The role of place in shaping contraceptive use among women in Africa.

<h4>Background</h4>Contraceptive prevalence is low in the African region despite considerable family planning programmatic efforts. This study is the first to examine how community factors shape contraceptive use for married women in an entire region, comparing results across 21 African...

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Autores principales: K Miriam Elfstrom, Rob Stephenson
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Publicado: Public Library of Science (PLoS) 2012
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Acceso en línea:https://doaj.org/article/d2a9c9ef944445299a01c8b1294b6c05
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spelling oai:doaj.org-article:d2a9c9ef944445299a01c8b1294b6c052021-11-18T07:12:03ZThe role of place in shaping contraceptive use among women in Africa.1932-620310.1371/journal.pone.0040670https://doaj.org/article/d2a9c9ef944445299a01c8b1294b6c052012-01-01T00:00:00Zhttps://www.ncbi.nlm.nih.gov/pmc/articles/pmid/22815784/?tool=EBIhttps://doaj.org/toc/1932-6203<h4>Background</h4>Contraceptive prevalence is low in the African region despite considerable family planning programmatic efforts. This study is the first to examine how community factors shape contraceptive use for married women in an entire region, comparing results across 21 African countries with a DHS in the last 5 years. The analysis builds on previous studies through an examination of the individual, household and community level factors that shape contraceptive use.<h4>Methods</h4>The data used in this analysis were from nationally representative Demographic and Health Surveys completed between 2005 and 2009. A separate multi-level logistic model was fitted for the outcome of current modern contraceptive use in each country.<h4>Results</h4>After controlling for individual and household level factors, community level factors of demographics and fertility norms, gender norms and inequalities, and health knowledge remain significantly associated with contraceptive use, although the magnitude and direction of these community effects varied significantly across countries.<h4>Conclusions</h4>The results highlight the importance of harnessing community level factors in planning interventions for increasing access to and utilization of modern contraceptive methods.K Miriam ElfstromRob StephensonPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 7, Iss 7, p e40670 (2012)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle Medicine
R
Science
Q
K Miriam Elfstrom
Rob Stephenson
The role of place in shaping contraceptive use among women in Africa.
description <h4>Background</h4>Contraceptive prevalence is low in the African region despite considerable family planning programmatic efforts. This study is the first to examine how community factors shape contraceptive use for married women in an entire region, comparing results across 21 African countries with a DHS in the last 5 years. The analysis builds on previous studies through an examination of the individual, household and community level factors that shape contraceptive use.<h4>Methods</h4>The data used in this analysis were from nationally representative Demographic and Health Surveys completed between 2005 and 2009. A separate multi-level logistic model was fitted for the outcome of current modern contraceptive use in each country.<h4>Results</h4>After controlling for individual and household level factors, community level factors of demographics and fertility norms, gender norms and inequalities, and health knowledge remain significantly associated with contraceptive use, although the magnitude and direction of these community effects varied significantly across countries.<h4>Conclusions</h4>The results highlight the importance of harnessing community level factors in planning interventions for increasing access to and utilization of modern contraceptive methods.
format article
author K Miriam Elfstrom
Rob Stephenson
author_facet K Miriam Elfstrom
Rob Stephenson
author_sort K Miriam Elfstrom
title The role of place in shaping contraceptive use among women in Africa.
title_short The role of place in shaping contraceptive use among women in Africa.
title_full The role of place in shaping contraceptive use among women in Africa.
title_fullStr The role of place in shaping contraceptive use among women in Africa.
title_full_unstemmed The role of place in shaping contraceptive use among women in Africa.
title_sort role of place in shaping contraceptive use among women in africa.
publisher Public Library of Science (PLoS)
publishDate 2012
url https://doaj.org/article/d2a9c9ef944445299a01c8b1294b6c05
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