Unmet need for contraception and its associated factors among adolescent and young women in Guinea: A multilevel analysis of the 2018 Demographic and Health Surveys

Abstract

Despite the recent repositioning efforts to increase the use of modern contraceptives, the prevalence of unmet need for contraception remains high among adolescent and young women in Guinea. This study analyzed the individual and contextual factors associated with the unmet need for contraception among adolescent and young women in 2018 in Guinea. We conducted a secondary analysis of the 2018 Demographic and Health Survey data. Multilevel mixed-effects logistic regression models were used to assess the association between individual and contextual characteristics and unmet need for contraception among adolescents and young women. Adjusted odds ratios (AORs) with their 95% confidence intervals (CIs) were calculated, with statistical significance set at p < 0.05. The prevalence of total unmet need for contraception was 22.6% (95% CI, 18.1–27.8). Being an adolescent aged 15–19 years (AOR = 1.44; 95% CI, 1.01–2.05), unmarried (AOR = 5.19; 95% CI, 3.51–7.67), having one or two children (AOR = 3.04; 95% CI, 2.18–4.25), or more than two children (AOR = 4.79; 95% CI, 3.00–7.62) were individual factors associated with the unmet need for contraception. As for community factors, only living in Labé (AOR = 2.54; 95% CI, 1.24–5.18) or Mamou (AOR = 1.73; 95% CI, 1.21–2.48) was significantly associated with the unmet need for contraception. In conclusion, both individual and community characteristics were significantly associated with the unmet need for contraception. This highlights the need to focus and strengthen communication and counseling strategies targeting adolescents and young women and aiming to increase the uptake of family planning in Guinea.

The prevalence of contraceptive use among postpartum women and its associated factors during the early phase of COVID-19 outbreak: a time series study

“…The association between age and the unmet need for contraception is complex and depends on the demographic and societal context. For example, a study conducted among Guineans found a higher prevalence of unmet need for contraceptives among adolescents compared to young women as young women are more likely to live in union and may desire to have children while adolescents may face stigma of using contraceptive services outside their marriage [ 32 ]. Recognizing and addressing the unique needs of these age groups can enhance the effectiveness of reproductive health policies and better support individual’s needs.…”

Factors associated with decision-making on family planning use among women aged 15-49 in Guinea

“…6 A study conducted in Guinea in 2022 reported a prevalence of unmet need for contraception of 22.6%. 7 Women's decision-making power regarding the use of family planning services is a real problem in Guinea. Yet there are no studies examining the factors associated with this decision-making power among married women in the country, where the cost-free provision of family planning methods is not fully in place.…”