Original Research

Determinants of contraceptive use in Abidjan (Côte d'Ivoire)

Madikiny Coulibaly, Jérôme Kouamé, Florence Kadjo, Marie-Dorothée Koumi-Mélèdje, Annita Hounsa, Julie Sackou-Kouakou, Odile Aké
Journal of Public Health in Africa | Vol 13, No 2 | a461 | DOI: https://doi.org/10.4081/jphia.2022.2204 | © 2024 Madikiny Coulibaly, Jérôme Kouamé, Florence Kadjo, Marie-Dorothée Koumi-Mélèdje, Annita Hounsa, Julie Sackou-Kouakou, Odile Aké | This work is licensed under CC Attribution 4.0
Submitted: 11 April 2024 | Published: 26 July 2022

About the author(s)

Madikiny Coulibaly, National Institute of Public Health, Abidjan, Côte d'Ivoire; and, Department of Public Health, Hydrology and Toxicology, Faculty of Pharmaceutical and Biological Sciences, FHB University, Abidjan, Côte d'Ivoire
Jérôme Kouamé, National Institute of Public Health, Abidjan, Côte d'Ivoire; and, Department of Public Health, Hydrology and Toxicology, Faculty of Pharmaceutical and Biological Sciences, FHB University, Abidjan, Côte d'Ivoire
Florence Kadjo, Department of Public Health, Hydrology and Toxicology, Faculty of Pharmaceutical and Biological Sciences, FHB University, Abidjan, Côte d'Ivoire; and, National Institute of Public Hygiene, Abidjan, Côte d'Ivoire
Marie-Dorothée Koumi-Mélèdje, National Institute of Public Health, Abidjan, Côte d'Ivoire
Annita Hounsa, Department of Public Health, Hydrology and Toxicology, Faculty of Pharmaceutical and Biological Sciences, FHB University, Abidjan, Côte d'Ivoire
Julie Sackou-Kouakou, National Institute of Public Health, Abidjan, Côte d'Ivoire; and, Department of Public Health, Hydrology and Toxicology, Faculty of Pharmaceutical and Biological Sciences, FHB University, Abidjan, Côte d'Ivoire
Odile Aké, National Institute of Public Health, Abidjan, Côte d'Ivoire; and, Department of Public Health and IT, Faculty of Medical Sciences, FHB University, Abidjan, Côte d'Ivoire

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Abstract

In Côte d’Ivoire, contraceptive prevalence is low (21%). The search for determinants of contraceptive use could make it possible to redirect existing strategies. The objective is to identify the determinants of the use of contraception among women in Abidjan. A cross-sectional survey was conducted from May to June 2018 in the Dallas neighborhood of Adjamé municipal (Abidjan). Women of reproductive age (15 to 49 years old) were selected there. Sociodemographic, gyneco-obstetrical characteristics, educational level, attitudes and practices of women on contraception were collected. Univariate and multivariate analyzes were performed. A total of 301 women aged 29.34±8.98 years were selected. The proportion of women using modern contraception was 27.24%. In univariate analysis, the factors associated with use were: level of education (p=0.005), unwanted pregnancies (p=0.017), abortions (p<0.001), consultation of the gynecologist (p=0.003) or a family planning service (p=0.001). Hearing about contraception (p=0.043), knowing (p<0.001) and talking about it with their partner (p=0.027) was significantly associated with its use. In the multivariate analyses, the women who consulted a gynecologist and those who knew the contraceptive methods used them respectively 2 times more (OR= 2.16 [1.14-4.15], p=0.019) and 22 times more (OR= 22.38 [8.42-78.56], p<0.001). Women with primary school education used them significantly less (OR=0.15 [0.05-0.41], p<0.001). Awareness, the gynecologist’s consultation, and the level of education were the main determinants of contraceptive use. Also, it is necessary to adapt awareness messages to the characteristics of women.


Keywords

Determinants; use; contraception; women of reproductive age; Côte d'Ivoire

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