Determinants of contraceptive continuation among women in sub-Saharan Africa

Budu, E; Okyere, J; Osei, MD; Seidu, A-A; Ahinkorah, BO

Determinants of contraceptive continuation among women in sub-Saharan Africa

Budu, E Okyere, J Osei, MD Seidu, A-A Ahinkorah, BO

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Publisher:: Springer Nature
Publication Type:: Journal Article
Citation:: BMC Women's Health, 2023, 23, (1), pp. 447
Issue Date:: 2023-08-24

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Field	Value	Language
dc.contributor.author	Budu, E
dc.contributor.author	Okyere, J
dc.contributor.author	Osei, MD
dc.contributor.author	Seidu, A-A
dc.contributor.author	Ahinkorah, BO
dc.date.accessioned	2024-04-11T03:46:11Z
dc.date.available	2023-07-27
dc.date.available	2024-04-11T03:46:11Z
dc.date.issued	2023-08-24
dc.identifier.citation	BMC Women's Health, 2023, 23, (1), pp. 447
dc.identifier.issn	1472-6874
dc.identifier.issn	1472-6874
dc.identifier.uri	http://hdl.handle.net/10453/177722
dc.description.abstract	BackgroundContraceptive continuation is an important factor that has significant implications on total fertility rates and reproductive health outcomes like unintended pregnancies Therefore it is imperative to understand the factors that influence women s decision to continue the use of contraceptives The present study examined the determinants of contraceptive continuation among women in sub Saharan Africa SSA MethodsData for the study were extracted from the most recent Demographic and Health Surveys DHS of twenty four 24 countries in SSA Descriptive and multivariable binary logistic regression analysis were conducted Frequencies percentanges and an adjusted odds ratio with 95 confidence intervals were used to present the results ResultsCompared to adolescents adult women aged 45 49 years aOR 1 24 CI 1 13 1 37 had higher odds of contraceptive continuation The odds of contraceptive continuation were lower among those working aOR 0 96 CI 0 93 0 98 compared to those not working Also the study shows that the likelihood of contraceptive continuation was lower among those exposed to family planning messages compared to those not exposed aOR 0 91 CI 0 88 0 93 Compared to women who used LARCs women who used pills aOR 0 34 CI 0 33 0 36 injectable aOR 0 42 CI 0 40 0 43 other modern contraceptives aOR 0 72 CI 0 68 0 75 or traditional methods aOR 0 50 CI 0 478 0 523 were less likely to continue with their contraception Women with one birth aOR 0 86 CI 0 83 0 90 and those with 2 births in the last five years aOR 0 54 CI 0 512 0 56 reported lower odds of contraceptive continuation as compared to those with no births Compared to women with no children living those with 4 children living had lower odds of contraceptive continuation aOR 0 62 CI 0 57 0 67 The study also found that the likelihood of contraceptive continuation was higher among those with secondary education aOR 1 08 CI 1 04 1 12 as compared to those with no formal education Contraceptive continuation was also higher
dc.format	Electronic
dc.language	eng
dc.publisher	Springer Nature
dc.relation.ispartof	BMC Women's Health
dc.relation.isbasedon	10.1186/s12905-023-02578-8
dc.rights	info:eu-repo/semantics/openAccess
dc.subject	1110 Nursing, 1114 Paediatrics and Reproductive Medicine, 1117 Public Health and Health Services
dc.subject.classification	Obstetrics & Reproductive Medicine
dc.subject.classification	3215 Reproductive medicine
dc.subject.classification	4204 Midwifery
dc.subject.classification	4206 Public health
dc.subject.mesh	Adolescent
dc.subject.mesh	Adult
dc.subject.mesh	Child
dc.subject.mesh	Pregnancy
dc.subject.mesh	Female
dc.subject.mesh	Humans
dc.subject.mesh	Contraceptive Agents
dc.subject.mesh	Contraception
dc.subject.mesh	Family Planning Services
dc.subject.mesh	Birth Rate
dc.subject.mesh	Africa South of the Sahara
dc.subject.mesh	Humans
dc.subject.mesh	Contraceptive Agents
dc.subject.mesh	Contraception
dc.subject.mesh	Birth Rate
dc.subject.mesh	Pregnancy
dc.subject.mesh	Adolescent
dc.subject.mesh	Adult
dc.subject.mesh	Child
dc.subject.mesh	Family Planning Services
dc.subject.mesh	Africa South of the Sahara
dc.subject.mesh	Female
dc.subject.mesh	Adolescent
dc.subject.mesh	Adult
dc.subject.mesh	Child
dc.subject.mesh	Pregnancy
dc.subject.mesh	Female
dc.subject.mesh	Humans
dc.subject.mesh	Contraceptive Agents
dc.subject.mesh	Contraception
dc.subject.mesh	Family Planning Services
dc.subject.mesh	Birth Rate
dc.subject.mesh	Africa South of the Sahara
dc.title	Determinants of contraceptive continuation among women in sub-Saharan Africa
dc.type	Journal Article
utslib.citation.volume	23
utslib.location.activity	England
utslib.for	1110 Nursing
utslib.for	1114 Paediatrics and Reproductive Medicine
utslib.for	1117 Public Health and Health Services
utslib.copyright.status	open_access	*
pubs.consider-herdc	true
dc.date.updated	2024-04-11T03:46:08Z
pubs.issue	1
pubs.publication-status	Published
pubs.volume	23
utslib.citation.issue	1

Abstract:

BackgroundContraceptive continuation is an important factor that has significant implications on total fertility rates and reproductive health outcomes like unintended pregnancies Therefore it is imperative to understand the factors that influence women s decision to continue the use of contraceptives The present study examined the determinants of contraceptive continuation among women in sub Saharan Africa SSA MethodsData for the study were extracted from the most recent Demographic and Health Surveys DHS of twenty four 24 countries in SSA Descriptive and multivariable binary logistic regression analysis were conducted Frequencies percentanges and an adjusted odds ratio with 95 confidence intervals were used to present the results ResultsCompared to adolescents adult women aged 45 49 years aOR 1 24 CI 1 13 1 37 had higher odds of contraceptive continuation The odds of contraceptive continuation were lower among those working aOR 0 96 CI 0 93 0 98 compared to those not working Also the study shows that the likelihood of contraceptive continuation was lower among those exposed to family planning messages compared to those not exposed aOR 0 91 CI 0 88 0 93 Compared to women who used LARCs women who used pills aOR 0 34 CI 0 33 0 36 injectable aOR 0 42 CI 0 40 0 43 other modern contraceptives aOR 0 72 CI 0 68 0 75 or traditional methods aOR 0 50 CI 0 478 0 523 were less likely to continue with their contraception Women with one birth aOR 0 86 CI 0 83 0 90 and those with 2 births in the last five years aOR 0 54 CI 0 512 0 56 reported lower odds of contraceptive continuation as compared to those with no births Compared to women with no children living those with 4 children living had lower odds of contraceptive continuation aOR 0 62 CI 0 57 0 67 The study also found that the likelihood of contraceptive continuation was higher among those with secondary education aOR 1 08 CI 1 04 1 12 as compared to those with no formal education Contraceptive continuation was also higher

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http://hdl.handle.net/10453/177722