Low use of contraception among poor women in Africa: an equity issue

Creanga, Andreea A.; Gillespie, Duff; Karklins, Sabrina; Tsui, Amy O.

doi:10.2471/blt.10.083329

Cited by 174 publications

(192 citation statements)

References 17 publications

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“…This is in line with the findings of this study in which majority (45.1%) had secondary level of education and the lowest percentage (3.5%) were those with college education, this is not surprising considering the report of Gambian Demographic health Survey 2013, the percentage (32.4%) of women who had secondary level of education was three times higher (9.8%) than those with primary level of education. This findings is similar to other studies done in Ethiopia 12 , Ghana 16 , and Malawi 11 but is not in line with findings from scholars like Glasier, et al 15 , Kavanaugh et al 17 and Finer, et al 18 , who indicated that women with a college education were more likely to use long acting reversible contraceptive methods due to their increased knowledge on modern contraceptives. With regards to occupation of the respondents, about 84 (89.7%) were housewives and 57(45.92%) were civil servants.…”

supporting

confidence: 80%

“…This could be because majority, of women in The Gambia were in the age group 25-29 (women weighted number and percentage was 1822 and 17.8% respectively). Also the age-specific fertility rates start relatively low among women aged [15][16][17][18][19] (88 per 1,000), rise to a peak among women aged 25-29 (271 per 1,000), remain high for women aged 30-34 (237 per 1,000), and decline rapidly at older ages 3 . The result is similar to other studies done in NorthWest Ethiopia 12,13 .…”

mentioning

confidence: 99%

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Uptake of long-acting reversible contraceptive devices in Western region of the Gambia

Anyanwu¹,

Alida²

2017

Afr H. Sci.

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Background: The contraceptive method has become an essential factor in the life of most women of reproductive age group; although it varies in different stages of their life course. The use of long acting reversible methods (LARC) is proposed as a strategy to reverse undesirable maternal health consequences in developing countries. Objective: To determine the uptake of long-acting reversible contraceptive in The Gambia. Methods: A community based cross-sectional study of women attending family planning clinic were studied using intervieweradministered questionnaire which included information on socio-demographic factors, reproductive health and contraceptive use of the participants. Results: About 89 % of study participants used long acting reversible contraceptive methods. Of the three commonly available long acting reversible contraceptive methods, Depo Provera was the most commonly used method; 78 of 141 (55.32%); followed by implants (43.3%) and intrauterine contraceptive (1.42%). Being housewives, with 3-4 living children and having secondary level education were associated with high uptake of LARC. Conclusion:The uptake of long acting reversible contraceptive was high; with Depo Provera as the most commonly used contraceptive method in The Gambia. There seemed to be an increase in the uptake of implants; with intrauterine contraceptive device being the least commonly used method.

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confidence: 80%

mentioning

confidence: 99%

Uptake of long-acting reversible contraceptive devices in Western region of the Gambia

Anyanwu¹,

Alida²

2017

Afr H. Sci.

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“…This may be related to the lower prevalence of unintended pregnancies (or higher prevalence of contraceptive use) among people of higher socioeconomic status, and therefore lower abortion rates, in developing countries (Gillespie, 2007;Creanga et al, 2011). However, in contrast, abortion in developing countries has been found by other researchers to be associated with higher socioeconomic characteristics (Henshaw, 1990;Lara et al, 2006;Agrawal, 2008) and to be more concentrated among affluent individuals (Lara et al, 2006;Diniz et al, 2012).…”

Section: Introductionmentioning

confidence: 98%

Socioeconomic Variations in Induced Abortion in Turkey

Ankara

2016

J. Biosoc. Sci.

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Summary. This study aimed to identify the levels of, and socioeconomic variations in, income-related inequality in induced abortion among Turkish women. The study included 15,480 ever-married women of reproductive age Higher socioeconomic characteristics (such as higher levels of wealth and education and better neighbourhood) were found to be associated with higher rates of abortion. Inequality analyses indicated that although deprived women become more familiar with abortion over time, abortion was still more concentrated among affluent women in the 2008 survey. The decomposition analyses suggested that wealth, age, education and level of regional development were the most important contributors to income-related inequality in abortion. Therefore policies that (i) increase the level of wealth and education of deprived women, (ii) develop deprived regions of Turkey, (iii) improve knowledge about family planning and, especially (iv) enhance the accessibility of family planning services for deprived and/or rural women, may be beneficial for reducing socioeconomic variations in abortion in the country.

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“…However, the pace of improvement varies, with some countries such as Zambia making substantial progress while others such as Nigeria have recorded only marginal change over time 1,2 . For instance, the Federal Government of Nigeria through the Federal Ministry of Health has continually made efforts to ensure widespread knowledge and access to contraceptives through advertisements and jingles in the mass media, incorporation of family planning into some secondary school subjects and distribution of free contraceptives 3 .…”

Section: Introductionmentioning

confidence: 99%

Examining the Role of Couples’ Characteristics in Contraceptive use in Nigeria and Zambia

Ntoimo

Banda

2017

Afr J Reprod Health

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Relationship-related characteristics influence diverse health and demographic outcomes. This study examined the role of couples' characteristics in contraceptive use. Data were obtained from 2013 Nigeria and 2013-14 Zambia Demographic and Health Surveys. The study population consisted of couples in monogamous union (married or living together) who had at least one live birth and the wife was not pregnant at the time of the survey. Prevalence of contraceptive use among couples in Nigeria was 27% and 63% in Zambia. Couples' educational attainment, religious affiliation, the frequency of listening to the radio, reported number of children, fertility preference, region of residence and household wealth index were significant predictors of contraceptive use among couples in Nigeria and Zambia. Given the significant role of couples' characteristics in the uptake of contraceptives, there is the need to encourage interventions that target couples, particularly those of poor socioeconomic status. (Afr J Reprod Health 2017; 21[4]: 93-101).Keywords: Contraceptive, relationship-related characteristics, monogamous union, couples, Nigeria, Zambia RésuméLes caractéristiques liées aux relations influencent les divers résultats sanitaires et démographiques. Cette étude a examiné le rôle des caractéristiques des couples dans l'utilisation de la contraception. Les données ont été obtenues à partir des enquêtes sur la démographie et la santé menées en 2013 au Nigéria et en 2013-2014 en Zambie. La population étudiée était composée de couples en union monogame (mariés ou vivant ensemble) qui avaient au moins une naissance vivante et dont la femme n'était pas enceinte au moment de l'enquête. La prévalence de l'utilisation des contraceptifs parmi les couples au Nigéria était de 27% et 63% en Zambie. Le niveau d'instruction des couples, leur affiliation religieuse, la fréquence d'écoute de la radio, le nombre d'enfants déclarés, la préférence de fécondité, la région de résidence et l'indice de richesse des ménages sont des indices significatifs de l'utilisation des contraceptifs au Nigeria et en Zambie. Étant donné le rôle important des caractéristiques des couples dans l'absorption des contraceptifs, il est nécessaire d'encourager les interventions ciblant les couples, en particulier ceux qui ont une situation socioéconomique médiocre. (Afr J Reprod Health 2017; 21[4]: 93-101).

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Low use of contraception among poor women in Africa: an equity issue

Cited by 174 publications

References 17 publications

Uptake of long-acting reversible contraceptive devices in Western region of the Gambia

Uptake of long-acting reversible contraceptive devices in Western region of the Gambia

Socioeconomic Variations in Induced Abortion in Turkey

Examining the Role of Couples’ Characteristics in Contraceptive use in Nigeria and Zambia

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