Les déterminants sociaux de l’utilisation des méthodes contraceptives en Tunisie

Dimassi, Kaouther; Douik, F.; Douzi, M.A.; Saidi, Olfa; Romdhane, Habiba Ben

doi:10.1016/j.respe.2016.06.330

Cited by 7 publications

(5 citation statements)

References 8 publications

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“…Conception under contraception and the difficulties of a new pregnancy found in our study, as an explanation of unmet needs for family planning, are also described [23] in Burkina Faso.…”

Section: Prevalence Of Unmet Needs For Family Planningsupporting

confidence: 72%

Factors Associated with Unmet Need for Family Planning among Couples Living in Urban and Rural Areas of Guinea in 2019

Momo,

Ibrahima,

Oumou Hawa

et al. 2023

OJOG

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Introduction: Unmet need for family planning (UNFP) is defined as women with unmet needs who want to stop or delay childbearing but are not using any method of contraception. The objective of this study was to analyze the factors associated with unmet needs for family planning among couples living in rural and urban areas of Guinea in 2019. Methodology: This was a prospective, analytical cross-sectional, multicenter study of a six-month period from August 1, 2018 to January 31, 2019, focusing on couples with unmet needs for family planning. Result: Among 189 couples interviewed, 567 had UNFP (33.3%), the reasons for not using modern contraceptive methods were desire for pregnancy (AOR = 2.74, 95% CI: 1.74, 4.31), husband's refusal (AOR = 0.23, 95% CI: 0.06, 0.81), spousal attitude (AOR = 0.20, 95% CI: 0.130, 30), birth spacing (AOR = 2.10% to 95%: 1.16, 3.82), difficulty with a new pregnancy (AOR = 0.17, 95% CI: 0.04, 0.74), and spousal attitude (AOR = 0.20, 95% CI: 0.14, 0.30). Conclusion: The involvement of spouses, especially in rural communities, would help achieve family planning objectives and reduce unmet needs for family planning.

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“…Conception under contraception and the difficulties of a new pregnancy found in our study, as an explanation of unmet needs for family planning, are also described [23] in Burkina Faso.…”

Section: Prevalence Of Unmet Needs For Family Planningsupporting

confidence: 72%

Factors Associated with Unmet Need for Family Planning among Couples Living in Urban and Rural Areas of Guinea in 2019

Momo,

Ibrahima,

Oumou Hawa

et al. 2023

OJOG

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“…Unlike in Tunisia, women's educational level was significantly associated with contraceptive use. This finding could be explained by the fact that educated women were better informed about different contraceptive methods [16].…”

Section: Influence Of Education Level On Contraceptive Usementioning

confidence: 99%

Assessment of Knowledge, Attitudes and Practices Related to Contraceptive Use among Teenagers in High Schools and Colleges in Dakar, Senegal

Sougou¹,

Bassoum²,

Seck³

et al. 2019

ASM

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Introduction: In Senegal, adolescents aged 10 to 19 years represent 22.9% of the total population. The unmet need for contraception in this part of the population remains high despite the health interventions implemented to promote their sexual health. The aim of this study is to analyze the practice of modern contraception in schools in Dakar high schools in Senegal during the year 2018. Methods: A cross-sectional study was conducted in high schools and colleges in Dakar from March 1 to April 30, 2018. This study involved 452 students. This was a self-administration of the questionnaires. After univaried and bivaried analyses, a multivariate logistic analysis identified the factors associated with students' use of modern contraception. Results: The prevalence of modern contraceptive use among students is 8.84%. Factors associated with the use of modern contraceptive methods among students were age over 18 years (AR: 4.7, 95% CI [1.02-22.5]), male sex (AR: 27.8, 95% CI [6.8-100.0]), secondary school level (AR: 10.6, 95% CI [2.1-53.0]), access to a youth socio-educational home (AR: 3.9, 95% CI [1.1-14.9]) and having a child (AR: 25.6, 95% CI [2.2-100.0]). Conclusion: Our results concluded that modern contraceptive needs were better met among older male students, those who had an unfortunate experience of unwanted pregnancy and those attending school's youth socio-educational homes. This suggests shortcomings in the promotion of sexual health among younger students, particularly those in the secondary grades.

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“…Ignorance among providers concerned the use of IUDs and, for some, birth control pills. As the IUD is the most common contraceptive technology in Tunisia ( Dimassi et al, 2017 ), health providers’ ideas and use of it were the cause of many unwanted pregnancies and, therefore, of abortions. IUDs were never offered to unmarried women and only rarely to women who had one child; many practitioners I met believed that the ideal number of children in a family is two or three.…”

Section: Ignorance About Contraceptionmentioning

confidence: 99%

The production of ignorance about medication abortion in Tunisia: between state policies, medical opposition, patriarchal logics and Islamic revival

Maffi¹

2022

Reproductive Biomedicine & Society Online

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In Tunisia, medication abortion has been available in government reproductive and sexual health clinics since the early 2000s. Since its introduction, it has rapidly replaced the surgical method, and between 75% and 80% of abortions in the public sector were performed using the pharmacological protocol in 2016. In this article, I intend to discuss the various forms of ignorance about medication abortion that exist in Tunisia among several categories of actors in relation to the legal, medical and religious domains. I explore how the existing ‘varieties of ignorance’ are related to the specific political, social and economic positions of the involved actors, the dominant gender regime, specific institutional policies and economic interests. I also investigate how some forms of ignorance are wilfully produced by institutions and individuals, whereas others are the result of positionality or organizational features. I first describe when and how medication abortion was introduced in Tunisia and the forms of resistance it elicited; later, I examine the production of ignorance about this technology after the revolution of 2011. I mainly consider practices and discourses of health professionals, but also those of women seeking abortion care in the public sector, and those of the activists of a Tunisian non-governmental organization operating in the domain of women’s health and rights.

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Les déterminants sociaux de l’utilisation des méthodes contraceptives en Tunisie

Cited by 7 publications

References 8 publications

Factors Associated with Unmet Need for Family Planning among Couples Living in Urban and Rural Areas of Guinea in 2019

Factors Associated with Unmet Need for Family Planning among Couples Living in Urban and Rural Areas of Guinea in 2019

Assessment of Knowledge, Attitudes and Practices Related to Contraceptive Use among Teenagers in High Schools and Colleges in Dakar, Senegal

The production of ignorance about medication abortion in Tunisia: between state policies, medical opposition, patriarchal logics and Islamic revival

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