Unmet needs for modern contraceptive methods among sexually active adolescents and young women in Togo: a nationwide cross-sectional study
BackgroundThe 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 secondar...
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| Format: | Article |
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Frontiers Media S.A.
2023-07-01
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| Series: | Frontiers in Public Health |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fpubh.2023.1169180/full |
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| author | Smaila Alidou Smaila Alidou Lucien Désiré Dahourou Lucien Désiré Dahourou Ter Tiero Elias Dah Armel Sogo Tchasso Serge Kenao Dègninou Yehadji Nicolas Meda Didier Koumavi Ekouevi |
| author_facet | Smaila Alidou Smaila Alidou Lucien Désiré Dahourou Lucien Désiré Dahourou Ter Tiero Elias Dah Armel Sogo Tchasso Serge Kenao Dègninou Yehadji Nicolas Meda Didier Koumavi Ekouevi |
| author_sort | Smaila Alidou |
| collection | DOAJ |
| description | BackgroundThe 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.MethodWe 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.ResultsAmong 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.ConclusionThe 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. |
| first_indexed | 2024-03-12T21:34:44Z |
| format | Article |
| id | doaj.art-a5ca16db19c948daa000e632d4805b14 |
| institution | Directory Open Access Journal |
| issn | 2296-2565 |
| language | English |
| last_indexed | 2024-03-12T21:34:44Z |
| publishDate | 2023-07-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Public Health |
| spelling | doaj.art-a5ca16db19c948daa000e632d4805b142023-07-27T11:08:00ZengFrontiers Media S.A.Frontiers in Public Health2296-25652023-07-011110.3389/fpubh.2023.11691801169180Unmet needs for modern contraceptive methods among sexually active adolescents and young women in Togo: a nationwide cross-sectional studySmaila Alidou0Smaila Alidou1Lucien Désiré Dahourou2Lucien Désiré Dahourou3Ter Tiero Elias Dah4Armel Sogo5Tchasso Serge Kenao6Dègninou Yehadji7Nicolas Meda8Didier Koumavi Ekouevi9Département de Santé Publique, Unité de Formation et de Recherche en Sciences de la Santé, Université Joseph KI-ZERBO, Ouagadougou, Burkina FasoMinistère de la Santé, Hygiène Publique et de l’Accès Universel aux Soins, Lomé, TogoInstitut de Recherche en Sciences de la Santé (IRSS/CNRST), Ouagadougou, Burkina FasoInstitut National de la Santé et de la Recherche Médicale (INSERM, UMR1295), Centre d’épidémiologie et de Recherche en Santé des Populations (CERPOP), Université de Toulouse, Toulouse, FranceUnité de Formation et de Recherche en Sciences de la Santé, Université de Ouahigouya, Ouahigouya, Burkina FasoInstitut de Recherche en Sciences de la Santé (IRSS/CNRST), Ouagadougou, Burkina FasoDépartement de Promotion de la Santé, Institut Régionale de Santé Publique, Université d’Abomey-Calavi, Cotonou, BeninMinistère de la Santé, Hygiène Publique et de l’Accès Universel aux Soins, Lomé, TogoDépartement de Santé Publique, Unité de Formation et de Recherche en Sciences de la Santé, Université Joseph KI-ZERBO, Ouagadougou, Burkina FasoDépartement de Santé Publique, Faculté des Sciences de la Santé (FSS), Université de Lomé, Lomé, TogoBackgroundThe 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.MethodWe 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.ResultsAmong 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.ConclusionThe 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.https://www.frontiersin.org/articles/10.3389/fpubh.2023.1169180/fullmodern contraceptivesunmet needadolescent and young womenhousehold factorsTogo |
| spellingShingle | Smaila Alidou Smaila Alidou Lucien Désiré Dahourou Lucien Désiré Dahourou Ter Tiero Elias Dah Armel Sogo Tchasso Serge Kenao Dègninou Yehadji Nicolas Meda Didier Koumavi Ekouevi Unmet needs for modern contraceptive methods among sexually active adolescents and young women in Togo: a nationwide cross-sectional study Frontiers in Public Health modern contraceptives unmet need adolescent and young women household factors Togo |
| title | Unmet needs for modern contraceptive methods among sexually active adolescents and young women in Togo: a nationwide cross-sectional study |
| title_full | Unmet needs for modern contraceptive methods among sexually active adolescents and young women in Togo: a nationwide cross-sectional study |
| title_fullStr | Unmet needs for modern contraceptive methods among sexually active adolescents and young women in Togo: a nationwide cross-sectional study |
| title_full_unstemmed | Unmet needs for modern contraceptive methods among sexually active adolescents and young women in Togo: a nationwide cross-sectional study |
| title_short | Unmet needs for modern contraceptive methods among sexually active adolescents and young women in Togo: a nationwide cross-sectional study |
| title_sort | unmet needs for modern contraceptive methods among sexually active adolescents and young women in togo a nationwide cross sectional study |
| topic | modern contraceptives unmet need adolescent and young women household factors Togo |
| url | https://www.frontiersin.org/articles/10.3389/fpubh.2023.1169180/full |
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