Who Is Being Served Least by Family Planning Providers? A Study of Modern Contraceptive Use in Ghana, Tanzania and Zimbabwe

Clements, Steve; Madise, Nyovani

doi:10.2307/3583186

Cited by 33 publications

(30 citation statements)

References 12 publications

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“…Consistent with expected relationships for demand and access, the few studies undertaken to date with a focus on socioeconomic issues indicate that contraception rates are lower in poor countries and, within the limited set of countries analyzed, lower in poor women [21–25]. This study demonstrates that despite increases in national averages over time, the use of modern contraception by the absolute poor remains low, and the gaps in use across wealth quintiles persist and are increasing.…”

Section: Discussionsupporting

confidence: 64%

Use of Modern Contraception by the Poor Is Falling Behind

Gakidou

Vayena

2007

PLoS Med

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BackgroundThe widespread increase in the use of contraception, due to multiple factors including improved access to modern contraception, is one of the most dramatic social transformations of the past fifty years. This study explores whether the global progress in the use of modern contraceptives has also benefited the poorest.Methods and FindingsDemographic and Health Surveys from 55 developing countries were analyzed using wealth indices that allow the identification of the absolute poor within each country. This article explores the macro level determinants of the differences in the use of modern contraceptives between the poor and the national averages of several countries. Despite increases in national averages, use of modern contraception by the absolute poor remains low. South and Southeast Asia have relatively high rates of modern contraception in the absolute poor, on average 17% higher than in Latin America. Over time the gaps in use persist and are increasing. Latin America exhibits significantly larger gaps in use between the poor and the averages, while gaps in sub-Saharan Africa are on average smaller by 15.8% and in Southeast Asia by 11.6%.ConclusionsThe secular trend of increasing rates of modern contraceptive use has not resulted in a decrease of the gap in use for those living in absolute poverty. Countries with large economic inequalities also exhibit large inequalities in modern contraceptive use. In addition to macro level factors that influence contraceptive use, such as economic development and provision of reproductive health services, there are strong regional variations, with sub-Saharan Africa exhibiting the lowest national rates of use, South and Southeast Asia the highest use among the poor, and Latin America the largest inequalities in use.

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Section: Discussionsupporting

confidence: 64%

Use of Modern Contraception by the Poor Is Falling Behind

Gakidou

Vayena

2007

PLoS Med

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“…Moreover, among those married or living together at the time of the surveys and who were current users of FP methods, more than 82% of adolescents and 71% of young women took their decision about FP (18). Contrary to our nding, other studies found that married women had a signi cant relationship with the use of modern FP method and that adolescents and young women who were married or living together with a partner were more likely to use modern FP methods than those who were not married (or did not have a partner) (32,42).…”

Section: Factors Associated With the Use Of Modern Fp Methodscontrasting

confidence: 99%

“…However, in this study, married adolescents and young women were less likely to use modern FP methods than unmarried participants. Others studies conducted in Ghana, Ghana, Tanzania and Zimbabwe found also the signi cant relationship between modern FP methods use adolescent marriatal status (32,42). Moreover, among those married or living together at the time of the surveys and who were current users of FP methods, more than 82% of adolescents and 71% of young women took their decision about FP (18).…”

Section: Factors Associated With the Use Of Modern Fp Methodsmentioning

confidence: 95%

Levels and trends in family planning method use among urban adolescents and young women in Guinea: analysis of Demographic and Health Surveys from 1999 to 2018

Sidibé¹,

Délamou²,

Camara³

et al. 2020

Preprint

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Background Despite improvements, adolescent fertility remains high in Africa. In Guinea, high fertility among adolescents and young women in urban areas remains a public health concern. This study aims to describe levels and trends in, and factors associated with using modern family planning (FP) methods among urban adolescents and young women in Guinea.Methods We used four Guinea Demographic and Health Surveys (DHS) conducted in 1999, 2005, 2012, and 2018. Among urban adolescents and young women (15–24 years), we examined trends over time in four key indicators: 1. Contraceptive use (% using any using any FP method among all and among those in need for FP), 2. Unmet need for FP (% not using any FP method among all and among those in need for FP) and 3.Modern contraceptive use (% of using modern FP methods and among those in need of FP), and 4. % using modern FP method (demand satisfied). We multivariable logistic regression to examine association between socio-demographic factors and modern FP use (indicator 2) on the most recent DHS dataset (2018).Results We found a statistically significant changes over the time period exmained in modern contracetive use (8.4% in 1999 to 12.8% in 2018, p < 0.01), demand satisfied (29.0% in 1999, 54.1% in 2018, p < 0.001), and halving of unmet need for FP (from 15.8% in 1999 to 8.6% in 2018, p < 0.001). The most important changes in these two indicators occurred between 1999 and 2005.. Compared to those 15–19 years, young women (20–24) more likely to use modern FP methods. Those living in Faranah and Kankan more likely to use modern FP method than those in Conakry. Middle and richer wealth quintile households were more likely to use modern FP compared to poorer. Married women compared to nevever married and those from the Peulh and Malinke ethnic groups compared to Soussou were less likely to use modern FP methods.Conclusion Despite some progress, efforts are still needed to improve FP method use among urban adolescent and you women. Future policies and intervention programs should emphasize on improving adolescents’ reproductive health knowledge and increasing awareness of FP method use. The focus should also be on adolescents aged 15–19 years, disparities of urban administrative regions, ethnic groups, and wealth index, especially the poor quintiles.

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“…For instance, wealthier and educated women are expected to be more conscious about their health and that of their families hence more likely to use family planning methods. Some previous studies have also established significant positive relationship between socioeconomic status and contraceptive use among women (Tuoane et al, 2003, Curtis and Neitzel, 1996, Clement and Madise, 2004 Asiimwe et al (2013).…”

Section: Discussionmentioning

confidence: 98%