Abstract

Objective The aim of the study was to assess factors influencing contraceptive uptake among young women aged 15–24 years in Bolgatanga Municipal District, northern Ghana. Methods An analytical cross-sectional community-based study was conducted between December 2015 and April 2016. Participants (N = 580) were selected through multistage sampling and interviewed using a pretested structured questionnaire. Results The mean age of the participants was 20.5 years (standard deviation 2.8 years). About a third were less than 20 years old. Contraceptive knowledge was nearly universal (99.7%). About 67% of sexually experienced young women had used contraceptives, but less than a quarter had used long-acting reversible contraception (LARC). Age was the only independent predictor of contraceptive use: women in their 20s were more than twice as likely as adolescents to use contraceptives (adjusted relative risk 2.75; 95% confidence interval 2.04, 3.71; p < 0.001). Conclusion Strategies to improve contraceptive uptake among young people in the municipality should encourage the use of LARC.

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