Community Factors Influencing Contraceptive Use among Married Women in 21 African Countries Pubblico

Abstract

Contraceptive prevalence is low in the African region despite considerable family
planning programmatic efforts. This study investigates community level influences on
modern contraceptive use among married women ages 15 - 49 in 21 African countries.
The analysis builds on previous studies through an examination of the individual,
household and community level factors that shape contraceptive use. 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. 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. The results highlight the importance of harnessing
community level factors in planning interventions for increasing access to and utilization
of modern contraceptive methods.

Table of Contents

Table of Contents

CHAPTER 1: INTRODUCTION ....................................................................................... 1
Contraceptive Use ........................................................................................................... 2
Aims and Objectives ....................................................................................................... 4
Study Setting: Family Planning in Africa ....................................................................... 5
CHAPTER 2: LITERATURE REVIEW ............................................................................ 8
Determinants of Contraceptive Use ................................................................................ 8
Multilevel Modeling and the Importance of Community Level Factors ...................... 11
Community Level Effects on Health Outcomes ........................................................... 13
CHAPTER 3: MANUSCRIPT ......................................................................................... 21
CHAPTER 4: PUBLIC HEALTH IMPLICATIONS ....................................................... 51
Future Directions .......................................................................................................... 52
Conclusion .................................................................................................................... 55
REFERENCES ................................................................................................................. 56
APPENDIX ....................................................................................................................... 61

About this Master's Thesis

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• Permission granted by the author to include this thesis or dissertation in this repository. All rights reserved by the author. Please contact the author for information regarding the reproduction and use of this thesis or dissertation.

School	Rollins School of Public Health
Department	Hubert Department of Global Health
Degree	MPH
Submission	Master's Thesis
Language	English
Research Field	Health Sciences, Public Health
Parola chiave	contraceptive use Africa married women community
Committee Chair / Thesis Advisor	Stephenson, Robert, Emory University
Partnering Agencies	Emory University schools, faculty or affiliated programs International governmental organization (e.g., Agency for International Development, etc.)

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