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Spatial variations and socioeconomic determinants of modern contraceptive use in Ghana: A Bayesian multilevel analysis

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  • Samuel H Nyarko

Abstract

The literature on spatial patterns and contextual factors affecting modern contraceptive use is not well-documented in Ghana. This study describes the spatial variations and estimates the socioeconomic determinants of modern contraception among women in reproductive age in Ghana. Using data from the 2014 Ghana Demographic and Health Survey, both global and local Moran’s I test were performed to show spatial autocorrelation and Bayesian multilevel models estimated to determine socioeconomic factors affecting modern contraceptive use. The results show evidence of low prevalence and spatial clustering of modern contraception use across the country. There were also notable regional disparities in contraceptive use that favour mostly the southern regions. Modern contraceptive use is significantly associated with socioeconomic factors such as educational attainment, work status, and marital status, as well as age, religious affiliation, and parity. Contextual factors such as the convenient location of health facility and family planning messages exposure also have a considerable positive effect on modern contraceptive use. Uneducated, unemployed and never-married women are considerably disadvantaged in the utilisation of modern contraception in Ghana. Socioeconomic and contextual factors play a key role in modern contraceptive use in Ghana.

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  • Samuel H Nyarko, 2020. "Spatial variations and socioeconomic determinants of modern contraceptive use in Ghana: A Bayesian multilevel analysis," PLOS ONE, Public Library of Science, vol. 15(3), pages 1-12, March.
    • Handle: RePEc:plo:pone00:0230139
    DOI: 10.1371/journal.pone.0230139
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    References listed on IDEAS

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    1. Stephenson, R. & Baschieri, A. & Clements, S. & Hennink, M. & Madise, N., 2007. "Contextual influences on modern contraceptive use in sub-Saharan Africa," American Journal of Public Health, American Public Health Association, vol. 97(7), pages 1233-1240.
    2. Stella Babalola & Olamide Oyenubi, 2018. "Factors explaining the North–South differentials in contraceptive use in Nigeria: A nonlinear decomposition analysis," Demographic Research, Max Planck Institute for Demographic Research, Rostock, Germany, vol. 38(12), pages 287-308.
    3. Esther O Lamidi, 2015. "State Variations in Women’s Socioeconomic Status and Use of Modern Contraceptives in Nigeria," PLOS ONE, Public Library of Science, vol. 10(8), pages 1-15, August.
    4. United Nations UN, 2015. "Transforming our World: the 2030 Agenda for Sustainable Development," Working Papers id:7559, eSocialSciences.
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    1. Agbadi, Pascal & Tagoe, Twumwaa Eunice & Agyemang, F. Akosua & Dzomeku, Veronica Millicent & Agboh, Herman Nuake Kofi & Darkwah, Ernest, 2020. "Media exposure to family planning contents and adult support for teaching children about condom use to prevent HIV/AIDS: Findings from 2003 to 2014 Ghana Demographic Health Surveys," Children and Youth Services Review, Elsevier, vol. 118(C).

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