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|Title: ||Women's fertility desires and contraceptive behavior in three peri-urban communities in sub Saharan Africa|
|Authors: ||Tsui, Amy|
|Keywords: ||Sub-saharan Africa|
|Issue Date: ||2016|
|Publisher: ||Reproductive Health|
|Citation: ||Reproductive Health (2016) 13:12 DOI 10.1186/s12978-016-0118-z|
|Abstract: ||Fertility desires and contraceptive behavior often change over time. This study examined the
influence of change in fertility desires on change in modern contraceptive use over time in three peri-urban
communities in sub-Saharan Africa.
This multi-site study includes baseline and follow up data from 3 sites in the Family Health and Wealth
Study. Following a census in each site, a probability sample of at least 500 households was obtained. Generalized
linear models were employed.
Modern contraceptive use increased in Ipetumodu, Nigeria (29.4 % to 36.7 %), but declined slightly in
Sebeta, Ethiopia (66.9 % to 61.3 %) and Asawase, Ghana (12.6 % to 10.8 %). Across sites, at baseline and follow up,
women who wanted no more children reported more contraceptive use, compared with those who wanted more
children, and were more likely to shift to being contraceptive users in Ipetumodu [aOR(95 % CI):1.55 (1.07,2.26)].
Women’s fertility desires influenced their contraceptive behavior, although there were cross-site
differences. Changing contraceptive demand and program factors will be important to enable peri-urban women
to frame and act on their fertility desires.|
|Description: ||This Article was published by Reproductive Health (2016) 13:12 DOI 10.1186/s12978-016-0118-z|
|Appears in Collections:||College of Health Sciences|
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