Factors affecting choice of sterilisation among low income women in Paraíba, Brazil

Rodrigues, Júlia; Moji, Kazuhiko

doi:10.1017/s0021932000022860

Cited by 2 publications

(2 citation statements)

References 12 publications

(11 reference statements)

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“…Also, with the positive correlation between antenatal care visits (particularly at least four visits) and births attended by skilled birth attendants in SSA [60][61][62], it is possible PLOS ONE that in countries where a high proportion of births are attended by skilled birth attendants, women may have received information about FPC as an effective contraceptive option to limit childbearing during antenatal care, thereby increasing their preference for it [63]. In Brazil, receiving antenatal care was found to be positively associated with the use of FPC [64]. The higher of odds of using FPC in countries with more doctors also illustrates the importance of access to the method, which is largely obtained through surgical procedures [65].…”

Section: Plos Onementioning

confidence: 99%

Individual- and country-level correlates of female permanent contraception use in sub-Saharan Africa

et al. 2020

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Background Female permanent contraception is a cost-effective contraceptive method that can help clients with the desire to limit childbearing achieve their reproductive intention. However, despite its benefits, the use of FPC remains low in sub-Saharan Africa (SSA), and limited studies have examined the correlates of its uptake. In this study, we assessed the individual- and country-level factors associated with the use of FPC among married or in-union women using modern contraceptive methods to limit childbearing in SSA. Methods This study was a secondary data analysis of individual- and country-level data obtained from the Demographic and Health Surveys (DHS) Program and three open data repositories. The study included 29,777 married or in-union women aged 15–49 years using modern contraceptive methods to limit childbearing from DHS conducted in 33 sub-Sahara African countries between 2010 and 2018. We performed descriptive statistics and fitted multilevel logistic regression models to determine the predisposing, enabling, and need factors associated with the use of FPC. Results Approximately 13% of the women used FPC. About 20% of the variance in the odds of using FPC was attributable to between-country differences. In the full model, the significant individual-level factors associated with the use of FPC compared with other modern contraceptive methods were: age (odds ratio [OR] = 1.10; 95%CI = 1.08–1.12), living children (OR = 1.11, 95%CI = 1.04–1.16), high household wealth (OR = 1.39, 95%CI = 1.18–1.64), rural residence (OR = 0.83, 95% CI = 0.71–0.97), joint contraceptive decision with partner (OR = 1.68, 95% = 1.43–1.99), contraceptive decision by partner and others (OR = 2.46, 95% = 1.97–3.07), and the number of living children less than the ideal number of children (OR = 1.40, 95%CI = 1.21–1.62). The significantly associated country-level factors were births attended by skilled health providers (OR = 1.03, 95%CI = 1.00–1.05) and density of medical doctors (OR = 1.37, 95%CI = 1.01–1.85). Conclusions Our results suggest that both individual- and country-level factors affect uptake of FPC in SSA. Increasing geographic, economic, and psychosocial access to FPC may improve its uptake in SSA.

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Section: Plos Onementioning

confidence: 99%

Individual- and country-level correlates of female permanent contraception use in sub-Saharan Africa

et al. 2020

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“…It has further been suggested that factors related to health systems, such as type or place of delivery, may exercise important influences on women's choice of sterilization. For example, the role of Caesarean delivery has been highlighted in conditioning the likelihood of postpartum tubal sterilization in some less developed BEMFAM, 1997;CESDEM et al 1997;INEI & Macro International, 1997. countries (Barros et al, 1986;Rutenberg & Ferraz, 1988;Chi & Thapa, 1993;Rodrigues & Moji, 1995). What remains unclear is the reasoning and causal direction of health system-related influences: whether women who have had multiple Caesareans are being sterilized for medical reasons, women are choosing Caesareans in order to facilitate getting a postpartum tubal ligation, or women who are better able to access health facilities are obtaining more medical services including Caesareans and sterilizations.…”

Section: Contextmentioning

confidence: 99%

Female Sterilization in Latin America: Cross-National Perspectives

2004

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Fertility levels have dropped substantially in Latin America in recent decades, fuelled by increased contraceptive use and notably a method mix skewed towards female sterilization. This study examined choice of female sterilization in four Latin American countries: Brazil, Colombia, the Dominican Republic and Peru. Data were drawn from national Demographic and Health Surveys conducted in 1995-1996. Discrete-time hazard models were used on the five-year calendar modules of women's reproductive histories to consider the effects of a number of sociodemographic and contextual determinants as they pertained to status at the moment of the event. The results revealed that the likelihood of a woman's having undergone contraceptive sterilization was increasing over time in Brazil and Peru, suggesting that the potential for future growth of this method remains strong. A consistent pattern of increased probability of sterilization with higher education was seen across all countries, seemingly dispelling certain controversial claims that the procedure may have been disproportionately performed on the poor. At the same time, the multilevel analytical approach pointed to significant cluster-level random effects, suggesting that there were additional unmeasured contextual influences on women's propensity to choose sterilization.

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Factors affecting choice of sterilisation among low income women in Paraíba, Brazil

Cited by 2 publications

References 12 publications

Individual- and country-level correlates of female permanent contraception use in sub-Saharan Africa

Individual- and country-level correlates of female permanent contraception use in sub-Saharan Africa

Female Sterilization in Latin America: Cross-National Perspectives

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