Objective: To examine trends in equity in contraceptive use, and in contraceptive-prevalence rates in six East African countries.
Methods: In this repeated cross-sectional study, Demographic and Health Surveys Program data from women aged 15-49 years in Ethiopia, Kenya, Malawi, Rwanda, Tanzania, and Uganda between 2000 and 2010 were analyzed. Individuals were ranked according to wealth quintile, stratified urban/rural populations, and calculated concentration index-a statistic integrating information from all wealth quintiles to analyze disparities.
Results: Equity and contraceptive-prevalence rates increased in most country regions over the study period. Notably, in rural Rwanda, contraceptive-prevalence rates increased from 3.9 to 44.0, and urban Kenya became the most equitable country region, with a concentration index of 0.02. The Pearson correlation coefficient between improvements in concentration index and contraceptive-prevalence rates was 0.52 (P=0.011).
Conclusion: The results indicate that countries seeking to increase contraceptive use should prioritize equity in access to services and contraceptives.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.1016/j.ijgo.2015.08.016 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Progress in reducing socioeconomic inequalities in the use of modern contraceptives in 48 focus countries as part of the FP2030 initiative between 1990 and 2020: a population-based analysis.
Lancet Glob Health
January 2025
Department of Population, Family and Reproductive Health, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD, USA.
Background: Despite increases in modern contraception use, socioeconomic inequalities in family planning persist. In this study, we aimed to measure progress in reducing socioeconomic inequalities in modern contraceptive prevalence rate (mCPR) and demand for family planning satisfied by modern methods (mDFPS) in 48 countries as part of the Family Planning 2030 (FP2030) initiative between 1990 and 2020 for which Demographic and Health Survey data were available.
Methods: We analysed two rounds of Demographic and Health Survey data per country.
Underage girls' pregnancy during schooling in Niger: Socio-demographic aspect, causes, effect and control. A prospective cohort study.
SAGE Open Med
September 2024
Issaka Gazobi Maternity Hospital, Abdou Moumouni University, Niamey, Niger.
Introduction: The aim of this study was to determine the frequency, the socio-demographic aspect, the consequences on the schooling of girls and the control measures of underage pregnancy in schooling in Niger.
Methods: This was a prospective cohort study over a 12-month period. The study concerned pregnant and parturient girls who were minors and in the process of attending school in the city of Niamey in the Republic of Niger.
New evidence on adolescent sexual and reproductive health and rights from the West and Central African region.
Afr J Reprod Health
August 2024
Editor in Chief, African Journal of Reproductive Health.
The African Journal of Reproductive Health is pleased to publish these compendiums of original research in this special edition that document new findings in adolescent sexual and reproductive health and rights from the West and Central African region (WCA). While sub-Saharan Africa has some of the worst indicators of sexual and reproductive health and rights (SRHR) in the world, the indicators are more daunting in the WCA region. To date, the WCA is recognized to have the highest rates of unwanted pregnancy, unsafe abortion, and human immunodeficiency virus (HIV) and other sexually transmissible infections, as well as the lowest contraceptive prevalence rates among adolescents worldwide.
View Article and Find Full Text PDFUsing the Family Planning Estimation Tool (FPET) to assess national-level family planning trends and future projections for contraceptive prevalence and associated demand for HIV-infected women in sub-Saharan Africa.
PLOS Glob Public Health
August 2024
The George Institute for Global Health, Imperial College London, London, United Kingdom.
The combination of low uptake of modern contraceptives, high rates of unintended pregnancies, and the pervasive HIV epidemic in Sub-Saharan Africa (SSA) poses a threat to maternal, newborn, and child health in the region. This study examined the prevalence, need, and demand satisfied by modern contraceptive methods for women who tested positive for HIV (both unmarried and married) in 10 countries in SSA. We used the Family Planning Estimation Tool (FPET) to generate national-level trends and projections from 1983 through 2030.
View Article and Find Full Text PDFHigh-Resolution Geospatial Mapping of Zero-Dose and Underimmunized Children Following Nigeria's 2021 Multiple Indicator Cluster Survey/National Immunization Coverage Survey.
J Infect Dis
July 2024
Groningen Research Institute of Pharmacy, University of Groningen, the Netherlands.
Article Synopsis
- Nigeria has over 2.3 million "zero-dose" children, meaning they haven't received any routine vaccinations or the initial dose of a crucial vaccine for diphtheria, tetanus, and pertussis.
- Research showed that zero-dose and underimmunized children are found more often in socially disadvantaged groups and are linked to issues like stunting, low contraceptive use, and literacy rates.
- There's significant regional and ethnic variation in vaccination rates, especially higher numbers of zero-dose children in northern Nigeria, stressing the need for improved immunization efforts and targeted vaccine delivery using geospatial modeling.
Want AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!