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Factors Associated with Contraceptive Use in Sub-Saharan Africa

BACKGROUND: Globally 10% of women have an unmet need for contraception, with higher rates in sub-Saharan Africa. Programs to improve family planning (FP) outcomes require data on how service characteristics (e.g., geographic access, quality) and women's characteristics are associated with contr...

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Autores principales: Kraft, Joan Marie, Serbanescu, Florina, Schmitz, Michelle M., Mwanshemele, Yisambi, Ruiz C., Alicia G., Maro, Godson, Chaote, Paul
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Mary Ann Liebert, Inc., publishers 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8972023/
https://www.ncbi.nlm.nih.gov/pubmed/34129385
http://dx.doi.org/10.1089/jwh.2020.8984
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author Kraft, Joan Marie
Serbanescu, Florina
Schmitz, Michelle M.
Mwanshemele, Yisambi
Ruiz C., Alicia G.
Maro, Godson
Chaote, Paul
author_facet Kraft, Joan Marie
Serbanescu, Florina
Schmitz, Michelle M.
Mwanshemele, Yisambi
Ruiz C., Alicia G.
Maro, Godson
Chaote, Paul
author_sort Kraft, Joan Marie
collection PubMed
description BACKGROUND: Globally 10% of women have an unmet need for contraception, with higher rates in sub-Saharan Africa. Programs to improve family planning (FP) outcomes require data on how service characteristics (e.g., geographic access, quality) and women's characteristics are associated with contraceptive use. MATERIALS AND METHODS: We combined data from health facility assessments (2018 and 2019) and a population-based regional household survey (2018) of married and in-union women ages 15–49 in the Kigoma Region of Tanzania. We assessed the associations between contraceptive use and service (i.e., distance, methods available, personnel) and women's (e.g., demographic characteristics, fertility experiences and intentions, attitudes toward FP) characteristics. RESULTS: In this largely rural sample (n = 4,372), 21.7% of women used modern reversible contraceptive methods. Most variables were associated with contraceptive use in bivariate analyses. In multivariate analyses, access to services located <2 km of one's home that offered five methods (adjusted odds ratio [aOR] = 1.57, confidence interval [CI] = 1.18–2.10) and had basic amenities (aOR = 1.66, CI = 1.24–2.2) increased the odds of contraceptive use. Among individual variables, believing that FP benefits the family (aOR = 3.65, CI = 2.18–6.11) and believing that contraception is safe (aOR = 2.48, CI = 1.92–3.20) and effective (aOR = 3.59, CI = 2.63–4.90) had strong associations with contraceptive use. CONCLUSIONS: Both service and individual characteristics were associated with contraceptive use, suggesting the importance of coordination between efforts to improve access to services and social and behavior change interventions that address motivations, knowledge, and attitudes toward FP.
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spelling pubmed-89720232022-04-01 Factors Associated with Contraceptive Use in Sub-Saharan Africa Kraft, Joan Marie Serbanescu, Florina Schmitz, Michelle M. Mwanshemele, Yisambi Ruiz C., Alicia G. Maro, Godson Chaote, Paul J Womens Health (Larchmt) Original Articles BACKGROUND: Globally 10% of women have an unmet need for contraception, with higher rates in sub-Saharan Africa. Programs to improve family planning (FP) outcomes require data on how service characteristics (e.g., geographic access, quality) and women's characteristics are associated with contraceptive use. MATERIALS AND METHODS: We combined data from health facility assessments (2018 and 2019) and a population-based regional household survey (2018) of married and in-union women ages 15–49 in the Kigoma Region of Tanzania. We assessed the associations between contraceptive use and service (i.e., distance, methods available, personnel) and women's (e.g., demographic characteristics, fertility experiences and intentions, attitudes toward FP) characteristics. RESULTS: In this largely rural sample (n = 4,372), 21.7% of women used modern reversible contraceptive methods. Most variables were associated with contraceptive use in bivariate analyses. In multivariate analyses, access to services located <2 km of one's home that offered five methods (adjusted odds ratio [aOR] = 1.57, confidence interval [CI] = 1.18–2.10) and had basic amenities (aOR = 1.66, CI = 1.24–2.2) increased the odds of contraceptive use. Among individual variables, believing that FP benefits the family (aOR = 3.65, CI = 2.18–6.11) and believing that contraception is safe (aOR = 2.48, CI = 1.92–3.20) and effective (aOR = 3.59, CI = 2.63–4.90) had strong associations with contraceptive use. CONCLUSIONS: Both service and individual characteristics were associated with contraceptive use, suggesting the importance of coordination between efforts to improve access to services and social and behavior change interventions that address motivations, knowledge, and attitudes toward FP. Mary Ann Liebert, Inc., publishers 2022-03-01 2022-03-11 /pmc/articles/PMC8972023/ /pubmed/34129385 http://dx.doi.org/10.1089/jwh.2020.8984 Text en © Joan Marie Kraft et al. 2022; Published by Mary Ann Liebert, Inc. https://creativecommons.org/licenses/by-nc/4.0/This Open Access article is distributed under the terms of the Creative Commons Attribution Noncommercial License [CC-NC-BY] (http://creativecommons.org/licenses/by-nc/4.0/ (https://creativecommons.org/licenses/by-nc/4.0/) ) which permits any noncommercial use, distribution, and reproduction in any medium, provided the original author(s) and the source are cited.
spellingShingle Original Articles
Kraft, Joan Marie
Serbanescu, Florina
Schmitz, Michelle M.
Mwanshemele, Yisambi
Ruiz C., Alicia G.
Maro, Godson
Chaote, Paul
Factors Associated with Contraceptive Use in Sub-Saharan Africa
title Factors Associated with Contraceptive Use in Sub-Saharan Africa
title_full Factors Associated with Contraceptive Use in Sub-Saharan Africa
title_fullStr Factors Associated with Contraceptive Use in Sub-Saharan Africa
title_full_unstemmed Factors Associated with Contraceptive Use in Sub-Saharan Africa
title_short Factors Associated with Contraceptive Use in Sub-Saharan Africa
title_sort factors associated with contraceptive use in sub-saharan africa
topic Original Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8972023/
https://www.ncbi.nlm.nih.gov/pubmed/34129385
http://dx.doi.org/10.1089/jwh.2020.8984
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