Development Goals 4 and 5, policymakers should make additional investments in improving the availability of medical drugs and equipment at primary health centers (PHCs) in India.

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Contextual influences on contraceptive use in the Eastern Cape, South Africa

Cited by 31 publications

References 43 publications

Having a Say Matters: Influence of Decision-Making Power on Contraceptive Use among Nigerian Women Ages 35–49 Years

Having a Say Matters: Influence of Decision-Making Power on Contraceptive Use among Nigerian Women Ages 35–49 Years

The Role of Social Support and Parity in Contraceptive Use in Cambodia

Supply-Side Barriers to Maternity-Care in India: A Facility-Based Analysis

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