Young Women's Access to and Use of Contraceptives: The Role of Providers' Restrictions in Urban Senegal

CONTEXT: Contraceptive prevalence is very low in Senegal, particularly among young women. Greater knowledge is needed about the barriers young women face to using contraceptives, including barriers imposed by health providers. METHODS: Survey data collected in 2011 for the evaluation of the Urban Re...

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Veröffentlicht in:International perspectives on sexual and reproductive health 2014-12, Vol.40 (4), p.176-183
Hauptverfasser: Sidze, Estelle M., Lardoux, Solène, Speizer, Ilene S., Faye, Cheikh M., Mutua, Michael M., Badji, Fanding
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container_end_page 183
container_issue 4
container_start_page 176
container_title International perspectives on sexual and reproductive health
container_volume 40
creator Sidze, Estelle M.
Lardoux, Solène
Speizer, Ilene S.
Faye, Cheikh M.
Mutua, Michael M.
Badji, Fanding
description CONTEXT: Contraceptive prevalence is very low in Senegal, particularly among young women. Greater knowledge is needed about the barriers young women face to using contraceptives, including barriers imposed by health providers. METHODS: Survey data collected in 2011 for the evaluation of the Urban Reproductive Health Initiative in Senegal were used to examine contraceptive use, method mix, unmet need and method sources among urban women aged 15–29 who were either currently married or unmarried but sexually active. Data from a sample of family planning providers were used to examine the prevalence of contraceptive eligibility restrictions based on age and marital status, and differences in such restrictions by method, facility type and provider characteristics. RESULTS: Modern contraceptive prevalence was 20% among young married women and 27% among young sexually active unmarried women; the levels of unmet need for contraception—mostly for spacing—were 19% and 11%, respectively. Providers were most likely to set minimum age restrictions for the pill and the injectable―two of the methods most often used by young women in urban Senegal. The median minimum age for contraceptive provision was typically 18. Restrictions based on marital status were less common than those based on age. CONCLUSIONS: Training and education programs for health providers should aim to remove unnecessary barriers to contraceptive access.
doi_str_mv 10.1363/4017614
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Greater knowledge is needed about the barriers young women face to using contraceptives, including barriers imposed by health providers. METHODS: Survey data collected in 2011 for the evaluation of the Urban Reproductive Health Initiative in Senegal were used to examine contraceptive use, method mix, unmet need and method sources among urban women aged 15–29 who were either currently married or unmarried but sexually active. Data from a sample of family planning providers were used to examine the prevalence of contraceptive eligibility restrictions based on age and marital status, and differences in such restrictions by method, facility type and provider characteristics. RESULTS: Modern contraceptive prevalence was 20% among young married women and 27% among young sexually active unmarried women; the levels of unmet need for contraception—mostly for spacing—were 19% and 11%, respectively. Providers were most likely to set minimum age restrictions for the pill and the injectable―two of the methods most often used by young women in urban Senegal. The median minimum age for contraceptive provision was typically 18. Restrictions based on marital status were less common than those based on age. 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Providers were most likely to set minimum age restrictions for the pill and the injectable―two of the methods most often used by young women in urban Senegal. The median minimum age for contraceptive provision was typically 18. Restrictions based on marital status were less common than those based on age. 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Providers were most likely to set minimum age restrictions for the pill and the injectable―two of the methods most often used by young women in urban Senegal. The median minimum age for contraceptive provision was typically 18. Restrictions based on marital status were less common than those based on age. CONCLUSIONS: Training and education programs for health providers should aim to remove unnecessary barriers to contraceptive access.</abstract><cop>United States</cop><pub>Guttmacher Institute</pub><pmid>25565345</pmid><doi>10.1363/4017614</doi><tpages>8</tpages><oa>free_for_read</oa></addata></record>
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subjects Adolescent
Adult
Age
Age Factors
Aged
Attitude of Health Personnel
Birth Control
Condoms
Condoms - statistics & numerical data
Constraints
Contraception
Contraception - methods
Contraception - psychology
Contraception - statistics & numerical data
Contraceptive Agents, Female - supply & distribution
Contraceptive Agents, Female - therapeutic use
Contraceptives
Developing countries
Education
Family Planning
Female
Females
Health aspects
Health care services accessibility
Health facilities
Health Knowledge, Attitudes, Practice
Health Personnel - psychology
Health Services Accessibility - statistics & numerical data
Health Surveys
Humans
Injectable contraceptives
Knowledge
LDCs
Male
Marital Status
Marital Status - statistics & numerical data
Medical care utilization
Methods
Oral contraceptives
Pregnancy
Prevalence
Reproductive health
Reproductive Health Services
Restrictions
Senegal
Social aspects
Studies
Urban Areas
Urban Population
Wives
Women's health
Womens health
Young Adult
Young women
title Young Women's Access to and Use of Contraceptives: The Role of Providers' Restrictions in Urban Senegal
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