Individual and community-level factors associated with modern contraceptive use among adolescent girls and young women in Mali: a mixed effects multilevel analysis of the 2018 Mali demographic and health survey

Seidu, Abdul‐Aziz; Appiah, Francis; Budu, Eugene; Adu, Collins; Aderoju, Yaa Boahemaa Gyasi; Adoboi, Faustina; Ajayi, Anthony Idowu

doi:10.1186/s40834-020-00132-7

Cited by 36 publications

(51 citation statements)

References 34 publications

(58 reference statements)

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“…Our study also revealed that married AGYW had a better tendency to use modern contraceptive methods. The result was comparable with the studies in Ethiopia [ 33 ], Ghana [ 34 ], and in conflict with the study done in Mali [ 35 ]. The possible explanation might be the exposure to maternal and birth control services during antennal and postnatal cares.…”

Section: Discussionsupporting

confidence: 87%

Individual and community-level factors associated with modern contraceptive use among adolescent girls and young women in Ethiopia: a multilevel analysis of 2016 Ethiopia demographic and health survey

et al. 2021

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Background The importance of contraception use is immense for young girls of age 15–24 years. In literatures, there were significant attempts made to study factors associated with adolescent and young women contraception use in Africa. Despite the resulting interventions followed those studies, the contraception uses among youth population in Africa remained below average. Thus, this study is aimed to assess individual and community-level factors associated with contraceptive use in Ethiopian context to support further interventions. Methods Our analysis was based on the secondary data from Ethiopia Demography and Health Survey (EDHS) 2016. Adolescent girls and young women (AGYW) aged 15–24 years were the target population. Means, standard deviations, and proportions were used to describe the study population. To control for the variations due to the differences between clusters, a series of multilevel logistic regression modeling steps were followed and determinants of contraceptive use were outplayed. All variables with bivariate p-value < 0.25 were included in the models and p-value < 0.05 was used to declare associations. Results The prevalence of modern contraceptive use among AGYW in Ethiopia was 34.89% [95% CI, 0.32, 0.36]. Married adolescents were 2.01 times [AOR = 2.01, 95% CI = 1.39,3.16], having work was 1.36 times [AOR = 1.36, 95% CI = 1.06,1.71], living in urban areas was 1.61 times [AOR = 1.61, 95% CI = 1.16,2.45], being in middle wealth status was 1.9 times [AOR = 1.90, 95% CI = 1.32,2.65], being in rich wealth quintile was 1.99 time [AOR = 1.99, 95% CI = 1.35,2.68], and having TV exposure was 1.61 times [AOR = 1.6, 95% CI = 1.17,2.20] more likely associated with modern contraceptive uses. Conclusion The use of modern contraception among AGYW in the country remained appealing and factors like region, residence, marital status, wealth index, religion, working status, parity, husband desire children, ever aborted AGYW, and the television exposures were attributed for the poor improvements. Therefore, the enhancements that consult those factors remained remarkable in improving contraception use, while further increasing in educational engagement, access to health services, and economic empowerment of the AGYW might be the good advantages for the improvements.

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Section: Discussionsupporting

confidence: 87%

Individual and community-level factors associated with modern contraceptive use among adolescent girls and young women in Ethiopia: a multilevel analysis of 2016 Ethiopia demographic and health survey

et al. 2021

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“…Consistent with previous studies (Ahinkorah et al, 2020;Nsanya et al, 2019), we also observed that reproductive aged women in PNG with no information on choice were more likely to discontinue contraceptive use compared to their counterparts who had information. Timely and accurate information is key with regards to contraceptive uptake.…”

Section: Discussionsupporting

confidence: 91%

Contraceptive discontinuation among women of reproductive age in Papua New Guinea

Lk¹,

Seidu²,

Bo³

et al. 2021

Preprint

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Background Papua New Guinea has one of the lowest contraceptive prevalence rates among women of reproductive age in the Western Pacific Region and this makes contraceptive discontinuation in this country a critical public health issue worth studying. This study sought to assess factors associated with contraceptive discontinuation among women of reproductive age in Papua New Guinea. MethodsThe data used for the analysis were obtained from Papua New Guinea Demographic and Health Survey which was conducted in 2016–2018. The outcome variable for this study was contraceptive discontinuation among women of reproductive age. Crude odds ratios and adjusted odds ratios with 95% confidence intervals were estimated using binary logistic regression.ResultsAbout 33.26% of the women discontinued injectables, 19.15% discontinued pills and 3.77% discontinued other contraception methods. Women aged 20-24 [aOR=2.12, CI= [=[1.04,4.31] through to those aged 30-34 [aOR=1.98, CI=1.03,3.79] had higher odds to discontinue contraceptive usage compared to those aged 45-49. Women with no information on choice of contraception [aOR=2.85, CI=2.31,3.51], those with two or more births in the last five years [aOR=2.35, CI=1.65,3.35] and those living in the Highland region [aOR=1.71, CI=1.28,2.29] were more likely to discontinue contraceptive usage compared with those with information on contraceptive choices, those with no births and those living in the Island region respectively. However, women in the rural areas [aOR=0.78, CI=0.61,0.99], those who are undecided in their desire for more children [aOR=0.61, CI=0.37,1.00], women using LARC [aOR=0.10, CI=0.06,0.15], injectables [aOR=0.43, CI=0.30,0.63] and other modern methods including condom [aOR=0.22, CI=0.15,0.34] were less likely to discontinue contraceptive usage. ConclusionA nationwide mass education on the benefits of contraception is recommended for the Papua New Guinea National Department Of Health to tackle the key findings of this study which were high contraceptive discontinuation prevalence with lack of information on choice, disproportionately high contraceptive discontinuation rate in the Highland Region and the desire to give birth to more than two children as some factors associated with contraceptive discontinuation in Papua New Guinea.

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“…Despite the numerous policy interventions aimed at preventing adolescent childbearing in many countries across the world, the prevalence of adolescent pregnancy and childbirth remains high [ 1 – 3 ]. Adolescent childbearing has been defined as birth that occurs among adolescents aged 10-19 [ 4 ].…”

Section: Introductionmentioning

confidence: 99%

Early age at first childbirth and skilled birth attendance during delivery among young women in sub-Saharan Africa

Budu

Chattu

Seidu

et al. 2021

BMC Pregnancy Childbirth

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Background Despite the numerous policy interventions targeted at preventing early age at first childbirth globally, the prevalence of adolescent childbirth remains high. Meanwhile, skilled birth attendance is considered essential in preventing childbirth-related complications and deaths among adolescent mothers. Therefore, we estimated the prevalence of early age at first childbirth and skilled birth attendance among young women in sub-Saharan Africa and investigated the association between them. Methods Demographic and Health Survey data of 29 sub-Saharan African countries was utilized. Skilled birth attendance and age at first birth were the outcome and the key explanatory variables in this study respectively. Overall, a total of 52,875 young women aged 20-24 years were included in our study. A multilevel binary logistic regression analysis was performed and the results presented as crude and adjusted odds ratios at 95% confidence interval. Results Approximately 73% of young women had their first birth when they were less than 20 years with Chad having the highest proportion (85.7%) and Rwanda recording the lowest (43.3%). The average proportion of those who had skilled assistance during delivery in the 29 sub-Saharan African countries was 75.3% and this ranged from 38.4% in Chad to 93.7% in Rwanda. Young women who had their first birth at the age of 20-24 were more likely to have skilled birth attendance during delivery (aOR = 2.4, CI = 2.24-2.53) than those who had their first birth before 20 years. Conclusion Early age at first childbirth has been found to be associated with low skilled assistance during delivery. These findings re-emphasize the need for sub-Saharan African countries to implement programs that will sensitize and encourage the patronage of skilled birth attendance among young women in order to reduce complications and maternal mortalities. The lower likelihood of skilled birth attendance among young women who had their first birth when they were adolescents could mean that this cohort of young women face some barriers in accessing maternal healthcare services.

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Individual and community-level factors associated with modern contraceptive use among adolescent girls and young women in Mali: a mixed effects multilevel analysis of the 2018 Mali demographic and health survey

Cited by 36 publications

References 34 publications

Individual and community-level factors associated with modern contraceptive use among adolescent girls and young women in Ethiopia: a multilevel analysis of 2016 Ethiopia demographic and health survey

Individual and community-level factors associated with modern contraceptive use among adolescent girls and young women in Ethiopia: a multilevel analysis of 2016 Ethiopia demographic and health survey

Contraceptive discontinuation among women of reproductive age in Papua New Guinea

Early age at first childbirth and skilled birth attendance during delivery among young women in sub-Saharan Africa

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