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Published in: Reproductive Health 1/2015

Open Access 01-12-2016 | Research

Women's fertility desires and contraceptive behavior in three peri-urban communities in sub Saharan Africa

Authors: Funmilola OlaOlorun, Assefa Seme, Easmon Otupiri, Peter Ogunjuyigbe, Amy Tsui

Published in: Reproductive Health | Issue 1/2015

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Abstract

Background

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.

Methods

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.

Results

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)].

Conclusions

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.
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Metadata
Title
Women's fertility desires and contraceptive behavior in three peri-urban communities in sub Saharan Africa
Authors
Funmilola OlaOlorun
Assefa Seme
Easmon Otupiri
Peter Ogunjuyigbe
Amy Tsui
Publication date
01-12-2016
Publisher
BioMed Central
Published in
Reproductive Health / Issue 1/2015
Electronic ISSN: 1742-4755
DOI
https://doi.org/10.1186/s12978-016-0118-z

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