Socio-Economic and Demographic Factors Affecting Contraceptive use in Malawi

Martin E. Palamuleni

Abstract

Malawi has one of the highest Contraceptive Prevalence Rate (CPR) in Sub-Saharan Africa. However, fertility remains high and fertility decline is slow. This paper uses data from the 2000 and 2004 Demographic and Health Surveys to examine correlates of contraceptive use among currently married women in Malawi. Bivariate and multivariate logistic regression analyses were used to establish the relationships between socioeconomic variables and current use of contraception. The results show that the major determinants of contraceptive use are age, respondents’ and partners’ approval of family planning, family planning discussion with partner, number of living children, work status, education and visit to a health centre. As a policy measure, information, education and communication programmes on family planning should be intensified, particularly in rural areas and targeting men. (Afr J Reprod Health 2013; 17[3]: 91-104).

 

Résumé

Le Malawi possède l'un des taux de prévalence du contraceptif le plus élevé (TPC) en Afrique sub-saharienne. Cependant, la fécondité reste élevée et la baisse de la fécondité est faible. Cet article se sert  des données recueillies des enquêtes démographiques et de santé 2000 et 2004 afin d'examiner les corrélats de l'utilisation des contraceptifs chez les femmes mariées au Malawi. L’on s’est servi des analyses de régression logistique bi variées et multi variées  pour établir les relations entre les variables socio-économiques et l'utilisation actuelle de la contraception. Les résultats montrent que les principaux déterminants de l'utilisation des contraceptifs sont l’âge, l'approbation des interviewés et des partenaires, la discussion sur la planification familiale avec son partenaire,  le nombre d'enfants vivant, le statut professionnel, l'éducation et la visite à un centre de santé. Comme une mesure de politique, les programmes d'information, d’éducation et de communication sur la planification familiale devraient être intensifiés, en particulier dans les milieux ruraux et en ciblant les hommes. (Afr J Reprod Health 2013; 17[3]: 91104).

 

Keywords: Malawi, Contraceptive use, logistic regression, socio-economic, Demographic and health survey

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