Use of modern contraceptive methods among women of reproductive age in 3 family planning centers in Abidjan
DOI:
https://doi.org/10.4314/rasp.v7i2.16Keywords:
Modern Contraception , Women of Childbearing Age, Family Planning , Reproductive Health, AbidjanAbstract
This study, conducted in three family planning centers in Abidjan, aimed to analyze the use of modern contraceptive methods among women of reproductive age. It described their sociodemographic profile, their contraceptive preferences, and the motivations guiding their choices. A cross-sectional descriptive survey was conducted among 397 women, using a structured questionnaire collecting data on social characteristics, types of methods used, perceived side effects, and reasons for using contraception. The results highlighted a population that was predominantly young (47.9% between 20 and 30 years old) and poorly educated (42.8% with no formal education). The most used methods were injectables (41.6%) and implants (28.5%), while the pill and IUD were less frequently used. A high prevalence of adverse effects was reported (85.4%), the most common being amenorrhea and weight gain. We noted that 75.4% of participants used contraception as part of family planning. The results of this work align with regional trends, where long-acting methods dominate, while also highlighting the limitations associated with side effects. In conclusion, this study calls for the diversification of contraceptive provision, the strengthening of individualised counselling, and the intensification of awareness-raising actions, with a view to guaranteeing more informed, equitable, and sustainable access to modern contraception.
References
Ahmed, S., Choi, Y., Rimon, J. G., Alzouma, S., Gichangi, P., Guiella, G., Kayembe, P., Kibira, S. P., Makumbi, F., OlaOlorun, F., Omoluabi, E., Otupiri, E., Oumarou, S., Seme, A., Shiferaw, S., Anglewicz, P., Radloff, S., & Tsui, A. (2019). Trends in contraceptive prevalence rates in sub-Saharan Africa since the 2012 London Summit on Family Planning: Results from repeated cross-sectional surveys. The Lancet Global Health, 7(7), e904–e911. https://doi.org/10.1016/S2214-109X(19)30200-1
Ayuk, B. E., Yankam, B. M., Saah, F. I., et al. (2022). Provision of injectable contraceptives by community health workers in sub-Saharan Africa: A systematic review of safety, acceptability and effectiveness. Human Resources for Health, 20, Article 66. https://doi.org/10.1186/s12960-022-00763-8
Boateng, D., Darteh, E. K., & Adjei, K. (2021). Determinants of contraceptive use among women in Ghana. BMC Women’s Health, 21(1), 15. https://doi.org/10.1186/s12905-020-01166-7
Coulibaly, K. S. A., Yéo, K. J., & Konan, L. L. (2023). Connaissances et utilisation de la contraception moderne chez les femmes venues en consultation à l’Institut National de Santé Publique d’Abidjan. Revue Marocaine de Santé Publique, 10(16), 85–95. https://doi.org/10.34874/IMIST.PRSM/RMSP/31462
Coulibaly, M., Doukouré, D., Kouamé, J., Ayékoé, I. A., Mélèdje-Koumi, M.-D., Malik, S., Sackou-Kouakou, J., Aké, O., Tiembré, I., & Kouadio, L. (2020). Obstacles socioculturels liés à l’utilisation de la contraception moderne en Côte d’Ivoire. Santé Publique, 32(4), 389–397. https://doi.org/10.3917/spub.204.0389
Darteh, E. K. M., Dickson, K. S., & Doku, D. T. (2021). Barriers to and motivations for contraceptive use among young people in Sub-Saharan Africa: A systematic review of qualitative studies. PLOS ONE, 16(6), e0252745. https://doi.org/10.1371/journal.pone.0252745
Darroch, J. E., Woog, V., Bankole, A., & Ashford, L. S. (2020). Adding it up: Investing in sexual and reproductive health 2019. Guttmacher Institute. https://www.guttmacher.org/report/adding-it-up-investing-in-sexual-reproductive-health-2019
Essis, E. M. L., Yeo, K. J., Amalaman, D. M., Konan, L. L., Bamba, I., Coulibaly, K. S. A., … Aka, J. (2023). Libido–sexual disorders and abandonment of injectable contraceptives among users of the Ivorian Association for Family Well Being in Korhogo, Côte d’Ivoire. Frontiers in Global Women’s Health, 4, Article 1026253. https://doi.org/10.3389/fgwh.2023.1026253
Family Planning 2030 Côte d’Ivoire. (2024). Indicator Summary Sheet: Côte d’Ivoire 2024. https://fp2030.org
FP2030. (2023). Stratégie nationale de planification familiale – Côte d’Ivoire. https://fp2030.org
Institut National de la Statistique (INS), & UNICEF. (2022). Enquête par grappes à indicateurs multiples (MICS 2021) : Résultats clés – Côte d’Ivoire. https://mics.unicef.org/
Judicaël, A. A. S. (2016). Problématique de l’usage des contraceptifs hormonaux en milieu rural de Côte d'Ivoire. European Scientific Journal, 12(32), 298. https://doi.org/10.19044/esj.2016.v12n32p298
Konan, N. S., Attoh-Touré, H., & Ekra, K. D. (2023). Méthodes contraceptives chez les jeunes filles élèves et grossesses en milieu scolaire dans un établissement secondaire à Abidjan. Revue Africaine des Sciences Sociales et de la Santé Publique, 5(2), 74–81.
Organisation mondiale de la Santé (OMS). (2023, 5 septembre). Planification familiale/Contraception. https://www.who.int/fr/news-room/fact-sheets/detail/family-planning-contraception
Pathfinder International. (2023). Initiatives de gratuité contraceptive et équité d’accès en Côte d’Ivoire. https://www.pathfinder.org
Programme national de santé de la mère et de l’enfant (PNSME-Côte d’Ivoire). (2024, 3 novembre). Planification familiale : la Côte d’Ivoire veut faire un « bond » dans sa prévalence contraceptive. APA-News.
Rothschild, C., Richardson, B., Guthrie, B., Kithao, P., Omurwa, T., Mukabi, J., Callegari, L., Lokken, E., John‐Stewart, G., Unger, J., Kinuthia, J., & Drake, A. (2022). Contributions of side effects to contraceptive discontinuation and method switch among Kenyan women: A prospective cohort study. BJOG: An International Journal of Obstetrics & Gynaecology, 129(6), 926–937. https://doi.org/10.1111/1471-0528.17032
Schrumpf, L. A., Stephens, M. J., Nsarko, N. E., Akosah, E., Baumgartner, J. N., Ohemeng-Dapaah, S., & Watt, M. H. (2020). Side effect concerns and their impact on women’s uptake of modern family planning methods in rural Ghana : A mixed methods study. BMC Women’s Health, 20(1), 57. https://doi.org/10.1186/s12905-020-0885-0
Sedgh, G., Ashford, L. S., & Hussain, R. (2016). Unmet need for contraception in developing countries: Examining women’s reasons for not using a method. Guttmacher Institute. https://www.guttmacher.org/report/unmet-need-for-contraception-in-developing-countries
United Nations Population Fund (UNFPA). (2022). State of world population 2022: Seeing the unseen – The case for action in the neglected crisis of unintended pregnancy. https://wcaro.unfpa.org/en/publications/state-world-population-report-2022
World Health Organization (WHO). (2022). Family planning: A global handbook for providers.
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