246887 Barrier of uncertainty: Use of contraception in three regions of Ghana

Wednesday, November 2, 2011: 11:24 AM

Rachel A. Weber, PhD , Center for Communication Programs, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD
Joseph Limange, MBA , Ghana Behavior Change Support Project, Johns Hopkins Bloomberg School of Public Health, Accra, Ghana
Angela Acosta, MSPH , International Programs, American Refugee Committee International, Washington, DC
Ian Tweedie, MPH , Ghana Behavior Change Support Project, Johns Hopkins Bloomberg School of Public Health, Accra, Ghana
Use of modern contraception among married women in Ghana decreased from 19% in 2003 to 17% in 2008 according to the DHS. The Ghana Behavior Change Support Project (BCS) uses behavior change communication and community mobilization to promote use of modern contraception. To help inform and later evaluate program activities, a baseline survey was conducted in 2010 to better understand communication, attitudes, social norms, and patterns of contraceptive use in three regions of Ghana. The quantitative baseline survey enrolled 2246 women 15-49 and 1049 men 15-59 from 1945 households in the Western, Central and Greater Accra regions. Among 1159 women married or living with a partner who were not pregnant, 34.8% reported using any method of contraception and 22.9% reported current use of a modern method. Over 80% approved of using family planning and 59.0% of women and 70.6% of men reported they would likely use contraception in the future. For future use, the most preferred methods were reported to be injectables (29.3% women, 28.5% men) and the pill (19.2% women, 13.4% men). However, 23.6% of women and 21.2% of men were unsure of the method they would prefer to use in the future and 82.0% of women unsure of which method they would use were not currently using any method. The uncertainty of which method to use may contribute to persons approving of FP not using contraception. Finding ways to facilitating decision-making and selection of a method may be an important factor in promoting use of contraception.

Learning Areas:
Public health or related research
Social and behavioral sciences

Learning Objectives:
Identify factors associated with use of contraception in Ghana Discuss potential role of uncertainty of which method to use with actual contraception use

Keywords: Contraception, Family Planning

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am qualified to present this work because I have a PhD in epidemiology and I designed and analyzed the research study.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.

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