Prevalence and determinants of unintended pregnancy in sub-Saharan Africa: A multi-country analysis of demographic and health surveys

Ameyaw, Edward Kwabena; Budu, Eugene; Sambah, Francis; Baatiema, Linus; Appiah, Francis; Seidu, Abdul‐Aziz; Ahinkorah, Bright Opoku

doi:10.1371/journal.pone.0220970

Cited by 148 publications

(208 citation statements)

References 49 publications

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“…The results of the analysis found that women who live in urban areas are more likely than women who live in rural areas to experience an unintended pregnancy. This information contradicts previous research in Pakistan, Ethiopia and several countries in sub-Saharan Africa that informs that living in rural areas is a risk factor for unintended pregnancy in women compared to women living in urban areas [9][10][11] . In the Indonesian context, the availability of health facilities is better in urban areas than rural areas 12,13 , including the availability of contraceptives.…”

Section: Discussioncontrasting

confidence: 94%

Factors Influencing Unintended Pregnancies among Childbearing Age Women in Indonesia

Laksono

Wulandari

2020

Preprint

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Background: Unintended pregnancy can cause pregnancy termination, which leads to safety risks. The purpose of the study was to analyze the factors that influence unintended pregnancies in Indonesia.Methods: The analysis unit was women aged 15-49 years old who gave birth to the last 5 years. The sample size was 36,472 women. In addition to unintended pregnancy as the dependent variable, other variables analyzed were the place of residence, age, education, husband/partner, employment, wealth, parity, pregnancy termination, the person deciding woman's access to health care, heard about family planning messages on radio, television, and newspaper/magazines. The final stage analysis uses binary logistic regression.Results: Women in urban areas were 1.834 times more likely than women in rural areas to experience an unintended pregnancy. The 20-24 age group was 0.202 times more than the 15-19, while the 45-49 was 1.916 times compared to the 15-19 to experience an unintended pregnancy. Secondary education women were 1.447 times more likely than no education women, while the poorer women were 1.190 times more likely than the poorest women to experience an unintended pregnancy. Parity was found to be a strong determinant of unintended pregnancy. History of pregnancy, decision making by husbandpartner, and heard about family planning messages on radio and television in the last few months are risk factors for unintended pregnancy.Conclusions: Eight variables affect unintended pregnancy, namely age, education, wealth, parity, pregnancy termination, the person deciding woman's access to health care, and heard about family planning messages on radio and television.

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Section: Discussioncontrasting

confidence: 94%

Factors Influencing Unintended Pregnancies among Childbearing Age Women in Indonesia

Laksono

Wulandari

2020

Preprint

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“…From these, 18,468 (8,644 in the 2005 EDHS and 9,824 in the 2016 EDHS) were married or in-union. Women who were pregnant at the time of the survey (2,191), single, divorced and widowed women were excluded from the analysis. The reason for this is that information about contraceptive use among unmarried (never married, widowed or divorced) women is less reliable due to social desirability bias.…”

Section: Data Sourcementioning

confidence: 99%

“…A multi-country analysis of DHS data from Sub-Saharan counties identified that 29% of married women had unintended pregnancy ranging from 10.8% in Nigeria to 54. 5% in Namibia [2]. The 2016 Ethiopian demographic and health survey (EDHS) report identified that 25% of births in Ethiopia were unintended (8% unwanted and 17% mistimed) [3].…”

Section: Introductionmentioning

confidence: 99%

Determinants of change in long-acting or permanent contraceptives use in Ethiopia; A multivariate decomposition analysis of data from the Ethiopian demographic and health survey

Fekadu¹,

Omigbodun²,

Roberts³

et al. 2020

PLoS ONE

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BackgroundThere has been an increase in the uptake of long-acting or permanent contraceptive methods (LAPMs) in Ethiopia. Identifying the factors associated with this change is important for designing interventions that will further accelerate the uptake. This study was done to identify components of, and factors associated with, changes in the use of LAPMs in Ethiopia. MethodsInformation about 16,336 married or in-union reproductive-age women were extracted from the 2005 and 2016 Ethiopian Demographic and Health Surveys (EDHS). Normalized weighting was used to compensate for disproportionate sampling and non-response in the survey. The two data sets were merged and analyzed using multivariate decomposition analysis. ResultFrom 2005 to 2016, the use of LAPMs increased by 12.0 percentage points. Changes in the characteristics of women (compositional factors) were responsible for nearly 7.0% of the observed difference. Most of the change (92.0%) was attributable to differences in the effects of characteristics. Age, working status, woman's occupation, concordance on the desired number of children between women and their partners, and a visit by health workers in the 12 months before the survey were all significantly associated with the change.

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“…In sub-Saharan Africa (SSA), women of reproductive age bear a disproportionate burden of unintended pregnancies and sexually transmitted infections (STIs) including human immunodeficiency virus (HIV) [1]. In SSA, an estimated 29% of pregnancies are unintended [2]. Moreover, women account for approximately 56% of all adults living with HIV in this region [3].…”

Section: Introductionmentioning

confidence: 99%

Positive deviance for dual-method promotion among women in Uganda: study protocol for a cluster randomized controlled trial

Kosugi

Shibanuma

Kiriya

et al. 2020

Trials

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Background: Dual-method use is known as the most reliable protection against unintended pregnancies and sexually transmitted infections, including HIV. However, it is not commonly used in sub-Sharan Africa, especially among women using highly effective contraceptives. This article describes a protocol to evaluate the effect of an intervention formulated under the positive deviance approach for promoting dual-method use in Uganda. Methods: A total of 150 women will be interviewed using a structured questionnaire to find those practicing dualmethod use. In-depth interviews will then be conducted with all women using the dual method and 10 women using only highly effective contraceptives to identify their unique practice. Then, a cluster randomized controlled trial will be conducted to examine the effect of an intervention formulated under the positive deviance approach on dual-method uptake and adherence. Twenty health facilities will be randomized to an intervention or control arm and 480 women will be enrolled in each group. The participants will be followed up for 8 months.Discussion: This trial focuses on women who already adapted dual-method use and identifies their unique solutions to promote dual-method use. This trial could tackle barriers for dual-method use, which expert outsiders may fail to recognize, by analyzing and promulgating their unique behaviors. This study could provide evidence that the positive deviance approach can address unintended pregnancies and sexually transmitted infections as well as other health problems which usual approaches have failed to address.

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Prevalence and determinants of unintended pregnancy in sub-Saharan Africa: A multi-country analysis of demographic and health surveys

Cited by 148 publications

References 49 publications

Factors Influencing Unintended Pregnancies among Childbearing Age Women in Indonesia

Factors Influencing Unintended Pregnancies among Childbearing Age Women in Indonesia

Determinants of change in long-acting or permanent contraceptives use in Ethiopia; A multivariate decomposition analysis of data from the Ethiopian demographic and health survey

Positive deviance for dual-method promotion among women in Uganda: study protocol for a cluster randomized controlled trial

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