Abstract
Despite the amounting interest in improving access to and utilization of family planning methods, contraceptives prevalence rates remain low in Benin Republic. Rates of increase in contraceptives’ prevalence are low and underlying risk factors for use and non-use are not well known. This study investigates similarities and differences in factors associated to contraceptive use by type of method among 6,237 women recruited in 2011/2012 BDHS data using multiple logistic regression models. Most women (78.9%) involved in the current study did not use any contraceptive during their last sexual activity, 13.6% were currently using modern contraceptive methods and 7.8% was using traditional contraceptive methods. Significant covariates for modern contraceptive use were: female education, discussion about FP, number of living children, fertility preference, marital status, household wealth index, sex of household head, religious membership, and the area of residence. Concerning traditional methods use, they were: women’s ethnic background, discussion about FP, fertility preference and household wealth index. To improve contraceptives usage especially modern contraceptives, findings suggest, among other: fighting against sociocultural barriers; ensuring female’s formal education till secondary; encouraging good health behaviours (ANC follow-up, institutional delivery by skilled attendant, enhancing PNC visits) for women during childbirth and to increase FP education during those check-ups.
Highlights
Planning remains one of the key components of reproductive health programme components set as human right, stated in international law (WHO, 1994) and remain a core component of Sustainable Development Goals (SDG) set for the continuity of the unfinished business of the Millennium Development Goals – MDGs (United Nations, 2014)
Among 16,599 women recruited for the fourth Benin Republic’s Demographic and Health Survey (BDHS) of 2011-2012; 6,237 currently non-pregnant and sexually active were eligible for the current study with 100% response rate with each selected covariate
About the half (48.57%) of them were from the majority ethnic group (Fon) while the Dendi were the least represented in the sample
Summary
Planning remains one of the key components of reproductive health programme components set as human right, stated in international law (WHO, 1994) and remain a core component of Sustainable Development Goals (SDG) set for the continuity of the unfinished business of the Millennium Development Goals – MDGs (United Nations, 2014). The level of reproductive health indicators, including those relating to family planning are not better in this context. Benin belongs to those countries with high fertility where the population will still be growing until 2050s (PRB, 2012) in spite of fertility decline already begun. Contraceptive prevalence rate among Beninese women corroborates with the persistence of customs and traditions in case of fertility in this context. The modern contraceptive prevalence rate, already low, has increased for only 4 points in 15 years from 5.7% in 2000 to 9.8% in 2014 (UNDP 2014). In 2011-2012 where on average 9 out of every 100 women were currently using modern contraceptives nationwide, only 3 out of 100 from the area of Mono were noticed (INSAE; ICF, 2013)
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