Barriers and motivators of contraceptive use among young people in Sub-Saharan Africa: A systematic review of qualitative studies.

<h4>Background</h4>In sub-Saharan Africa, about 80% of young women either use a traditional method or do not use any form of contraception at all. The objectives of this review were to ascertain the barriers and motivators of contraceptive use among young people in Sub-Saharan Africa.<...

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Autores principales:	Luchuo Engelbert Bain, Hubert Amu, Elvis Enowbeyang Tarkang
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/10c83d59403e42908692dd1ce2dfe2bf
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spelling	oai:doaj.org-article:10c83d59403e42908692dd1ce2dfe2bf2021-12-02T20:07:15ZBarriers and motivators of contraceptive use among young people in Sub-Saharan Africa: A systematic review of qualitative studies.1932-620310.1371/journal.pone.0252745https://doaj.org/article/10c83d59403e42908692dd1ce2dfe2bf2021-01-01T00:00:00Zhttps://doi.org/10.1371/journal.pone.0252745https://doaj.org/toc/1932-6203<h4>Background</h4>In sub-Saharan Africa, about 80% of young women either use a traditional method or do not use any form of contraception at all. The objectives of this review were to ascertain the barriers and motivators of contraceptive use among young people in Sub-Saharan Africa.<h4>Materials and methods</h4>We conducted electronic literature searches in PubMed, EMBASE, Ebsco/PsycINFO and Scopus. We identified a total of 4,457 publications and initially screened 2626 based on the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA). A total of 13 qualitative studies were retained for the final analysis based on the Joanna Briggs criteria for assessing qualitative studies. The systematic review is registered on PROSPERO with identifier CRD42018081877.<h4>Results</h4>Supportive social networks, respect for privacy and confidentiality, ready availability, affordability and accessibility of contraceptives, as well as the desire to prevent unintended pregnancy and sexually transmitted infections were the motivators of contraceptive use among young people in sub-Saharan Africa. Despite these motivators, myriad of personal, societal, and health systems-based barriers including myths and misconceptions, known side effects of contraceptives, prohibitive social norms, and negative attitude of health professionals were the major barriers to contraceptive use among young people.<h4>Conclusion</h4>Sub-Saharan African countries with widespread barriers to contraceptive use among young people may not be able to achieve the Sustainable Development Goal 3.8 target of achieving health for all by the year 2030. Interventions intended to improve contraceptive use need to be intersectoral and multi-layered, and designed to carefully integrate the personal, cultural, organizational and political dimensions of contraception.Luchuo Engelbert BainHubert AmuElvis Enowbeyang TarkangPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 16, Iss 6, p e0252745 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Luchuo Engelbert Bain Hubert Amu Elvis Enowbeyang Tarkang Barriers and motivators of contraceptive use among young people in Sub-Saharan Africa: A systematic review of qualitative studies.
description	<h4>Background</h4>In sub-Saharan Africa, about 80% of young women either use a traditional method or do not use any form of contraception at all. The objectives of this review were to ascertain the barriers and motivators of contraceptive use among young people in Sub-Saharan Africa.<h4>Materials and methods</h4>We conducted electronic literature searches in PubMed, EMBASE, Ebsco/PsycINFO and Scopus. We identified a total of 4,457 publications and initially screened 2626 based on the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA). A total of 13 qualitative studies were retained for the final analysis based on the Joanna Briggs criteria for assessing qualitative studies. The systematic review is registered on PROSPERO with identifier CRD42018081877.<h4>Results</h4>Supportive social networks, respect for privacy and confidentiality, ready availability, affordability and accessibility of contraceptives, as well as the desire to prevent unintended pregnancy and sexually transmitted infections were the motivators of contraceptive use among young people in sub-Saharan Africa. Despite these motivators, myriad of personal, societal, and health systems-based barriers including myths and misconceptions, known side effects of contraceptives, prohibitive social norms, and negative attitude of health professionals were the major barriers to contraceptive use among young people.<h4>Conclusion</h4>Sub-Saharan African countries with widespread barriers to contraceptive use among young people may not be able to achieve the Sustainable Development Goal 3.8 target of achieving health for all by the year 2030. Interventions intended to improve contraceptive use need to be intersectoral and multi-layered, and designed to carefully integrate the personal, cultural, organizational and political dimensions of contraception.
format	article
author	Luchuo Engelbert Bain Hubert Amu Elvis Enowbeyang Tarkang
author_facet	Luchuo Engelbert Bain Hubert Amu Elvis Enowbeyang Tarkang
author_sort	Luchuo Engelbert Bain
title	Barriers and motivators of contraceptive use among young people in Sub-Saharan Africa: A systematic review of qualitative studies.
title_short	Barriers and motivators of contraceptive use among young people in Sub-Saharan Africa: A systematic review of qualitative studies.
title_full	Barriers and motivators of contraceptive use among young people in Sub-Saharan Africa: A systematic review of qualitative studies.
title_fullStr	Barriers and motivators of contraceptive use among young people in Sub-Saharan Africa: A systematic review of qualitative studies.
title_full_unstemmed	Barriers and motivators of contraceptive use among young people in Sub-Saharan Africa: A systematic review of qualitative studies.
title_sort	barriers and motivators of contraceptive use among young people in sub-saharan africa: a systematic review of qualitative studies.
publisher	Public Library of Science (PLoS)
publishDate	2021
url	https://doaj.org/article/10c83d59403e42908692dd1ce2dfe2bf
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Barriers and motivators of contraceptive use among young people in Sub-Saharan Africa: A systematic review of qualitative studies.

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