Factors related to married or cohabiting women’s decision to use modern contraceptive methods in Mahikeng, South Africa

Osuafor, Godswill N.; Maputle, Sonto M.; Ayiga, Natal

doi:10.4102/phcfm.v10i1.1431

Cited by 22 publications

(40 citation statements)

References 28 publications

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“…High education and wealth improve women autonomy and decision making increasing the likelihood of use of modern contraceptive [22,35,36]. In our study, low levels of education and wealth were associated with increased odds of CCU, which con rms previous ndings in SSA [15,21].…”

Section: Discussionsupporting

confidence: 89%

“…The independent variables were selected based on a review of the literature on FP and the availability of the variables in the dataset. They included the county of residence (Nairobi, Bungoma, Kericho, Kiambu, Kili , Kitui, Nandi, Nyamira, Siaya, Kakamega and West Pokot), residence (rural/urban) [20,21], age in years (15-19, 20-34 and 35-49) [21], education levels (no formal, primary, secondary and tertiary) [21][22][23], wealth quintiles (poorest, poorer, middle, richer, richest) [20], parity (0, 1, 2-3 and 4+) [23], desire for more children (yes/no/infertile) [24], and age at sexual debut in years [25].…”

Section: Data Source and Study Populationmentioning

confidence: 99%

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Prevalence and Determinants of Covert Contraceptive Use in Kenya: a Cross-Sectional Study

Akoth¹,

Oguta²,

Gatimu³

2020

Preprint

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Background: Family planning (FP) is a key intervention for preventing unplanned pregnancies, unsafe abortions, and maternal death. Involvement of both women and their partners promotes contraceptive acceptance, uptake and continuation, couple communication and gender-equitable attitude. It is a key strategy for addressing about 17.5% of the unmet needs in FP in Kenya. This study assessed the prevalence and determinants of covert contraceptive use (CCU) in Kenya.Methods: We used data from the sixth and seventh rounds of the performance monitoring for accountability surveys. We defined CCU as ”the use of contraceptives without a partner’s knowledge”. We used frequencies and percentages to describe the sample characteristics and the prevalence of CCU and assessed the determinants using bivariate and multivariable logistic regressions.Results: Of the 3,892 married women using contraceptives included in this study, 62.9% were 20−34 years, 65.4% lived in rural areas, 51.3% had primary education and 82.4% had two or more children. The mean age at first sexual encounter was 17.3 years (standard deviation: 3.0). The prevalence of CCU was 12.2% (95% CI: 10.4%−14.2%) and was high among 35−49 years (12.8%), uneducated (22.3%) and poorest (18.2%) women. Siaya (22.9%), Kericho (16.7%) and Kakamega (13.1%) counties had the highest prevalence of CCU. Injectables (53.3%) and implants (34.6%) were the commonest methods among women who practice CCU. County of residence, education, wealth, parity, and age at sexual debut were associated with CCU.Conclusion: About one in 10 married women in Kenya use contraceptive covertly, with injectables and implants being the preferred methods. Our study highlights a gap in partner involvement in FP and calls for efforts to strengthen their involvement to increase contraceptive use in Kenya while acknowledging the rights of women to make independent choices.

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Section: Discussionsupporting

confidence: 89%

Section: Data Source and Study Populationmentioning

confidence: 99%

Prevalence and Determinants of Covert Contraceptive Use in Kenya: a Cross-Sectional Study

Akoth¹,

Oguta²,

Gatimu³

2020

Preprint

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“…11 Adoption of a family planning practice campaign that considers living arrangements and family types will further scale up contraceptive use amongst young women. 5 , 19 …”

Section: Discussionmentioning

confidence: 99%

“… 17 Literature also argued the assertions that the decision-making on contraception comes within the domain of women but this rather depends on the type of union or how the living arrangement is structured. 18 , 19 …”

Section: Introductionmentioning

confidence: 99%

Factors associated with low contraceptive use amongst vulnerable mothers in South West State, Nigeria

Bolarinwa

Olagunju

Olaniyan

2020

African Journal of Primary Health Care & Family Medicine

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Background Young mothers tend to be more prone to high maternal and perinatal risks and are thus deemed vulnerable to adverse sexual and reproductive health rights (SRHR) in terms of their right to choose contraceptives of their choice to enhance their maternal well-being and childbirth spacing should be well discussed. Achieving sufficient SRHR may be averted if the use of family planning by disadvantaged groups is not given required attention. Aim This study aimed to identify and analyse the factors associated with the low use of contraceptives amongst vulnerable women in the South West region in Nigeria. Setting The study area was purposively chosen to capture contraceptive use amongst vulnerable women in Osun State, Nigeria. Methods A primary data collection was done in three senatorial districts of Osun State, Nigeria, with 140 respondents each to give a total of 420 respondents. Collected data were analysed using univariate, bivariate and multivariate measures. Results The result showed a magnitude of association and relationship at both levels of analyses. Living arrangements and family types were 89% and 88.3%, respectively, associated with family planning use. In the same vein, living arrangement and family types were also statistically significant at p < 0.05with an odds ratio of 0.23 (95% CI: 0.1184–0.4583) and an odds ratio of 0.35 (95% CI: 0.1756–0.6970) with family planning use, respectively. Conclusion We concluded that policies and interventions to accelerate and encourage contraceptives use amongst vulnerable mothers in South West, Nigeria should be targeted at those whose husbands lived elsewhere and those whose husbands have more than one wife.

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“…However, male involvement in family planning remains limited [9,10]. In addition, research examining determinants of couples' modern contraceptive use has ignored men's crucial role [11,12], which has eventually resulted in underlining the idea of contraceptive use as women's concern, leaving little or no role for men [13][14][15]. It was observed [16] that men, particularly in low socio economic settings, prefer large numbers of children both as a source of labor and profitable gain, and as a source of respect.…”

Section: Introductionmentioning

confidence: 99%

Determinants of modern contraceptive use among sexually active men in Ethiopia; using EDHS 2016 national survey

Shaweno

Kura

2020

Contracept Reprod Med

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Background: Recently, the focus of family planning programs has changed from female oriented to men oriented, or both partner oriented to have effective outcomes. Although, contraceptive use among sexually active women was exhaustively researched; there is still a huge gap on modern contraceptive use and its determinants among sexually active men in Ethiopia. Objectives: We assessed the determinants of contraceptive use among sexually active men in Ethiopia using national survey data. Method: The data source for this study was the 2016's Ethiopian Demographic and Health Survey of men aged above 15-59 years. We analyzed data of 12, 688 sexually active men in the past 12 months prior to the survey using STATA version 14.1. Bivariate and multivariable multinomial logistic regression analysis was conducted and statistical significance was set at p value < 0.05. Result: From a total of 12, 688 sexually active men in Ethiopia, 9378 (73.9%) didn't use any modern contraception or use traditional methods, 2394 (18.9%) use partner methods for those who reported using a method through their partner (such as pill, IUD, injections, female sterilization and Norplant) and the rest 916 (7.2%) used male methods for those who reported using male only methods (such as condoms and male sterilization). In the adjusted multinomial logistic regression model, men's age categories 25-34 years (AOR:2.0; 95%CI = 1.5-2.5), 35-44 (AOR: 2.8; 95%CI = (2.0-3.8), and 45 + years (AOR: 1.5; 95%CI = 1.0-2.6), being rural resident (AOR: 1.60; (95%CI = 1.3-2.2), married and living with partner (AOR: 0.03; (95%CI = 0.01-0.06), who attended secondary (AOR:1.2; (95%CI = 0.8-1.9) and higher (AOR: 1.4; (95%CI = 1.2-2.5) education, whose partner was working (AOR: 1.6; (95%CI = 1.3-2.2), having three and above children (AOR: 0.5; (95%CI = 0.3-0.8), reading newspaper/ magazines at least once a week or less than once a week, listening to radio at least once a week, watching television at least once a week and watching television less than once a week were significantly associated with use of male method than traditional/no method as compared to their respective references. Conclusion: Modern contraceptive use among sexually active men in Ethiopia is low and multiple factors determined it. Close monitoring and supporting of sexually active men with age above 25 years, rural background, higher educational level, whose partner was working, having three and more children and little exposure to media may increase men's use of modern contraceptives.

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Factors related to married or cohabiting women’s decision to use modern contraceptive methods in Mahikeng, South Africa

Cited by 22 publications

References 28 publications

Prevalence and Determinants of Covert Contraceptive Use in Kenya: a Cross-Sectional Study

Prevalence and Determinants of Covert Contraceptive Use in Kenya: a Cross-Sectional Study

Factors associated with low contraceptive use amongst vulnerable mothers in South West State, Nigeria

Determinants of modern contraceptive use among sexually active men in Ethiopia; using EDHS 2016 national survey

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