Monday, 4th of April 2011 |
These authors from Johns Hopkins find inequitable access to family planning services in most African countries with evidence from Demographic and Health Surveys.
Full text is at http://www.who.int/bulletin/volumes/89/4/10-083329.pdf
Low use of contraception among poor women in Africa
Objective To examine the use of contraception in 13 countries in sub-Saharan Africa; to assess changes in met need for contraception associated with wealth-related inequity; and to describe the relationship between the use of long-term versus short-term contraceptive methods and a woman’s fertility intentions and household wealth.
Methods The analysis was conducted with Demographic and Health Survey data from 13 sub-Saharan African countries. Wealth-related inequities in the use of contraception were calculated using household wealth and concentration indices. Logistic regression models were fitted for the likelihood of using a long-term contraceptive method, with adjustments for: wealth index quintile, fertility intentions (to space births versus to stop childbearing), residence (urban/rural), education, number of living children, marital status and survey year.
Findings The use of contraception has increased substantially between surveys in Ethiopia, Madagascar, Mozambique, Namibia and Zambia but has declined slightly in Kenya, Senegal and Uganda. Wealth-related inequalities in the met need for contraception have decreased in most countries and especially so in Mozambique, but they have increased in Kenya, Uganda and Zambia with regard to spacing births, and in Malawi, Senegal, Uganda, the United Republic of Tanzania and Zambia with regard to limiting childbearing. After adjustment for fertility intention, women in the richest wealth quintile were more likely than those in the poorest quintile to practice long-term contraception.
Conclusion Family planning programmes in sub-Saharan Africa show varying success in reaching all social segments, but inequities persist in all countries.
To subscribe or unsubscribe from this list, pls contact kidsurvival3@gmail.com.
Subscribe from your most permanent E-mail address, not always that of your current employer.
If you unsubscribe,pls indicate from which E mail address you are receving these updates.
Do not subscribe on behalf of friends or colleagues; forward updates to them for their decision.
READER COMMENTS
If you have comments to share with other readers, pls forward to rdavis@africamail.com
WEBPAGE
These updates are also available at www.childsurvival.net
--
To subscribe or unsubscribe from these Child Survival Updates, pls contact
kidsurvival@gmail.com. If you unsubscribe, indicate from which E mail
address you are receving these updates.
When subscribing, write from your most permanent E-mail address, not always
that of your current employer.
Do not subscribe on behalf of friends or colleagues; forward updates to them
for their decision.
Those wishing to read only malaria updates should subscribe at kidsurvivalmalaria@gmail.com
Those wishing to read only vaccination updates should subscribe at kidsurvivalvaccination@gmail.com
READER COMMENTS
If you have a comment you want posted, send to rdavis@africamail.com
WEBPAGE
These updates are also available at www.childsurvival.net
Are three drugs for malaria better than two?
Friday, 24th of April 2020 |
Public health Interventions and epidemic intensity during the 1918 influenza pandemic
Thursday, 16th of April 2020 |
Chloroquine and hydroxychloroquine as available weapons to fight COVID-19
Tuesday, 17th of March 2020 |
Using models to shape measles control and elimination strategies in low- and middle-income countries: A review of recent applications
Monday, 17th of February 2020 |
Immunization Agenda 2030
Tuesday, 11th of February 2020 |
40924764 |
www.measlesinitiative.org www.technet21.org www.polioeradication.org www.globalhealthlearning.org www.who.int/bulletin allianceformalariaprevention.com www.malariaworld.org http://www.panafrican-med-journal.com/ |