Sexuality, fertility and family planning characteristics of married women aged 15 to 19 years in Ethiopia, Nigeria and Tanzania: a comparative analysis of cross-sectional data
Abstract Background Adolescents 360 (A360) is an initiative being rolled out across Ethiopia, Nigeria and Tanzania with the aim of increasing uptake of voluntary modern contraception among sexually active women aged 15 to 19 years. Using evaluation baseline survey data, we described key sexuality, f...
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| Format: | Article |
| Language: | English |
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BMC
2019-01-01
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| Series: | Reproductive Health |
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| Online Access: | http://link.springer.com/article/10.1186/s12978-019-0666-0 |
| _version_ | 1828385134719533056 |
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| author | Christina J. Atchison Jenny A. Cresswell Saidi Kapiga Mussa Kelvin Nsanya Emily E. Crawford Mohammed Mussa Christian Bottomley James R. Hargreaves Aoife M. Doyle |
| author_facet | Christina J. Atchison Jenny A. Cresswell Saidi Kapiga Mussa Kelvin Nsanya Emily E. Crawford Mohammed Mussa Christian Bottomley James R. Hargreaves Aoife M. Doyle |
| author_sort | Christina J. Atchison |
| collection | DOAJ |
| description | Abstract Background Adolescents 360 (A360) is an initiative being rolled out across Ethiopia, Nigeria and Tanzania with the aim of increasing uptake of voluntary modern contraception among sexually active women aged 15 to 19 years. Using evaluation baseline survey data, we described key sexuality, fertility and contraceptive use characteristics of married women aged 15 to 19 years living in three sub-national settings. Methods Cross-sectional baseline surveys of married women aged 15 to 19 years were conducted in Oromia (Ethiopia), Nasarawa (Northern Nigeria), and Mwanza (Tanzania) between August 2017 and February 2018. We also interviewed the husbands of a sub-group of married respondents to measure spousal acceptance and support for adolescent women to use modern contraception. A clustered sampling design was used in all three countries. We produced descriptive statistics on the socio-demographic and sexual and reproductive health characteristics of married women aged 15 to 19 years by study setting. Results In Oromia, Nasarawa and Mwanza, 31.4% (327/1198), 27.4% (1321/4816) and 7.5% (15/201) of married women surveyed had no education, and 68.3, 81.3 and 83.1% had ever been pregnant, respectively. Unmet need for modern contraception was 20.5, 21.9 and 32.0% in married women in Oromia, Nasarawa and Mwanza, made up almost entirely of unmet need for spacing. The vast majority of married women surveyed in Oromia (89.1%) and Mwanza (90.1%) had seen or heard about contraception in the last 12 months, compared to 30.1% of those surveyed in Nasarawa. Modern contraceptive prevalence (mCPR) was highest in married women aged 15 to 19 years in Oromia (47.2%), followed by Mwanza (19.4%) and Nasarawa (8.7%). Of those using a modern method of contraception in Oromia, 93.4% were using injectables or long-acting methods, compared to 49.4% in Nasarawa and 69.6% in Mwanza. Conclusions Overall, unmet need for modern contraception is high among married women aged 15 to 19 years across the three settings. mCPR for married women aged 15 to 19 years is low in Nasarawa and Mwanza. Ultimately, no single intervention will suit all situations, but improving the quality, analyses and utilisation of subnational data can help decision-makers design more context specific interventions. |
| first_indexed | 2024-12-10T05:15:12Z |
| format | Article |
| id | doaj.art-640da8de00aa4f14a9c332474b81aeb4 |
| institution | Directory Open Access Journal |
| issn | 1742-4755 |
| language | English |
| last_indexed | 2024-12-10T05:15:12Z |
| publishDate | 2019-01-01 |
| publisher | BMC |
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| series | Reproductive Health |
| spelling | doaj.art-640da8de00aa4f14a9c332474b81aeb42022-12-22T02:00:59ZengBMCReproductive Health1742-47552019-01-0116111410.1186/s12978-019-0666-0Sexuality, fertility and family planning characteristics of married women aged 15 to 19 years in Ethiopia, Nigeria and Tanzania: a comparative analysis of cross-sectional dataChristina J. Atchison0Jenny A. Cresswell1Saidi Kapiga2Mussa Kelvin Nsanya3Emily E. Crawford4Mohammed Mussa5Christian Bottomley6James R. Hargreaves7Aoife M. Doyle8London School of Hygiene and Tropical Medicine, MRC Tropical Epidemiology GroupLondon School of Hygiene and Tropical Medicine, MRC Tropical Epidemiology GroupLondon School of Hygiene and Tropical Medicine, MRC Tropical Epidemiology GroupMwanza Intervention Trials UnitBinomial Optimus LimitedMMA Development ConsultancyLondon School of Hygiene and Tropical Medicine, MRC Tropical Epidemiology GroupLondon School of Hygiene and Tropical Medicine, Department of Social and Environmental Health ResearchLondon School of Hygiene and Tropical Medicine, MRC Tropical Epidemiology GroupAbstract Background Adolescents 360 (A360) is an initiative being rolled out across Ethiopia, Nigeria and Tanzania with the aim of increasing uptake of voluntary modern contraception among sexually active women aged 15 to 19 years. Using evaluation baseline survey data, we described key sexuality, fertility and contraceptive use characteristics of married women aged 15 to 19 years living in three sub-national settings. Methods Cross-sectional baseline surveys of married women aged 15 to 19 years were conducted in Oromia (Ethiopia), Nasarawa (Northern Nigeria), and Mwanza (Tanzania) between August 2017 and February 2018. We also interviewed the husbands of a sub-group of married respondents to measure spousal acceptance and support for adolescent women to use modern contraception. A clustered sampling design was used in all three countries. We produced descriptive statistics on the socio-demographic and sexual and reproductive health characteristics of married women aged 15 to 19 years by study setting. Results In Oromia, Nasarawa and Mwanza, 31.4% (327/1198), 27.4% (1321/4816) and 7.5% (15/201) of married women surveyed had no education, and 68.3, 81.3 and 83.1% had ever been pregnant, respectively. Unmet need for modern contraception was 20.5, 21.9 and 32.0% in married women in Oromia, Nasarawa and Mwanza, made up almost entirely of unmet need for spacing. The vast majority of married women surveyed in Oromia (89.1%) and Mwanza (90.1%) had seen or heard about contraception in the last 12 months, compared to 30.1% of those surveyed in Nasarawa. Modern contraceptive prevalence (mCPR) was highest in married women aged 15 to 19 years in Oromia (47.2%), followed by Mwanza (19.4%) and Nasarawa (8.7%). Of those using a modern method of contraception in Oromia, 93.4% were using injectables or long-acting methods, compared to 49.4% in Nasarawa and 69.6% in Mwanza. Conclusions Overall, unmet need for modern contraception is high among married women aged 15 to 19 years across the three settings. mCPR for married women aged 15 to 19 years is low in Nasarawa and Mwanza. Ultimately, no single intervention will suit all situations, but improving the quality, analyses and utilisation of subnational data can help decision-makers design more context specific interventions.http://link.springer.com/article/10.1186/s12978-019-0666-0AdolescentsContraceptionFamily planningReproductive healthAfrica |
| spellingShingle | Christina J. Atchison Jenny A. Cresswell Saidi Kapiga Mussa Kelvin Nsanya Emily E. Crawford Mohammed Mussa Christian Bottomley James R. Hargreaves Aoife M. Doyle Sexuality, fertility and family planning characteristics of married women aged 15 to 19 years in Ethiopia, Nigeria and Tanzania: a comparative analysis of cross-sectional data Reproductive Health Adolescents Contraception Family planning Reproductive health Africa |
| title | Sexuality, fertility and family planning characteristics of married women aged 15 to 19 years in Ethiopia, Nigeria and Tanzania: a comparative analysis of cross-sectional data |
| title_full | Sexuality, fertility and family planning characteristics of married women aged 15 to 19 years in Ethiopia, Nigeria and Tanzania: a comparative analysis of cross-sectional data |
| title_fullStr | Sexuality, fertility and family planning characteristics of married women aged 15 to 19 years in Ethiopia, Nigeria and Tanzania: a comparative analysis of cross-sectional data |
| title_full_unstemmed | Sexuality, fertility and family planning characteristics of married women aged 15 to 19 years in Ethiopia, Nigeria and Tanzania: a comparative analysis of cross-sectional data |
| title_short | Sexuality, fertility and family planning characteristics of married women aged 15 to 19 years in Ethiopia, Nigeria and Tanzania: a comparative analysis of cross-sectional data |
| title_sort | sexuality fertility and family planning characteristics of married women aged 15 to 19 years in ethiopia nigeria and tanzania a comparative analysis of cross sectional data |
| topic | Adolescents Contraception Family planning Reproductive health Africa |
| url | http://link.springer.com/article/10.1186/s12978-019-0666-0 |
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