Facilitators and barriers to modern contraception use among reproductive-aged women living in sub-Saharan Africa

2017 ◽  
Vol 15 (9) ◽  
pp. 2229-2233 ◽  
Author(s):  
Mark Akantigse Aviisah ◽  
Ishmael D. Norman ◽  
Yeetey Enuameh
Keyword(s):  
Sub Saharan Africa ◽  
Modern Contraception ◽  
Contraception Use ◽  
Facilitators And Barriers ◽  
Sub Saharan ◽  
Reproductive Aged Women

scholarly journals Determinants of Modern Contraceptive Utilization Among Married Women in sub-Saharan Africa; Multilevel Analysis of Recent Demographic and Health Survey

2021 ◽  
Author(s):  
Zemenu Tadesse Tesema ◽  
Getayeneh Antehunegn Tesema ◽  
Moges Muluneh Boke ◽  
Temesgen Yihunie Akalu
Keyword(s):  
Married Women ◽  
Sub Saharan Africa ◽  
Modern Contraceptive ◽  
African Countries ◽  
Wealth Status ◽  
Modern Contraception ◽  
Pooled Prevalence ◽  
Contraception Use ◽  
Contraceptive Utilization ◽  
Sub Saharan

Abstract Background Family planning is a low-cost, high-impact public health and development strategy. Planned pregnancies are essential for both the child and mother’s health. However, there is a lack of evidence on modern contraceptive use and determinants in sub-Saharan Africa, hence this study aimed to determine the pooled prevalence and determinants of modern contraceptive utilization across Sub-Saharan Africa. Methods Thirty-six sub-Saharan African countries' demographic and health survey (DHS) data were used for pooled analysis. A total weighted sample of 322,525 married women was included in the study. Cross tabulations and summary statistics were done using STATA version 14 software. The pooled prevalence of modern contraceptive utilization with a 95% Confidence Interval (CI) was reported for sub- Saharan Africa countries. Four models were fitted to select the best-fitted model for the data using Likelihood Ratio (LLR) and Deviance. Model III was selected because of its highest LLR and Smallest deviance. Results The pooled estimate of modern contraception use in sub–Saharan African countries were 18.36% [95% CI: 18.24, 18.48], with highest in Lesotho (59.79%) and the lowest in Chad (5.04%). The odds of modern contraception utilization were increased; women living in East Africa (AOR = 1.47 (1.40, 1.54)), urban (AOR = 1.18 (1.14, 1.24)), women primary and secondary and above educational level (AOR = 1.49 (1.44, 1.55)), and (AOR = 1.66 (1.58, 1.74)) respectively, husband primary and secondary and above educational level (AOR = 1.38 (1.33, 1.42)) and (AOR = 1.38 (1.36, 1.47)), wealth status middle and rich (AOR = 1.17, (1.14, 1.21)) and (AOR = 1.29 (1.25, 1.34)) respectively, media exposure (AOR = 1.25 (1.22, 1.29)), Postnatal care(PNC) utilization (AOR = 1.25 (1.22, 1.29)), deliver at health facility (AOR = 1.74 (1.69, 1.79)), and birth order 2–4 and 5+ (AOR = 1.36 (1.31, 1.41)) and (AOR = 1.35 (1.28, 1.43)) whereas the odds of contraception use were decreased among women living in Central, and Western regions (AOR = 0.23 (0.22, 0.24)), and (AOR = 0.46 (0.40, 0.54)) respectively, women decided with husband and husband alone (AOR = 0.90 (0.87, 0.93)) and (AOR = 0.73 (0.71, 0.75)). Conclusion The uptake of modern contraception in sub-Saharan Africa is low compared to other developing region. Therefore, family planning program activities need to give attention to the rural resident, illiterate women and low wealth status community.

Intimate partner violence and contraception use among women in Sub-Saharan Africa

2009 ◽  
Vol 107 (1) ◽  
pp. 35-38 ◽  
Author(s):  
Amina P. Alio ◽  
Ellen M. Daley ◽  
Philip N. Nana ◽  
Jingyi Duan ◽  
Hamisu M. Salihu
Keyword(s):  
Intimate Partner Violence ◽  
Partner Violence ◽  
Intimate Partner ◽  
Sub Saharan Africa ◽  
Contraception Use ◽  
Sub Saharan

Trend in the use of modern contraception in sub-Saharan Africa: does women's education matter?

Contraception ◽  
2014 ◽  
Vol 90 (2) ◽  
pp. 154-161 ◽  
Author(s):  
Jacques B.O. Emina ◽  
Tobias Chirwa ◽  
Ngianga-Bakwin Kandala
Keyword(s):  
Women's Education ◽  
Sub Saharan Africa ◽  
Modern Contraception ◽  
Sub Saharan

Oral and injectable contraception use and risk of HIV acquisition among women in sub-Saharan Africa

AIDS ◽  
2013 ◽  
Vol 27 (6) ◽  
pp. 1001-1009 ◽  
Author(s):  
Sandra I. McCoy ◽  
Wenjing Zheng ◽  
Elizabeth T. Montgomery ◽  
Kelly Blanchard ◽  
Ariane van der Straten ◽  
...  
Keyword(s):  
Sub Saharan Africa ◽  
Contraception Use ◽  
Sub Saharan ◽  
Hiv Acquisition ◽  
Risk Of Hiv Acquisition

scholarly journals Determinants of Modern Contraceptive Utilization Among Married Women in Sub-saharan Africa: Multilevel Analysis Using Recent Demographic and Health Survey

2021 ◽  
Author(s):  
Zemenu Tadesse Tesema ◽  
Getayeneh Antehunegn Tesema ◽  
Moges Muluneh Boke ◽  
Temesgen Yihunie Akalu
Keyword(s):  
Health Survey ◽  
Married Women ◽  
Sub Saharan Africa ◽  
Modern Contraceptive ◽  
African Countries ◽  
Wealth Status ◽  
Modern Contraception ◽  
Pooled Prevalence ◽  
Contraceptive Utilization ◽  
Sub Saharan

Abstract Background: Family planning is a low-cost, high-impact public health and development strategy to improve child and maternal health. However, there is a lack of evidence on modern contraceptive use and determinants in sub-Saharan Africa. Hence, this study was aimed at determining the pooled prevalence and determinants of modern contraceptive utilization in Sub-Saharan Africa. Methods: Thirty-six sub-Saharan African countries' demographic and health survey (DHS) data were used for pooled analysis. A total weighted sample of 322,525 married women were included. Cross tabulations and summary statistics were done using STATA version 14 software. The pooled prevalence of modern contraceptive utilization with a 95% Confidence Interval (CI) was reported. Four models were fitted to select the best-fitted model using Likelihood Ratio (LLR) and Deviance test. Finally, the model with the highest LLR and the smallest deviance was selected as a best fitted model. Results: The pooled estimate of modern contraception use in sub–Saharan African countries was 18.36% [95% CI: 18.24, 18.48], with highest in Lesotho (59.79%) and the lowest in Chad (5.04%). The odds of modern contraception utilization among women living in East Africa was (AOR=1.47 (1.40, 1.54)), urban (AOR=1.18 (1.14, 1.24)), women primary and secondary and above educational level (AOR=1.49 (1.44, 1.55)), and (AOR=1.66 (1.58, 1.74)), respectively. Moreover, husband primary (AOR=1.38 (1.33, 1.42)), middle (AOR=1.17, (1.14, 1.21)), rich wealth status (AOR=1.29 (1.25, 1.34)), media exposure (AOR=1.25 (1.22, 1.29)), and postnatal care (PNC) utilization (AOR=1.25 (1.22, 1.29)) had higher odds of modern contraceptive utilization compared with their counter parts. Furthermore, deliver at health facility (AOR=1.74 (1.69, 1.79)) and birth order 2-4 (AOR=1.36 (1.31, 1.41)) had higher odds of modern contraceptive utilization. On the otherhand, women living in Central (AOR=0.23 (0.22, 0.24)), Western regions (AOR=0.46 (0.40, 0.54)), women decided with husband (AOR=0.90 (0.87, 0.93)), and husband alone (AOR=0.73 (0.71, 0.75)) were decreased the odds of modern contraceptive utilization. Conclusion: The uptake of modern contraception in sub-Saharan Africa is low. Modern contraceptive utilization is affected by different factors. More attention need to be given to rural residents, illiterate women, and communities with low wealth status.

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

PLoS ONE ◽  
2021 ◽  
Vol 16 (6) ◽  
pp. e0250881
Author(s):  
Isaac Yeboah ◽  
Stephen Owusu Kwankye ◽  
Faustina Frempong-Ainguah
Keyword(s):  
Cultural Context ◽  
Multinomial Logistic Regression ◽  
Sub Saharan Africa ◽  
High Fertility ◽  
Age At First Birth ◽  
Child Loss ◽  
First Birth ◽  
Fertility Preference ◽  
Modern Contraception ◽  
Sub Saharan

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.

scholarly journals Preterm birth and its associated factors among reproductive aged women in sub-Saharan Africa: evidence from the recent demographic and health surveys of sub-Sharan African countries

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Tesfa Sewunet Alamneh ◽  
Achamyeleh Birhanu Teshale ◽  
Misganaw Gebrie Worku ◽  
Zemenu Tadesse Tessema ◽  
Yigizie Yeshaw ◽  
...  
Keyword(s):  
Preterm Birth ◽  
Health Surveys ◽  
Associated Factors ◽  
Sub Saharan Africa ◽  
Eastern Africa ◽  
Demographic And Health Surveys ◽  
Pooled Prevalence ◽  
Sub Saharan ◽  
Reproductive Aged Women ◽  
Ssa Countries

Abstract Background Globally, preterm birth is the leading cause of neonatal and under-five children mortality. Sub-Saharan African (SSA) accounts for the majority of preterm birth and death following its complications. Despite this, there is limited evidence about the pooled prevalence and associated factors of preterm birth at SSA level using nation-wide representative large dataset. Therefore, this study aimed to determine the pooled prevalence and associated factors of preterm birth among reproductive aged women. Methods The recent Demographic and Health Surveys (DHSs) data of 36 SSA countries were used. We included a total weighted sample of 172,774 reproductive-aged women who were giving birth within five years preceding the most recent survey of SSA countries were included in the analysis. We used a multilevel logistic regression model to identify the associated factors of preterm birth in SSA. We considered a statistical significance at a p-value less than 0.05. Results In this study, 5.33% (95% CI: 5.23, 5.44%) of respondents in SSA had delivered preterm baby. Being form eastern Africa, southern Africa, rural area, being educated, substance use, having multiple pregnancy, currently working history, having history of terminated pregnancy, and previous cesarean section delivery, primi-parity, and short birth interval were associated with higher odds of preterm birth among reproductive aged women. However, having better wealth index, being married, wanted pregnancy, and having four or more antenatal care visit were associated with lower odds for a preterm birth among reproductive aged women. Conclusion The prevalence of preterm birth among reproductive-aged women remains a major public health problem in SSA. Preterm birth was affected by various socio-economic and obstetrical factors. Therefore, it is better to consider the high-risk groups during intervention to prevent the short-term and long-term consequences of preterm birth.

RTS,S/AS01, a vaccine targeting pre-erythrocytic stages of Plasmodium falciparum

2017 ◽  
Vol 1 (6) ◽  
pp. 533-537
Author(s):  
Lorenz von Seidlein ◽  
Borimas Hanboonkunupakarn ◽  
Podjanee Jittmala ◽  
Sasithon Pukrittayakamee
Keyword(s):  
Protective Efficacy ◽  
Age Groups ◽  
Sub Saharan Africa ◽  
Phase Iii ◽  
European Medicines Agency ◽  
Older Children ◽  
Pivotal Phase ◽  
Malaria Epidemiology ◽  
Maximum Benefit ◽  
Sub Saharan

RTS,S/AS01 is the most advanced vaccine to prevent malaria. It is safe and moderately effective. A large pivotal phase III trial in over 15 000 young children in sub-Saharan Africa completed in 2014 showed that the vaccine could protect around one-third of children (aged 5–17 months) and one-fourth of infants (aged 6–12 weeks) from uncomplicated falciparum malaria. The European Medicines Agency approved licensing and programmatic roll-out of the RTSS vaccine in malaria endemic countries in sub-Saharan Africa. WHO is planning further studies in a large Malaria Vaccine Implementation Programme, in more than 400 000 young African children. With the changing malaria epidemiology in Africa resulting in older children at risk, alternative modes of employment are under evaluation, for example the use of RTS,S/AS01 in older children as part of seasonal malaria prophylaxis. Another strategy is combining mass drug administrations with mass vaccine campaigns for all age groups in regional malaria elimination campaigns. A phase II trial is ongoing to evaluate the safety and immunogenicity of the RTSS in combination with antimalarial drugs in Thailand. Such novel approaches aim to extract the maximum benefit from the well-documented, short-lasting protective efficacy of RTS,S/AS01.

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