Pooled prevalence and determinants of informed choice of contraceptive methods among reproductive age women in Sub-Saharan Africa

A multilevel analysis

Dados Bibliográficos

ID22072007
AutoresNuhamin Tesfa Tsega (0000-0002-8194-9896, University of Gondar, autor correspondente), Tsion Tadesse Haile (0000-0002-6780-4498, University of Gondar), Melaku Hunie Asratie (0000-0002-2281-7519, University of Gondar), Daniel Belay (0000-0002-5724-6234, University of Gondar), Mastewal Endalew (0000-0001-5201-2861, University of Gondar), Fantu Mamo Aragaw (0000-0002-4128-077X, University of Gondar), Sintayehu Simie Tsega (0000-0002-3798-0941, University of Gondar), Moges Gashaw (0000-0002-4532-1786, University of Gondar)
Ano2022
Volume10
Páginas962675-962675
Data de publicação2022-09-14
Peer ReviewedSim
Open AccessSim
TipoARTICLE
PeriódicoFrontiers in Public Health (JOURNAL)
Identificadores do periódicoISSN: 2296-2565 • E-ISSN: 2296-2565
EditoraFrontiers Media SA (PUBLISHER • CH)
DOI10.3389/fpubh.2022.962675
PMID36187687
OpenAlexW4295564320
IdiomaEN
Citações recebidas3
Referências citadas28

Background Despite the commitments of the government to minimize unintended pregnancy, abortion, and unmet need for contraceptives, as per our search of the literature, there is no study on the pooled prevalence and determinants of informed choice of contraceptive methods in sub-Saharan Africa. Therefore, this study aimed to assess the pooled prevalence and determinants of informed choice of contraceptive methods among reproductive-aged women in sub-Saharan Africa. Methods This study was based on the 32 Sub-Saharan African countries Demographic and Health Survey data. A total weighted sample of 65,487 women aged 15–49 was included in the study. The data were cleaned, weighted, and analyzed using STATA Version 14 software. Multilevel logistic regression modeling was used to identify determinants of an informed choice of contraceptive methods. Adjusted odds ratio (AOR) with 95% Confidence Interval (CI) and p -value < 0.05 were used to declare the significant determinants. Result The pooled prevalence of informed choice of contraceptive methods among reproductive age (15–49) women in sub-Saharan Africa was 49.47% (95%CI: 44.33, 54.62%) with I 2 =99.5%, and variations in range of 19.42 to 78.42%. Women aged 25–34 years old (AOR = 1.26 95%CI: 1.21, 1.32) and 35–49 years (AOR = 1.33 95%CI: 1.27, 1.40), attending primary education (AOR = 1.26, 95% CI: 1.20, 1.32), secondary education (AOR = 1.50, 95% CI: 1.43, 1.58) and higher education (AOR = 2.01, 95% CI: 1.84, 2.19), having media exposure (AOR = 1.12, 95%CI: 1.07, 1.16), utilizing IUD (AOR = 1.98, 95%CI: 1.79, 2.19), injectable (AOR = 1.29, 95%CI: 1.23, 1.36) and implants (AOR = 1.70, 95%CI: 1.61, 1.79), survey year 2016–2020 (AOR = 1.38, 95%CI: 1.31, 1.44), women from lower middle (AOR = 1.25, 95%CI: 1.19, 1.31) and upper middle income level countries (AOR = 1.37, 95%CI: 1.23, 1.53) were associated with increased odds of informed choice of contraceptive methods. While, women who accessed contraceptives from private clinics (AOR = 0.64, 95%CI: 0.61, 0.67), pharmacies (AOR = 0.37, 95%CI: 0.35, 0.40), and others (AOR = 0.47, 95%CI: 0.43, 0.52), women in East Africa (AOR = 0.70, 95% CI: 0.67, 0.73), Central Africa (AOR = 0.52, 95% CI: 0.47, 0.57), and South Africa (AOR = 0.36, 95% CI: 0.32, 0.40) were associated with decreased odds of informed choice of contraceptive methods. Conclusion The pooled prevalence of informed choice of contraceptive methods in Sub-Saharan Africa is low with high disparities among the countries. Enhancing maternal education and media exposure, providing greater concern for the source of contraceptive methods, and strengthening the economic status of the country are recommended to enhance informed choice of contraceptive methods

Abortion · Confidence interval · Environmental health · Family planning · Gynecology · Logistic regression · Odds ratio · Population · Pregnancy · Reproductive health · Research methodology · Unintended pregnancy · Demography · Global Maternal and Child Health · Male Reproductive Health Studies · Medicine · Reproductive Health and Contraception · Internal Medicine