Trends in Modern Contraceptive Use among Young Adult Women in sub‐Saharan Africa 1990 to 2014

Abstract

This article provides updated estimates of trends in modern contraceptive use among young adult women (aged 15–24) who have had sex, using Demographic and Health Survey data from 23 sub‐Saharan African countries (1990–2014). In East/South Africa, parous women had higher modern contraceptive use than nulliparous women and larger increases in modern contraceptive use over time. In the West/Central region, nulliparous women had higher modern contraceptive use than parous women and larger increases in modern contraceptive use over time. Most of the increase in modern contraceptive use was driven by an increase in short‐acting—rather than long‐acting—methods across regions and parity groups. Although parous women had higher unmet need for family planning in both regions, nulliparous women had larger increases in unmet need for family planning over time in the East/South region. Decomposition analysis suggests that increases in use of modern contraceptives are largely driven by increases in the rate of contraceptive use rather than changes in the parity composition of women.

Geographical variation and factor associated with modern contraceptive utilization among Young married women aged between 15-24 years: Spatial and multilevel analysis of EDHS 2016.

“…Those young married women who have no big problem to access health services in community were more likely to use modern contraceptive. It is in line with study done in Sub Saharan country, Zimbabwe and Boston (17,56,57). Evidence show that family planning among young women in static health facility is not enough but geographical access has attracted huge attention as a possible major constraint on uptake of services (21).…”

Predictors of unmet need for contraception among adolescent girls and young women in selected high fertility countries in sub-Saharan Africa: A multilevel mixed effects analysis

“…However, in SSA, studies on the predictors of unmet need for contraception among AGYW have been done in specific countries like Ethiopia [13], Senegal [26] and South Africa [17]. There has not been any study that has combined specific high fertility countries in SSA together to understand the reasons for the high unmet need for contraception in AGYW who live in those countries.…”

“…Globally, the use of contraceptives has been considered essential in fertility regulation [9,10] and constitutes a major feature in the reproductive health of women, especially AGYW who have the desire to space or limit childbearing [11]. Although contraceptives have been considered effective in fertility regulation, their use among AGYW in SSA remains an issue that needs urgent attention [12][13][14]. Studies have indicated that despite the desire for AGYW in SSA to use contraceptives, a majority of them have challenges with access to contraceptive services [15][16][17].…”

“…Following the 2012 London Summit on Family Planning, over 40 states the world over acknowledged that life-saving contraception constitutes an essential aspect of fundamental human rights for women [ 13 ]. Although the prevalence of unmet need for contraception among AGYW in SSA is unknown, nearly 25% of women in the subregion (i.e.…”

Socio-economic and demographic predictors of unmet need for contraception among young women in sub-Saharan Africa: evidence from cross-sectional surveys

“…Other scholars have also defined women with unmet need for contraception as women who wish to space or limit births but do not use contraceptive methods [11][12][13]. Ensuing the 2012 London Summit on Family Planning, over 40 states the world over acknowledged that life-saving contraception constitutes a critical aspect of fundamental human rights for women [14].…”