Spatio-temporal variations in unmet need for family planning in Ghana: 2003–2014

Nyarko, Samuel H.; Sparks, Corey S.; Bitew, Fikrewold

doi:10.1186/s41118-019-0069-7

Cited by 16 publications

(20 citation statements)

References 10 publications

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“…In essence, this is possibly down to the considerably poorer socio-economic profiles of these regions compared to the southern regions. These regions have the lowest female education and the highest female poverty rate in the country which may underpin their low prevalence of modern contraceptives [18]. A similar situation has been observed in Nigeria where there is a considerable disparity between the north and south in relation to contraceptive use and was found to be explained mainly by socio-economic inequalities as well as ideational factors [19].…”

Section: Discussionmentioning

confidence: 58%

Spatial variations and socioeconomic determinants of modern contraceptive use in Ghana: A Bayesian multilevel analysis

Nyarko

2020

PLoS ONE

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The literature on spatial patterns and contextual factors affecting modern contraceptive use is not well-documented in Ghana. This study describes the spatial variations and estimates the socioeconomic determinants of modern contraception among women in reproductive age in Ghana. Using data from the 2014 Ghana Demographic and Health Survey, both global and local Moran's I test were performed to show spatial autocorrelation and Bayesian multilevel models estimated to determine socioeconomic factors affecting modern contraceptive use. The results show evidence of low prevalence and spatial clustering of modern contraception use across the country. There were also notable regional disparities in contraceptive use that favour mostly the southern regions. Modern contraceptive use is significantly associated with socioeconomic factors such as educational attainment, work status, and marital status, as well as age, religious affiliation, and parity. Contextual factors such as the convenient location of health facility and family planning messages exposure also have a considerable positive effect on modern contraceptive use. Uneducated, unemployed and never-married women are considerably disadvantaged in the utilisation of modern contraception in Ghana. Socioeconomic and contextual factors play a key role in modern contraceptive use in Ghana.

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Section: Discussionmentioning

confidence: 58%

Spatial variations and socioeconomic determinants of modern contraceptive use in Ghana: A Bayesian multilevel analysis

Nyarko

2020

PLoS ONE

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“…Women from poor households show a greater risk of nonmarital childbirth and this supports the findings of many related studies in sub-Saharan Africa [ 3 , 18 , 19 , 25 , 26 ]. Women from rich households have a significantly lower risk of unmet need for family planning compared to women from poor households [ 27 ], clearly because they may afford and access sexual and reproductive health services such as family planning and abortion services, information, and education to prevent childbirths outside marriage. On the contrary, there appears to be some evidence associating women from rich households with a significantly higher likelihood of nonmarital childbearing [ 23 ].…”

Section: Discussionmentioning

confidence: 99%

Levels and socioeconomic correlates of nonmarital fertility in Ghana

Nyarko

Potter

2021

PLoS ONE

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Childbirth outside marriage has several negative implications for the well-being of children, women, and families globally. In sub-Saharan Africa, however, the phenomenon appears to be under-studied. In this study, we examine the levels and socioeconomic correlates of nonmarital fertility in Ghana. Using pooled data from the 2003, 2008, and the 2014 Ghana Demographic and Health Surveys, logistic regression models were used in determining significantly predictive factors of nonmarital fertility. The results show that nonmarital fertility levels have been on the rise over time without any sign of reduction (24.0%, 33.0%, and 40.0% for 2003, 2008, and 2014, respectively). Some socioeconomic characteristics are linked to nonmarital fertility levels with women without formal education, women from poor households, and self-employed women having significantly higher nonmarital fertility risks. Also, older unmarried women, women who have an early sexual debut, cohabiters, women with unmet need for family planning are all associated with considerably higher risks of nonmarital childbearing. A few significant regional disparities also exist, with the Central Region having higher whereas the Upper West Region has lower risks of nonmarital fertility compared to the Greater Accra Region. Childbirth outside marriage is a social concern among women in Ghana. The findings have possible implications for bridging socioeconomic disparities among unmarried women.

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“…The clear trend toward lower incidence of overachieved fertility could be related to decreasing unmet need for family planning in sub-Saharan Africa. A Study by Nyarko et al [ 7 ] using the 2003, 2008 and 2014 Ghana Demographic and Health Survey data has shown that there is a declining proportion of women not using contraception when they don’t want to get pregnant.…”

Section: Discussionmentioning

confidence: 99%

Predictors of underachieved and overachieved fertility among women with completed fertility in Ghana

2021

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Background A woman’s ability to achieve her preferred family size is critical in addressing issues of high fertility in sub-Saharan Africa. The socio-cultural context in sub-Saharan Africa presents some difficulty for the attainment of preferred fertility for many women. Few studies in sub-Saharan Africa have examined the extent to which women are unable to achieve their preferred family sizes. This study, therefore, examines the factors that are associated with the non-attainment of women’s preferred fertility by the end of their reproductive years. Data and methods The study analyzed pooled cross-sectional data with a sub-sample of 1,888 currently married women aged 45–49 years from five rounds of the Ghana Demographic and Health Survey, 1993 to 2014. Test of associations and multinomial logistic regression analysis were used to examine the predictors of underachieved and overachieved fertility relative to achieved fertility. Results The results indicate that 44 per cent of the women recorded overachieved fertility while about 36 per cent underachieved their fertility. Partner wants more, experiencing child loss and married more than once were significantly associated with overachieved fertility. Nonetheless, increased years of a woman’s education and delaying her at first birth were negatively associated with overachieved fertility. On the other hand, underachieved fertility was significantly associated with having a partner with fewer fertility preference, being of the Islamic faith and ever use of modern contraception. Conclusion Partner’s fertility preference, child loss experience, marrying more than once and ever use of modern contraception were important predictors of a woman’s inability to achieve her fertility preference. Policies to regulate men’s fertility behaviour, delaying age at first birth, use of modern contraception, encouraging longer years of education, and reducing infant and child mortality are important strategies to achieve fertility preference in Ghana.

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Spatio-temporal variations in unmet need for family planning in Ghana: 2003–2014

Cited by 16 publications

References 10 publications

Spatial variations and socioeconomic determinants of modern contraceptive use in Ghana: A Bayesian multilevel analysis

Spatial variations and socioeconomic determinants of modern contraceptive use in Ghana: A Bayesian multilevel analysis

Levels and socioeconomic correlates of nonmarital fertility in Ghana

Predictors of underachieved and overachieved fertility among women with completed fertility in Ghana

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