Women's fertility desires and contraceptive behavior in three peri-urban communities in sub Saharan Africa

Autor: Assefa Seme, Amy O. Tsui, Funmilola M. OlaOlorun, Easmon Otupiri, Peter O. Ogunjuyigbe
Jazyk: angličtina
Rok vydání: 2016
Předmět:
Adult
medicine.medical_specialty
Health Knowledge
Attitudes
Practice
Contraceptive Prevalence Surveys
Adolescent
media_common.quotation_subject
Population
Reproductive medicine
Developing country
Fertility
Peri-urban
Reproductive Behavior
Sub-saharan Africa
Suburban Health
Cohort Studies
03 medical and health sciences
Young Adult
0302 clinical medicine
Spatio-Temporal Analysis
Obstetrics and Gynaecology
medicine
Humans
Longitudinal Studies
Socioeconomics
education
Contraception Behavior
Africa South of the Sahara
media_common
education.field_of_study
Family Characteristics
030219 obstetrics & reproductive medicine
030505 public health
Public health
Research
Obstetrics and Gynecology
Parity
Geography
Contraceptive behavior
Reproductive Medicine
Socioeconomic Factors
Family planning
Family Planning Services
Linear Models
Educational Status
Fertility desires
Female
0305 other medical science
Cohort study
Zdroj: Reproductive Health
ISSN: 1742-4755
Popis: Background Fertility desires and contraceptive behavior often change over time. This study examined the influence of change in fertility desires on change in modern contraceptive use over time in three peri-urban communities in sub-Saharan Africa. Methods This multi-site study includes baseline and follow up data from 3 sites in the Family Health and Wealth Study. Following a census in each site, a probability sample of at least 500 households was obtained. Generalized linear models were employed. Results Modern contraceptive use increased in Ipetumodu, Nigeria (29.4 % to 36.7 %), but declined slightly in Sebeta, Ethiopia (66.9 % to 61.3 %) and Asawase, Ghana (12.6 % to 10.8 %). Across sites, at baseline and follow up, women who wanted no more children reported more contraceptive use, compared with those who wanted more children, and were more likely to shift to being contraceptive users in Ipetumodu [aOR(95 % CI):1.55 (1.07,2.26)]. Conclusions Women’s fertility desires influenced their contraceptive behavior, although there were cross-site differences. Changing contraceptive demand and program factors will be important to enable peri-urban women to frame and act on their fertility desires.
Databáze: OpenAIRE
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