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Contraceptive Use by Women in Accra, Ghana: Results from the 2003 Accra Women’s Health Survey

Richard MK Adanu(1), Joseph D. Seffah(2), Allan G. Hill(3), Rudolph Darko(4), Rosemary B Duda(5), John K Anarfi(6),


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(6) 
Corresponding Author

Abstract


The study was to determine the predictors of use of modern contraception among women in Accra, Ghana. Data were collected by trained interviewers using questionnaires. Complete data for 2199 women were analysed using Stata 8.2. The study showed that educational status was the most significant predictor of contraceptive use. Women with no formal education had a 48% reduction in the odds of having ever used contraception and a 66% reduction in the odds of currently using contraception. Regular use of health facilities did not affect contraceptive use. Female education should continue to be a priority of the Ghanaian government. Education about family planning and the effects of having large families should be integrated into the school curriculum. Ghanaian health workers need to be active in promoting the use of modern contraceptive methods (Afr J Reprod Health 2009; 13[1]:123-133).

 

RĖSUMĖ

L’emploi des contraceptifs par les femmes à Accra, Ghana : Résultats recueillis de l’enquête menée en 2003 sur la santé des femmes d’Accra. L’étude avait pour objectif, de déterminer les indices de l’emploi de la contraception moderne chez les femmes à Accra, Ghana.  Des données ont été collectées par des enquêteurs professionnels à l’aide des questionnaires.  Les données compréhensives pour 2199 femmes ont été analysées à l’aide du state 8,2.  L’étude a montré que le niveau de l’éducation acquis constitue l’indice le plus important de l’emploi du contraceptif.  Les femmes qui n’ont pas acquis une éducation formelle avaient une réduction de 48% pour n’avoir jamais utilisé le contraceptif et une réduction de 66% s’agissant de l’emploi actuel de la contraception.  Le fait de fréquenter les établissements de santé n’a pas affecté l’emploi du contraceptif.  L’éducation de la femme devrait rester une priorité pour le gouvernement ghanéen.  Il faut que l’éducation sur la planification familiale et les effets d’une famille nombreuse soient intégrés dans le programme scolaire.  Il faut que le  personnel de la santé soit actif dans la promotion de l’emploi des méthodes du contraceptif moderne (Afr J Reprod Health 2009; 13[1]: 123-133).

 

KEYWORDS: Family planning, Modern contraception, Ghana, Africa 

  1. Ghana Statistical Service (GSS), Noguchi Memorial Institute for Medical Research (NMIMR), ORC Macro. Ghana

Demographic and Health Survey 2003.

Calverton, Maryland: GSS, NMIMR and ORC Macro; 2004.

  1. At a glance: Ghana. UNICEF [ 2005  Available from: URL:www.unicef.org/info bycountry/ghana_ statistics.html
  2. Liljestrand J. Strategies to reduce maternal mortality worldwide. Curr Opin Obstet Gynecol 2000; 12(6):513-517.) 
  3. Marston C, Cleland J. Relationships between contraception and abortion: a review of the evidence. Int Fam Plan Perspect 2003; 29(1):6-13.
  4. Touati S, Ben AA, Mtiraoui A, Marzouki M. [Contraceptive use prevalence in a suburban zone around Sousse (Tunisia)]. East Mediterr Health J 2001; 7(6):943-955.
  5. Orji EO, Onwudiegwu U. Prevalence and determinants of contraceptive practice in a defined Nigerian population. J Obstet Gynaecol 2002; 22(5):540-543.
  6. Chacko E. Women's use of contraception in rural India: a village-level study. Health Place 2001; 7(3):197-208.
  7. Ekani-Bessala MM, Carre N, Calvez T, Thonneau P. Prevalence and determinants of current contraceptive method use in a palm oil company in Cameroon. Contraception 1998; 58(1):29-34.
  8. Magadi MA, Curtis SL. Trends and determinants of contraceptive method choice in Kenya. Stud Fam Plann 2003; 34(3):149159.
  9. Khan MA. Factors affecting use of contraception in Matlab, Bangladesh. J Biosoc Sci 1996; 28(3):265-279.
  10. Anate M. Factors influencing family planning use in Ilorin, Nigeria. East Afr Med J 1995; 72(7):418-420.
  11. Kannae L, Pendleton BF. Socioeconomic status and use of family planning among Ghanaian government workers. Soc Biol 1998; 45(1-2):113-133.
  12. Hamilton LC. Statistics with STATA Updated for version 8. Thomson

Brooks/Cole; 2004.

  1. Stata Statistical software. Release 8.0 [ Stata Corporation, College Station, TX; 2005.
  2. Hong S. Cross-cultural attitudes toward voluntary sterilization. AVS News 1985;

23(2):2, 5.

  1. Taylor-Seehafer M, Rew L. Risky sexual behavior among adolescent women. J Soc Pediatr Nurs 2000; 5(1):15-25.

 


References


Ghana Statistical Service (GSS), Noguchi Memorial Institute for Medical Research (NMIMR), ORC Macro. Ghana

Demographic and Health Survey 2003.

Calverton, Maryland: GSS, NMIMR and ORC Macro; 2004.

At a glance: Ghana. UNICEF [ 2005 Available from: URL:www.unicef.org/info bycountry/ghana_ statistics.html

Liljestrand J. Strategies to reduce maternal mortality worldwide. Curr Opin Obstet Gynecol 2000; 12(6):513-517.)

Marston C, Cleland J. Relationships between contraception and abortion: a review of the evidence. Int Fam Plan Perspect 2003; 29(1):6-13.

Touati S, Ben AA, Mtiraoui A, Marzouki M. [Contraceptive use prevalence in a suburban zone around Sousse (Tunisia)]. East Mediterr Health J 2001; 7(6):943-955.

Orji EO, Onwudiegwu U. Prevalence and determinants of contraceptive practice in a defined Nigerian population. J Obstet Gynaecol 2002; 22(5):540-543.

Chacko E. Women's use of contraception in rural India: a village-level study. Health Place 2001; 7(3):197-208.

Ekani-Bessala MM, Carre N, Calvez T, Thonneau P. Prevalence and determinants of current contraceptive method use in a palm oil company in Cameroon. Contraception 1998; 58(1):29-34.

Magadi MA, Curtis SL. Trends and determinants of contraceptive method choice in Kenya. Stud Fam Plann 2003; 34(3):149159.

Khan MA. Factors affecting use of contraception in Matlab, Bangladesh. J Biosoc Sci 1996; 28(3):265-279.

Anate M. Factors influencing family planning use in Ilorin, Nigeria. East Afr Med J 1995; 72(7):418-420.

Kannae L, Pendleton BF. Socioeconomic status and use of family planning among Ghanaian government workers. Soc Biol 1998; 45(1-2):113-133.

Hamilton LC. Statistics with STATA Updated for version 8. Thomson

Brooks/Cole; 2004.

Stata Statistical software. Release 8.0 [ Stata Corporation, College Station, TX; 2005.

Hong S. Cross-cultural attitudes toward voluntary sterilization. AVS News 1985;

(2):2, 5.

Taylor-Seehafer M, Rew L. Risky sexual behavior among adolescent women. J Soc Pediatr Nurs 2000; 5(1):15-25.


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