Determinants of modern contraceptive use among married women and those living with a partner in Ghana
), Emmanuel K. Nakua(2), Ellis Owusu-Dabo(3), Easmon Otupiri(4),
(1) Kumasi Metropolitan Health Directorate, Ghana Health Service, Kumasi, Ghana
(2) School of Public Health, KNUST, Kumasi, Ghana
(3) School of Public Health, KNUST, Kumasi, Ghana
(4) School of Public Health, KNUST, Kumasi, Ghana
Corresponding Author
Abstract
The objective of the study was to ascertain the determinants of modern contraceptive use in Ghana among married women and those living with a partner. Secondary data from the Performance Monitoring and Accountability 2020 Ghana 2015 survey were used for the study. A multivariate logistic regression analysis was used. Modern contraceptive use was 25.5%. The significant predictors of modern contraceptive use were exposure to the media (AOR 2.07, 95% CI 1.20 – 3.55), residence in the Upper East region (AOR 0.26, 95% CI 0.10 – 0.71), final decision makers on contraceptive method either by themselves or jointly (AOR 0.26, 95% CI 0.14 -0.92), return to provider (AOR 6.96, 95% CI 3.59 – 13.49), refer relative or friend to provider (AOR 2.67, 95% CI 1.27 – 5.68), and parity of 5 or more (AOR 4.42, 95% CI 1.49 – 13.12). Media exposure on contraceptives and client satisfaction has the potential to improve modern contraceptive uptake in Ghana. (Afr J Reprod Health 2023; 27 [3]: 56-63).
References
United Nations Population Fund, Guttmacher Institute. Adding it up 2014: Global fact sheet: UNFPA , Guttmacher Institute, 2014.
Population Reference Bureau. 2017 World Population Data Sheet. USA, 2017.
Ottawa Charter for Health Promotion, First International Conference on Health Promotion, Ottawa, 21 November 1986 – WHO/HPR/HEP/95.1.
Ghana Statistical Service, Ghana Health Service, ICF International. Ghana Demographic and Health Survey 2018. Rockville, Maryland, USA: GSS, GHS, ICF International, 2019.
Ghana Statistical Service, Ghana Health Service, ICF International. Ghana Demographic and Health Survey 2014. Rockville, Maryland USA GSS, GHS and ICF International, 2015.
United Nation, Department of Economic and Social Affairs, Population Division. Trends in Contraceptive Use Worldwide 2015. (ST/ESA/SERA/349). New York: UN, 2015.
Finer LB, Hussain R. Unintended Pregnancy and Unsafe Abortion in the Philipiines. In Brief. New York: Guttmacher Institute, 2013.
Centers for Disease Control and Prevention. Ten great public health achievements--United States, 1900-1999. MMWR Morbidity and mortality weekly report, 1999:241.
Ahmed S, Li Q, Liu Land Tsui AO. Maternal deaths averted by contraceptive use: an analysis of 172 countries. The Lancet 2012;380(9837):111-25. doi: 10.1016/S0140-6736(12)60478-4
Lakew Y, Reda AA, Tamene H, Benedict S and Deribe K. Geographical variation and factors influencing modern contraceptive use among married women in Ethiopia: evidence from a national population based survey. Reprod Health 2013;10(1):52. doi: 10.1186/1742-4755-10-52
Azmat SK, Ali M, Ishaque M, Mustafa G, Hameed W, Khan OF, Abbas G, Temmerman M and Munroe E. Assessing predictors of contraceptive use and demand for family planning services in underserved areas of Punjab province in Pakistan: results of a cross-sectional baseline survey. Reprod Health 2015;12(1):25.
Kidayi PL, Msuya S, Todd J, Mtuya CC, Mtuy T and Mahande MJ. Determinants of modern contraceptive use among women of reproductive age in Tanzania: evidence from Tanzania demographic and health survey data. Adv Sex Med 2015;5(3):43-52.
Tekelab T, Melka AS and Wirtu D. Predictors of modern contraceptive methods use among married women of reproductive age groups in Western Ethiopia: a community based cross-sectional study. BMC Womens Health 2015;15(1):52. doi: 10.1186/s12905-015-0208-z
PMA2020, KNUST. Detailed Indicator Report: Ghana 2013. Baltimore, MD: PMA2020, 2013.
Stata Statistical Software [program]. College Station, TX, 2013.
Andersen R. A behavioral model of families' use of health services. [Chicago]: Center for Health Administration Studies, University of Chicago 1968.
Kaggwa EB, Diop N and Storey JD. The role of individual and community normative factors: a multilevel analysis of contraceptive use among women in union in Mali. International family planning perspectives 2008:79-88.
Paek H-J, Lee B, Salmon CT and Witte K. The contextual effects of gender norms, communication, and social capital on family planning behaviors in Uganda: a multilevel approach. Health Education & Behavior 2008;35(4):461-77.
Ghana Statistical Service. 2010 Population and Housing Census- Regional Analytical Report, Upper East Region. Ghana, 2013.
Giusti C and Vignoli D. Determinants of contraceptive use in Egypt: a multilevel approach. Statistical Methods and Applications 2006;15(1):89-106.
Dynes M, Stephenson R, Rubardt M and Bartel D. The influence of perceptions of community norms on current contraceptive use among men and women in Ethiopia and Kenya. Health & place 2012;18(4):766-73.
Ghana Statistical Service, Ghana Health Service, ICF International. Ghana Demographic and Health Survey 2008. Rockville, Maryland, USA: GSS, GHS, and ICF Macro, 2009.
Ejembi CL, Dahiru T and Aliyu AA. Contextual factors influencing modern contraceptive use in Nigeria. DHS Working Papers 2015(120)
Sebikali B. How healthworkers influence attitudes and decisions about family planning. Vital. North Carolina, USA: Intrahealth International, 2011.
Dagnew T, Tessema F and Hiko D. Health service utilization and reported satisfaction among adolescents in Dejen District, Ethiopia: a cross-sectional study. Ethiop J Health Sci 2015;25(1):17-28. doi: 10.4314/ejhs.v25i1.4 [published Online First: 2015/03/04]
Mohammed A, Woldeyohannes D, Feleke A and Megabiaw B. Determinants of modern contraceptive utilization among married women of reproductive age group in North Shoa Zone, Amhara Region, Ethiopia. Reprod Health 2014;11(1):13. doi: 10.1186/1742-4755- 11-13
Searchinger T, Hanson C, Waite R, Lipinski B, Leeson G and Harper S. Achieving replacement level fertility. World Resources Institute working paper, Instalment 3 of “Creating a Sustainable Food Future”, 2013.
National Population Council. Factsheet on 2017 Ghana Rapid, Effective Population Management for Better Quality of Life 2018.
Zimmerman LA, Bell SO, Li Q, Morzenti A, Anglewicz P, Group PMAPI and Tsui AO. Individual, community and service environment factors associated with modern contraceptive use in five Sub-Saharan African countries: A multilevel, multinomial analysis using geographically linked data from PMA2020. PLoS One 2019;14(6):e0218157-e57. doi: 10.1371/journal.pone.0218157.
Article Metrics
Abstract View
: 640 times
Download : 341 times
Refbacks
- There are currently no refbacks.




