Contraceptive use and unintended pregnancy among young women and men in Accra, Ghana

Grindlay, Kate; Dako-Gyeke, Phyllis; Ngô, Thoại D.; Eva, Gillian; Gobah, Leonard; Reiger, Sarah T.; Chandrasekaran, Sruthi; Blanchard, Kelly

doi:10.1371/journal.pone.0201663

Cited by 61 publications

(58 citation statements)

References 18 publications

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“…High level of education had some significant link with the likelihood of contraceptive use; participants who had secondary and higher levels of education were 2 and 3 times more likely to use contraceptives compared with those with only primary education. Similar findings have been reported elsewhere (Aviisah et al, 2018;Grindlay et al, 2018;Habyarimana & Ramroop, 2018;Matungulu et al,2017).…”

Section: Determinants Of Current Contraceptive Usagesupporting

confidence: 92%

“…Reported prevalence rates of contraceptive use among women have been 18% (ages 16-19 years), 49.2% (ages 13-18 years), and 44% (ages 18-24 years) (Agyemang et al, 2019;Grindlay et al, 2018;Odonkor et al, 2012).. The reports show that modern contraceptives use vary across the regions of Ghana (Nyarko, 2020), with an annual increase of about 3.66% (2.81-4.47%) among those aged 15-49 years (Ahmed et al, 2019).…”

Section: Introductionmentioning

confidence: 99%

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Prevalence and determinants of contraceptives use among rural young women (15-24 years) in Ghana

Salifu

Mohammed

Harrison³

et al. 2020

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Background: Contraceptives use has significant effect on controlling fertility, preventing STIs, reducing unwanted pregnancies and induced abortions. The use of contraceptives among reproductive age women (15-49 years) has been largely reported. However, what is unclear is whether the reported prevalence of, and factors that influence the usage of contraceptives is comparable in the context of young adults (aged 15-24 years) in rural areas. The purpose of this study was therefore to report the prevalence and factors that influence contraceptives use among young women (15-24 years) in rural Ghana.Methods: Data (n = 3797) collected using a questionnaire through a mutli-stage probability sampling method in the 2017 Ghana Maternal Health Survey (GMHS) was analyzed by descriptive and inferential statistical methods. The chi-square test was used to identify significant associations between categorical variables at a significant level of p < 0.05. Univariate and multivariate logistic regression analyses was conducted to explore how well each independent variable predicted contraceptive use. Results: Out of the 3,797 women, only 21.49% (95% CI: 19.56, 23.55) used contraceptives. Number of living children, health insurance, knowledge of fertility period, history of abortion, ever given birth, educational level, age of participants and current union were found to influence contraceptives use. Strong significant predictors (at 95% CI, p<0.05) of contraceptives use were history of abortion, age of participants, educational level, number of living children, and knowledge of fertility period. Conclusion: Low usage of contraceptives has been identified among rural women and so there is the need for policymakers to intensify education and facilitate widespread access to modern contraceptives in rural areas and promote their effective use.

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Section: Determinants Of Current Contraceptive Usagesupporting

confidence: 92%

Section: Introductionmentioning

confidence: 99%

Prevalence and determinants of contraceptives use among rural young women (15-24 years) in Ghana

Salifu

Mohammed

Harrison³

et al. 2020

Preprint

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“…The study received institutional review board approval from the Nouguchi Memorial Institute for Medical Research at the University of Ghana, Legon (114/12-13) and the Marie Stopes International Ethical Review Committee (011-13). Sampling methodology and findings on contraception use and unintended pregnancy are reported elsewhere 16 .…”

Section: Study Design and Samplementioning

confidence: 99%

Abortion knowledge and experiences among young women and men in Accra, Ghana

et al. 2019

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Background: Despite the presence of legal abortion services in Ghana, unsafe abortion remains common, particularly among young women. Little is understood about what young people know about safe and legal abortion, and if and how they are utilizing it. Methods: To characterize abortion use and address gaps in safe access, from September-December 2013, we conducted a cross-sectional survey with 100 men and 250 women aged 18-24 in Accra, Ghana. Participants were asked about abortion experiences, including prior services, providers, methods, satisfaction, perceived support, and knowledge of laws. Descriptive statistics, Fisher’s exact tests, and chi-square tests were performed. Results: Among surveyed youth, most (87% of women, 64% of men) thought abortion was illegal or did not know the law. In total, 30% of women and 14% of men ever had an abortion and partner who had an abortion, respectively. Among women’s most recent abortions, medication abortion (61%), surgical methods (26%), and unsafe methods categorized “least safe” (14%) were the initial or only methods used. Most women who accessed medication abortion initially or as their only method saw a pharmacist (40%) or no one (33%). Nearly one-quarter of women (n=16, 24%) who initially took tablets used more than one method. Conclusions: Despite experiences with abortion, most young people in this study were unaware of its legality and unsafe abortions occurred. More needs to be done to ensure young people understand the law and have access to safe methods, and that pharmacists are trained to provide appropriate doses and formulations of medication abortion.

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“…The use of modern contraceptives and its associated factors among women age (15-49) have been documented in Ghana (Agyemang, Newton, Nkrumah, Tsoka-Gwegweni, & Cumber, 2019;Aviisah et al, 2018;Geelhoed et al, 2002;Grindlay et al, 2018;Kebede, Abaya, Merdassa, & Bekuma, 2019;Nonvignon & Novignon, 2014;Nyarko, 2020). However, utilization of modern contraceptives specifically among women with induced abortion history is underreported despite their vulnerability.…”

Section: Introductionmentioning

confidence: 99%

Prevalence and predictors of contraceptives use among women age (15-49) with induced abortion history in Ghana

Salifu

Kamaldeen

2020

Preprint

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Background Abortion incidence in Ghana ranges from 27 per 1000 to 61 per 1000 women, causing major gynecological complications or problems and maternal mortality. Though, the use of modern contraceptives has been documented to be a reliable public health preventive measure towards reducing unwanted pregnancies, only 19% of women aged (15-49) with abortion history receive post-abortion contraception support. This study therefore aimed at determining the proportion and identifying predictors of contraceptives use in these underreported and vulnerable population.Methods This study used secondary data from the 2017 Ghana Maternal Health Survey (GMHS) for the analysis. The analysis is on a weighted sample of 3,039 women aged (15-49 years) with history of induced abortion. Both descriptive and inferential methods were employed. Chi- Square test, univariate and multivariate logistic regression techniques were used to assess statistical associations between the outcome variable and the predictors. Statistical significance was set at 95% confidence interval and p-values <0.05.Results Out of the 3039 participants, 37% (95% CI: 34.6, 38.84) used contraceptives. We identified women age, union, place of residence, knowledge of fertile period, total pregnancy outcomes, and region as strong significant (95% CI p<0.005) predictors of post induced abortion contraceptives use.Conclusion Contraceptives use among this vulnerable population is low. Therefore, there is the need to provide widespread access to post-abortion contraception services and enhance efforts to efficiently integrate the safe abortion practices law into health services in Ghana.

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Contraceptive use and unintended pregnancy among young women and men in Accra, Ghana

Cited by 61 publications

References 18 publications

Prevalence and determinants of contraceptives use among rural young women (15-24 years) in Ghana

Prevalence and determinants of contraceptives use among rural young women (15-24 years) in Ghana

Abortion knowledge and experiences among young women and men in Accra, Ghana

Prevalence and predictors of contraceptives use among women age (15-49) with induced abortion history in Ghana

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