Unmet needs for modern contraceptive methods among sexually active adolescents and young women in Togo

A nationwide cross-sectional study

Bibliographic Data

ID22078565
AuthorsSmaila Alidou (0000-0001-5865-9834, Université Joseph Ki-Zerbo, corresponding author), Lucien Désiré Dahourou (Université Toulouse III - Paul Sabatier), Ter Tiero Elias Dah (0000-0001-9249-579X, Université Joseph Ki-Zerbo), Armel Emmanuel Sogo (0009-0001-4556-7241, Centre National de la Recherche Scientifique et Technologique), Armel Sogo, Tchasso Serge Kenao (0000-0002-3789-9043, Université d'Abomey-Calavi), Dègninou Yehadji (0000-0003-3603-2816, Ministère de la Santé et de l'Hygiène Publique), Nicolas Meda (0000-0003-2523-8747, Université Joseph Ki-Zerbo), Didier Koumavi Ekouévi (0000-0001-7644-9902, University of Lomé)
Year2023
Volume11
Pages1169180-1169180
Publication date2023-07-27
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueFrontiers in Public Health (JOURNAL)
Journal identifiersISSN: 2296-2565 • E-ISSN: 2296-2565
PublisherFrontiers Media SA (PUBLISHER • CH)
DOI10.3389/fpubh.2023.1169180
PMID37575119
OpenAlexW4385356212
LanguageEN
Citations received2
References cited40

Background: The unmet need for modern contraceptives among sexually active adolescent and young women (AYW) in Africa contributes to high morbidity and mortality. To investigate the prevalence of unmet need for modern contraceptives and its associated factors among AYW in Togo, we performed a secondary analysis of data from the MICS-62017 survey. Method: We extracted data from sexually active AYW aged 15-24 years for the analysis and used multi-level logistic regression models to identify factors associated with unmet need for modern contraceptives. Results: Among the AYW, the median age was 20 years. The prevalence of unmet need for modern contraceptives was 27.02%. Factors that increased the likelihood of having unmet need for contraceptives included being in the "Poor" or "Middle" quintile of household wealth, aged 20-24 years, and completing primary or secondary education. Living in a household headed by a woman and having a household head aged 19-38, 39-58, or greater than 78 years decreased the likelihood of unmet need for modern contraceptives. Conclusion: The study highlights the high-unmet need for modern contraceptives among sexually active AYW in Togo and emphasizes the importance of addressing individual and household/community factors to improve their sexual and reproductive health. Interventions such as increasing AYW awareness, providing social marketing campaigns in schools, and targeting men-headed households could help promote modern contraceptive use and improve the sexual and reproductive health of AYW in Togo

Cross-sectional study · Environmental health · Family planning · Marital status · Population · Psychiatry · Psychological intervention · Public health · Reproductive health · Research methodology · Adolescent Sexual and Reproductive Health · Demography · Global Maternal and Child Health · Medicine · Nursing · Reproductive Health and Contraception