Factors influencing contraceptive decision making and use among young adolescents in urban Lilongwe, Malawi: a qualitative study

Dombola, Gift Mtawali; Manda, Wanangwa Chimwaza; Chipeta, Effie

doi:10.1186/s12978-021-01259-9

Cited by 21 publications

(41 citation statements)

References 18 publications

(32 reference statements)

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“…Teenage girls who never used modern contraceptive methods were found to be almost 3 times more likely to become pregnant during the COVID-19 pandemic period compared to their contraceptive-using counterparts. This finding was consistent with a number of previous studies conducted in Uganda and other SSA countries [26][27][28]. It is the fact that, when used correctly, modern contraceptive methods are effective in preventing pregnancy among sexually active teenage girls.…”

Section: Plos Onesupporting

confidence: 92%

Prevalence and correlates of teenage pregnancy among in-school teenagers during the COVID-19 pandemic in Hoima district western Uganda–A cross sectional community-based study

Musinguzi

Kumakech²,

Auma³

et al. 2022

PLoS ONE

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Background The COVID-19 pandemic related restrictions and lockdown measures had compromised the routine delivery and access of sexual and reproductive health and rights services to the population including the teenage girls. However, the teenage pregnancy rates during COVID-19 pandemic period were poorly documented. This study aimed at determining the prevalence and the factors associated with teenage pregnancy among in-school teenage girls during the COVID-19 pandemic period in Hoima District Uganda. Methods This was a descriptive cross-sectional study that employed quantitative research methods. A total of 314 in-school teenage girls aged 13–19 years were selected using a multi-stage sampling techniques. Interviewer-administered questionnaires were used to collect the data from the participant’s homes during the period December 2021-January 2022. Data analysis was done using univariate, bi-variate, and multivariate. Results The prevalence of teenage pregnancy among the in-school teenage girls in Hoima district Uganda was 30.6% [96/314]. Higher teenage pregnancy rates were prevalent among the unmarried teenage girls [aOR: 9.6; 95%CI: 4.64–19.87; p = 0.000], teenage girls studying from boarding schools [aOR 2.83, 95%CI 1.36–5.86, p = 0.005], contraceptive non-users [aOR: 2.54; 95%CI: 1.12–5.4; p = 0.015] and teenage girls involved in sex trade [aOR 3.16, 95%CI 1.5–6.7, p = 0.003]. The factors associated with the reduced likelihood for teenage pregnancy included being an adult teenage girl aged 18–19 years [aOR: 0.15; 95%CI: 0.07–0.32; p = 0.000] and not receiving sex education during the period [aOR 0.36, 95%CI 0.13–0.62, p = 0.024]. Conclusion The results indicated that 3 out of 10 in-school teenage girls from Hoima district Uganda got pregnant during the COVID-19 pandemic period of 2021. Teenage pregnancy was prevalent among teenage girls who don’t use modern contraceptive methods and those involved in sex trade. Teenage pregnancy was however, less prevalent among adult teenage girls aged 18–19 years. The findings point to the need for health stakeholders to innovate creative policies, contingency plans and programmes aimed at delaying age for sexual activities, increasing contraceptive use and minimizing pregnancy risk from sex trade among in-school teenage girls during COVID-19 pandemics.

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Section: Plos Onesupporting

confidence: 92%

Prevalence and correlates of teenage pregnancy among in-school teenagers during the COVID-19 pandemic in Hoima district western Uganda–A cross sectional community-based study

Musinguzi

Kumakech²,

Auma³

et al. 2022

PLoS ONE

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“…Women who have family pressure to use of modern contraceptive have higher odds of using modern contraceptives by 1.85 times than women who have not family pressure to use modern contraceptives. This finding is supported by other studies done in Malawi and India [ 35 , 36 ]. The possible reasons might be the family approval and consent, which motivates the women to make a decision towards modern contraceptive utilization.…”

Section: Discussionsupporting

confidence: 91%

Contraceptive utilization and associated factors among polygamous and monogamous women in Worebabo Woreda, South Wollo Zone, Ethiopia: a comparative cross sectional study

Asrese¹,

Adem²

2023

BMC Women's Health

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Background In Ethiopia high population growth and unintended pregnancies are posing pressures where the economy is incapable of holding overpopulation. Despite this problem, utilization of modern contraception is low in rural areas of the country, especially in the areas where polygamy is common. Therefore, this study was conducted to assess contraceptive utilization and associated factors among polygamous and monogamous women in, Ethiopia. Method A community-based comparative cross-sectional and phenomenological study design was employed from July 1 to September 30, 2021, on the total sample size of 774 selected married women of the reproductive age group by using a multistage sampling method and a purposive sampling method were used for the qualitative part of the study. A pre-tested interview with a structured questionnaire was used to collect data and key informants were interviewed using semi-structured questionnaire. Associated factors were analyzed by using bivariable and multivariable binary logistic regression models. The odds ratio, with a 95% confidence level, was used to declare a statistically significant association. Result A total of 703 married women of the reproductive age groups were interviewed, yielding a 90.89% response rate; among these married women, 352 and 351 were in monogamous and polygamous relationships. The proportion of women who use modern contraceptives was 161 (45.7%) in monogamous relationship, and 151 (43.0%) in polygamous relationships. Overall, utilization of modern contraceptives was significantly associated with educational status (AOR = 2.143, CI:1.428–3.216), religion (AOR = 1.704, CI: 1.144—2.539), undesired fertility (AOR = 3.17,CI:1.939–5.183), who decides on the number of children (AOR = 3.054, CI:1.93–4.832), getting clear information by Health care provider (AOR = 4.624, CI:3.132–6.828), family pressure (AOR = 1.855, CI:1.351–2.75), fear of social stigma (AOR = 2.482, CI:1.666–3.699), and accepts myths about contraceptives (AOR = 1.878, CI:1.278–2.761). Conclusion This study identified that utilization of modern contraception was low in the study area. The district health office and concerned stakeholders should implement interventions that scale up contraceptive use, need family involvement in decision making, addressing myths around contraceptives, helping women to get education, and training of health care providers.

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Section: Discussionsupporting

confidence: 91%

Contraceptive Utilization And Associated Factors Among Polygamous And Monogamous Women In Worebabo Woreda, South Wollo Zone, Ethiopia: A Comparative Cross Sectional Study, Mixed Model

Adem

Asrese

2022

Preprint

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Background: - Ethiopia is one of the most populated countries in Africa with a high fertility rate. High population growth and unintended pregnancies are posing pressures where the economy is incapable of holding overpopulation. Despite this problem, utilization of modern contraception is low in rural areas of the country where most of the population resides, especially in the areas where polygamy is common. Understanding modern contraceptive use and the unmet need for family planning is important to changes in fertility and improving reproductive health worldwide. Therefore, this study was conducted to assess contraceptive utilization and associated factors among polygamous and monogamous women in worebabo woreda, South Wollo Zone, Ethiopia. Method: - A community-based comparative cross-sectional study design was conducted on the total sample size of 774 selected married women of the reproductive age group by using a multistage sampling method. A pre-tested interview with a structured questionnaire was used to collect data. Determinant factors were analyzed by using bivariable and multivariable binary logistic regression models. The odds ratio, with a 95% confidence level, was used to declare a statistically significant association. A phenomenological study design and a purposive sampling method were used for the qualitative part of the study. Result: - A total of 703 married women of the reproductive age group were interviewed, among these married women, 352 and 351 were in monogamous and polygamous relationships. The proportion of women who use modern contraceptives was 161 (45.7%) in monogamous relationship, and 151 (43.0%) in polygamous relationships. Overall, utilization of modern contraceptives was significantly associated with the educational status of the respondent, respondent type of religion, desire time for other children, who decides on the number of children, getting clear information by Health care provider, family pressure to use of modern contraceptive, fear of social stigma, and accept myths about contraceptives. Conclusion: - This study identified that utilization of modern contraception is low in the study area. Healthcare programmers at federal, regional, zonal, and woreda levels by collaborating with other partners should initiate new initiatives or interventions that target cultural and social relationships to encourage the utilization of modern contraceptive methods.

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Factors influencing contraceptive decision making and use among young adolescents in urban Lilongwe, Malawi: a qualitative study

Cited by 21 publications

References 18 publications

Prevalence and correlates of teenage pregnancy among in-school teenagers during the COVID-19 pandemic in Hoima district western Uganda–A cross sectional community-based study

Prevalence and correlates of teenage pregnancy among in-school teenagers during the COVID-19 pandemic in Hoima district western Uganda–A cross sectional community-based study

Contraceptive utilization and associated factors among polygamous and monogamous women in Worebabo Woreda, South Wollo Zone, Ethiopia: a comparative cross sectional study

Contraceptive Utilization And Associated Factors Among Polygamous And Monogamous Women In Worebabo Woreda, South Wollo Zone, Ethiopia: A Comparative Cross Sectional Study, Mixed Model

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