Afriyie Precious, Tarkang Elvis Enowbeyang
Department of Population and Behavioural Science, School of Public Health, University of Health and Allied Sciences, PMB 31, Ho, Ghana.
HIV/AIDS Prevention Research Network Cameroon (HIVPREC) Kumba, Kumba, Cameroon.
Pan Afr Med J. 2019 May 10;33:15. doi: 10.11604/pamj.2019.33.15.17500. eCollection 2019.
the use of modern contraception helps couples and individuals realize their basic right to decide freely and responsibly if, when and how many children to have. The current study assessed the factors influencing the use of modern contraception among married women in Ho West District, Ghana.
the study adopted a descriptive cross-sectional design, using a standardized validated pretested interviewer-administered questionnaire adapted from previous studies to collect data from a systematic sample of 225 married women and analyzing them using Stata version 14 software program at the level 0.05.
the majority, 202 (89.8%) had used modern contraception before, and the proportion currently using some form of family planning (FP) was 130 (64.4%), majority (46.2%) of whom were currently using injectable. Majority (66.1%) used modern contraception in order to ensure proper care of children. Most (64.2%) of the women who were not using modern contraception were not doing so because of their partner's disapproval. Private employees were 0.20 times less likely to use modern contraception (AOR=0.20 (95% CI: 0.04-0.91); p=0.038) compared to housewives, while women who did not have problems with decision-making were 4 times more likely to use modern contraception (AOR=4.40 (95% CI: 1.25-14.44); p=0.021) compared to their counterparts who had problems with decision-making at home.
the use of modern contraception is low. Health promotion interventions to increase modern contraception use among married women in Ho West District of Ghana should focus on the privately employed and those with problems in decision-making at home.
现代避孕方法的使用有助于夫妻和个人实现自由且负责地决定是否生育、何时生育以及生育多少子女的基本权利。本研究评估了影响加纳霍西区已婚妇女使用现代避孕方法的因素。
本研究采用描述性横断面设计，使用一份经过标准化、验证且预先测试的访谈式问卷，该问卷改编自先前的研究，从225名已婚妇女的系统样本中收集数据，并使用Stata 14软件程序在0.05的水平上进行分析。
大多数人，即202人（89.8%）以前使用过现代避孕方法，目前使用某种形式计划生育（FP）的比例为130人（64.4%），其中大多数人（46.2%）目前使用注射剂。大多数人（66.1%）使用现代避孕方法是为了确保对子女的妥善照料。大多数未使用现代避孕方法的妇女（64.2%）不这样做是因为伴侣不赞成。与家庭主妇相比，私营企业雇员使用现代避孕方法的可能性低0.20倍（调整后比值比[AOR]=0.20（95%置信区间：0.04 - 0.91）；p = 0.038），而在家中决策没有问题的妇女使用现代避孕方法的可能性是在家中决策有问题的妇女的4倍（AOR = 4.40（95%置信区间：1.25 - 14.44）；p = 0.021）。
现代避孕方法的使用率较低。加纳霍西区旨在提高已婚妇女现代避孕方法使用率的健康促进干预措施应侧重于私营企业雇员以及在家中决策有问题的人群。
