Pregnancy history and current use of contraception among women of reproductive age in Burundi, Kenya, Rwanda, Tanzania and Uganda: analysis of demographic and health survey data
Open Access
- 10 March 2016
- Vol. 6 (3), e009991
- https://doi.org/10.1136/bmjopen-2015-009991
Abstract
Objective To examine the relationship between pregnancy history and the use of contraception among women of reproductive age (15–49 years) in East Africa. Methods Demographic and Health Surveys data from Burundi (2010), Kenya (2008–2009), Rwanda (2010), Tanzania (2010) and Uganda (2011) were used in the analysis. Logistic regression was used to determine the effects of women's pregnancy history on their use of contraception. Setting Burundi, Kenya, Rwanda, Tanzania and Uganda. Participants 3226, 2377, 4396, 3250 and 2596 women of reproductive age (15–49 years) from Burundi, Kenya, Rwanda, Tanzania and Uganda, respectively, were included in the analysis. Results Women who had experienced a mistimed pregnancy were more likely to use a modern contraceptive method during their most recent sexual encounter in Kenya, Rwanda, Burundi and Uganda. Other significant correlates of women's contraceptive use were: desire for more children, parity, household wealth, maternal education and access information through radio. In-country regional differences on use of modern contraceptive methods were noted across five East African countries. Conclusions Women's birth histories were significantly associated with their decision to adopt a modern contraceptive method. This highlights the importance of considering women's birth histories, especially women with mistimed births, in the promotion of contraceptive use in East Africa. Variations as a result of place of residency, educational attainment, access to family planning information and products, and wealth ought to be addressed in efforts to increase use of modern contraceptive methods in the East African region.Keywords
This publication has 21 references indexed in Scilit:
- Family planning in sub-Saharan Africa: progress or stagnation?TPBulletin of the World Health Organization, 2011
- Family Planning and the Burden of Unintended PregnanciesEpidemiologic Reviews, 2010
- Unintended pregnancy in sub-Saharan Africa: magnitude of the problem and potential role of contraceptive implants to alleviate itContraception, 2008
- Is a previous unplanned pregnancy a risk factor for a subsequent unplanned pregnancy?American Journal of Obstetrics and Gynecology, 2008
- Contextual Influences on Modern Contraceptive Use in Sub-Saharan AfricaAmerican Journal of Public Health, 2007
- Family planning: the unfinished agendaThe Lancet, 2006
- Unplanned PregnancyObstetrics & Gynecology, 2006
- Education and fertility in sub-Saharan africa: Individual and community effectsDemography, 2002
- Contraceptive Use, Intention to Use and Unmet Need during the Extended Postpartum PeriodInternational Family Planning Perspectives, 2001
- Demographic and Sociocultural Factors Influencing Contraceptive Use in UgandaJournal of Biosocial Science, 1995