Betregiorgis Zegeye1, Bright Opoku Ahinkorah2, Dina Idriss-Wheeler3, Comfort Z Olorunsaiye4, Nicholas Kofi Adjei5, Sanni Yaya6,7. 1. HaSET Maternal and Child Health Research Program, Shewarobit Field Office, Shewarobit, Ethiopia. 2. School of Public Health, Faculty of Health, University of Technology Sydney, Ultimo, Australia. 3. Interdisciplinary School of Health Sciences, University of Ottawa, Ottawa, Ontario, Canada. 4. Department of Public Health, Arcadia University, Glenside, PA, USA. 5. Leibniz Institute for Prevention Research and Epidemiology, BIPS, Bremen, Germany. 6. School of International Development and Global Studies, University of Ottawa, 120 University Private, Ottawa, ON, K1N 6N5, Canada. sanni.yaya@uOttawa.ca. 7. The George Institute for Global Health, Imperial College London, London, UK. sanni.yaya@uOttawa.ca.
Abstract
BACKGROUND: Utilization of modern contraceptives is still low in low-and middle-income countries, although fertility and population growth rates are high. In Senegal, modern contraceptive utilization is low, with few studies focusing on its associated factors. This study examined modern contraceptive use and its associated factors among married women in Senegal. METHODS: Data from the 2017 Continuous Demographic and Health Survey (C-DHS) on 11,394 married women was analysed. We examined the associations between the demographic and socioeconomic characteristics of women and their partners and modern contraceptive use using multilevel logistic regression models. Adjusted odds ratios with 95% confidence intervals (CI) were estimated. RESULTS: The utilization of modern contraceptives among married women was 26.3%. Individual level factors associated with modern contraceptive use were women's age (45-49 years-aOR = 0.44, 0.30-0.63), women's educational level (higher-aOR = 1.88, 1.28-2.76) husband's educational level (higher-aOR = 1.43, 1.10-1.85)), number of living children (5 or more children-aOR = 33.14, 19.20-57.22), ideal number of children (2 children-aOR = 1.95, 1.13-3.35), desire to have more children (wants no more-aOR = 2.46, 2.06-2.94), ethnicity (Diola-aOR = 0.70, 0.50-0.99), media exposure (yes-aOR = 1.44, 1.16-1.79)), wealth index (richer-aOR = 1.31, 1.03-1.67) and decision making power of women (decision making two-aOR = 1.20, 1.02-1.41). Whereas, region (Matam-aOR = 0.35, 0.23-0.53), place of residence (rural-aOR = 0.76, 0.63-0.93), community literacy level (high-aOR = 1.31, 1.01-1.71) and community knowledge level of modern contraceptives (high-aOR = 1.37, 1.13-1.67) were found as significant community level factors. CONCLUSIONS: The findings indicate that both individual and community level factors are significantly associated with modern contraceptive use among married women in Senegal. Interventions should focus on enhancing literacy levels of women, their husbands and communities. Furthermore, strengthening awareness and attitude towards family planning should be given priority, especially in rural areas and regions with low resources.
BACKGROUND: Utilization of modern contraceptives is still low in low-and middle-income countries, although fertility and population growth rates are high. In Senegal, modern contraceptive utilization is low, with few studies focusing on its associated factors. This study examined modern contraceptive use and its associated factors among married women in Senegal. METHODS: Data from the 2017 Continuous Demographic and Health Survey (C-DHS) on 11,394 married women was analysed. We examined the associations between the demographic and socioeconomic characteristics of women and their partners and modern contraceptive use using multilevel logistic regression models. Adjusted odds ratios with 95% confidence intervals (CI) were estimated. RESULTS: The utilization of modern contraceptives among married women was 26.3%. Individual level factors associated with modern contraceptive use were women's age (45-49 years-aOR = 0.44, 0.30-0.63), women's educational level (higher-aOR = 1.88, 1.28-2.76) husband's educational level (higher-aOR = 1.43, 1.10-1.85)), number of living children (5 or more children-aOR = 33.14, 19.20-57.22), ideal number of children (2 children-aOR = 1.95, 1.13-3.35), desire to have more children (wants no more-aOR = 2.46, 2.06-2.94), ethnicity (Diola-aOR = 0.70, 0.50-0.99), media exposure (yes-aOR = 1.44, 1.16-1.79)), wealth index (richer-aOR = 1.31, 1.03-1.67) and decision making power of women (decision making two-aOR = 1.20, 1.02-1.41). Whereas, region (Matam-aOR = 0.35, 0.23-0.53), place of residence (rural-aOR = 0.76, 0.63-0.93), community literacy level (high-aOR = 1.31, 1.01-1.71) and community knowledge level of modern contraceptives (high-aOR = 1.37, 1.13-1.67) were found as significant community level factors. CONCLUSIONS: The findings indicate that both individual and community level factors are significantly associated with modern contraceptive use among married women in Senegal. Interventions should focus on enhancing literacy levels of women, their husbands and communities. Furthermore, strengthening awareness and attitude towards family planning should be given priority, especially in rural areas and regions with low resources.
Entities:
Keywords:
Contraceptive utilization; Modern contraceptive; Senegal; sexual and reproductive health
Authors: Rob Stephenson; Angela Baschieri; Steve Clements; Monique Hennink; Nyovani Madise Journal: Am J Public Health Date: 2007-05-30 Impact factor: 9.308
Authors: Jai K Das; Rehana A Salam; Kent L Thornburg; Andrew M Prentice; Susan Campisi; Zohra S Lassi; Berthold Koletzko; Zulfiqar A Bhutta Journal: Ann N Y Acad Sci Date: 2017-04 Impact factor: 5.691
Authors: Babacar Ndiaye; Louis Thiam; Gahee Ham; Yunsung Choi; Eunmi Lee; Kilho Kang; Youngran Yang Journal: Int J Environ Res Public Health Date: 2021-12-30 Impact factor: 3.390