scholarly journals Investing in social and behavior change is cost-effective for increasing modern contraceptive use in Zambia

2019 ◽  
Keyword(s):  
Behavior Change ◽  
Contraceptive Use ◽  
Cost Effective ◽  
Modern Contraceptive ◽  
Modern Contraceptive Use ◽  
And Behavior

scholarly journals Understanding the Mechanism through Which Unfavorable Social Norms Affect Contraceptive Use 

2020 ◽  
Author(s):  
Sohail Agha ◽  
Brooks Morgan ◽  
Helena Archer ◽  
Shadae Paul ◽  
Joseph Babigumira ◽  
...  
Keyword(s):  
Public Health ◽  
Social Norms ◽  
Contraceptive Use ◽  
Household Survey ◽  
Modern Contraceptive ◽  
Negative Effects ◽  
Nigerian Women ◽  
Negative Effect ◽  
Modern Contraceptive Use ◽  
And Behavior

Abstract Background: Few theories of health behavior explicitly take the effect of social norms on behavior into account. The ones that do assume that the effect of norms on behavior operates through motivation. We use a behavior model that is new to public health to test whether norms affect behavior through motivation or ability. Methods: This study uses data from a household survey of Nigerian women, ages 14-24. The survey collected data on socio-economic and demographic characteristics of women, whether they were sexually experienced, and whether they used contraception. The survey also collected data on descriptive and injunctive norms around premarital sex and contraceptive use. Multivariate logistic regression was used to test whether the effect of unfavorable social norms on modern contraceptive use operates through motivation or ability. Results: The data was used to construct variables measuring unfavorable social norms, motivation, ability, and modern contraceptive use. After adjusting for a range of socio-economic and demographic variables, we found that unfavorable social norms had a statistically significant negative effect on contraceptive use. The analysis suggests that the effect of unfavorable social norms on contraceptive use operates through ability.Conclusion: This study sheds light on the pathway through which social norms affect contraceptive use. The findings suggest that public health interventions may be able to counter the negative effects of unfavorable social norms on modern contraceptive use by increasing women’s ability to practice contraception. These findings have important implications for the design of interventions that aim to increase contraceptive use among young women in Nigeria. The study also demonstrates the utility of the FBM, a practitioner-friendly, behavior change model, in examining the relationship between norms and behavior.

Belief System: A Barrier to the Use of Modern Contraceptives among the Idoma of Benue State, North Central Nigeria

2019 ◽  
Vol 55 (4) ◽  
pp. 600-616
Author(s):  
Chiemezie Scholastica Atama ◽  
Uzoma Odera Okoye ◽  
Amelia Ngozi Odo ◽  
Aloysius Odii ◽  
Uche Teresa Okonkwo
Keyword(s):  
Contraceptive Use ◽  
Group Discussion ◽  
Belief System ◽  
Modern Contraceptive ◽  
Chi Square ◽  
North Central ◽  
System A ◽  
Modern Contraceptives ◽  
Depth Interview ◽  
Modern Contraceptive Use

Despite the benefit of modern contraception, its use remains low in Nigeria. This study examined belief system as a barrier to the use of modern contraceptives among the Idoma of Benue State, North Central Nigeria. Questionnaire ( n = 1107), in-depth interview ( n = 6) and focus group discussion ( n = 52) were used to collect data from three local government areas (LGAs). The results showed high levels of knowledge (88.0%), however, only 37.8% used modern contraceptives. The male condom had the highest percentage use (56.7%). Chi-square results showed that LGA, education and occupation were significantly related to the use of modern contraceptives. Being of greater age increased the likelihood of use, whereas higher levels of education and income decreased the likelihood of modern contraceptive use ( p < 0.05). Qualitative data indicated that married women were expected to eschew modern contraceptives due to their belief in Alekwu, the community deity. Designing interventions that are culturally specific could promote use of modern contraceptives among the group.

scholarly journals Predictors of modern contraceptive usage among sexually active rural women in Ethiopia: A multi-level analysis

2021 ◽  
Vol 79 (1) ◽  
Author(s):  
Setegn Muche Fenta ◽  
Shewayiref Geremew Gebremichael
Keyword(s):  
Rural Women ◽  
Contraceptive Use ◽  
Community Level ◽  
Sub Saharan Africa ◽  
Modern Contraceptive ◽  
Sexually Active ◽  
Contraceptive Methods ◽  
Contraceptive Usage ◽  
Modern Contraceptive Use ◽  
Multi Level

Abstract Background Ethiopia is one of the Sub-Saharan Africa countries with the lowest modern contraceptive prevalence rate and the highest fertility rate. This study aimed to assess individual and community-level predictors of modern contraceptive use among sexually active rural women in Ethiopia. Data and methods A sample of 9450 sexual active rural women aged 15-49 was extracted from the 15, 683 nationally representative samples of 2016 Ethiopian Demographic and Health Survey (EDHS). Multi-level logistic regression model was considered to identify determinant factors of modern contraceptive use among sexually active rural women in Ethiopia. Result The prevalence of modern contraceptive use among respondents was 20% in rural Ethiopia. Injection (66.35%) was the most common type of modern contraceptive use. In the last full model of the multilevel analysis, individual and community-level factors accounted for 86.69% of the variation in the use of modern contraceptive methods. Secondary and above-educated women (AOR = 1.39, 95%CI: 1.06, 2.81), having 1-4 living children (AOR = 2.70, 95%CI: 2.07, 3.53), rich wealth status (AOR = 2.26, 95%CI: 1.96, 2.60), married women (AOR = 17.31, 95%CI: 10.72, 27.94), having primary educated husband (AOR = 1.45, 95%CI: 1.27, 1.67) and being working husband (AOR = 2.26, 95%CI: 1.96, 2.60) were significantly positively associated with individual-level factors of the use of modern contraceptive methods. Besides, modern contraceptive use was negatively associated with Muslim women (AOR = 0.29, 95%CI: 0.25, 0.33). Compared to the Tigray region, women living in the Afar, Somali, Harari, and Dire Dawa regions had lower use of modern contraceptive methods. Women who had access to mass media (AOR = 1.35, 95%CI: 1.16, 1.57) were more likely to use contraceptives than their counterparts. Conclusion The prevalence of modern contraceptive use among rural women has very low. Both individual and community-level factors were significant predictors of modern contraceptive use. Consequently, the government and other stakeholders need to address educational opportunities; creating awareness about modern contraception and valuable counseling would increase modern contraceptive methods utilization.

Factors Influencing Contraceptive Use in Sub-Saharan Africa: A Systematic Review

2017 ◽  
Vol 37 (2) ◽  
pp. 79-91 ◽  
Author(s):  
Sarah R. Blackstone ◽  
Ucheoma Nwaozuru ◽  
Juliet Iwelunmor
Keyword(s):  
Contraceptive Use ◽  
Male Partner ◽  
Sub Saharan Africa ◽  
Modern Contraceptive ◽  
African Countries ◽  
Factors Influencing ◽  
Contraceptive Side Effects ◽  
Modern Contraceptive Use ◽  
Negative Perceptions ◽  
Sub Saharan

The purpose of this study was to systematically review the literature regarding factors influencing contraceptive use in sub-Saharan Africa between 2005 and 2015. A total of 58 studies from twelve Sub-Saharan African countries were reviewed. Keywords were grouped using the PEN-3 cultural model. Negative factors prohibiting or reducing contraceptive use were women’s misconceptions of contraceptive side–effects, male partner disapproval, and social/cultural norms surrounding fertility. Positive factors included education, employment, and communication with male partner. Increasing modern contraceptive use in Sub-Saharan Africa is a multi-faceted problem that will require community and systems wide interventions that aim to counteract negative perceptions and misinformation.

scholarly journals Gender norms and modern contraceptive use in urban Nigeria: a multilevel longitudinal study

2018 ◽  
Vol 18 (1) ◽  
Author(s):  
Chinelo C. Okigbo ◽  
Ilene S. Speizer ◽  
Marisa E. Domino ◽  
Sian L. Curtis ◽  
Carolyn T. Halpern ◽  
...  
Keyword(s):  
Longitudinal Study ◽  
Contraceptive Use ◽  
Gender Norms ◽  
Modern Contraceptive ◽  
Modern Contraceptive Use

scholarly journals International Migration and Modern Contraceptive Use: A Research Note on African Migrants to France

Demography ◽  
2021 ◽  
Author(s):  
Julia A. Behrman ◽  
Michelle A. Eilers ◽  
Isabel H. McLoughlin Brooks ◽  
Abigail Weitzman
Keyword(s):  
Contraceptive Use ◽  
Family Background ◽  
Research Note ◽  
Demographic And Health Surveys ◽  
Modern Contraceptive ◽  
African Countries ◽  
Proximate Determinant ◽  
African Migrants ◽  
Modern Contraceptive Use ◽  
Long Acting

Abstract This research note presents a multisited analysis of migration and contraceptive use by standardizing and integrating a sample of African migrants in France from six West and Central African countries in the Trajectoires et Origines survey with a sample of women living in the same six African countries in the Demographic and Health Surveys. Descriptive analyses indicate that the contraceptive use of migrants more closely aligns with that of native French women than with that of women from origin countries. In particular, migrants report dramatically higher use of long-acting reversible contraceptives and short-acting hormonal methods and lower use of traditional methods than do women in the countries of origin. Although migrants differ from women in the countries of origin on observed characteristics, including education and family background, reweighting women in the origin countries to resemble migrants on these characteristics does little to explain differences in contraceptive use between the groups. Given that contraceptive use is an important proximate determinant of fertility, our results suggest that contraceptive use should feature more prominently in the dominant demographic paradigms of migrant fertility.

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