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Predictors of unmet need for contraception among adolescent girls and young women in selected high fertility countries in sub-Saharan Africa: A multilevel mixed effects analysis

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  • Bright Opoku Ahinkorah

Abstract

Introduction: Despite the desire of adolescent girls and young women (AGYW) in sub-Saharan Africa (SSA) to use contraceptives, the majority of them have challenges with access to contraceptive services. This is more evident in high fertility countries in SSA. The purpose of this study was to examine the predictors of unmet need for contraception among AGYW in selected high fertility countries in SSA. Materials and methods: Data from current Demographic and Health Surveys (DHS) carried out between 2010 and 2018 in 10 countries in SSA were analysed. A sample size of 24,898 AGYW who were either married or cohabiting was used. Unmet need for contraception was the outcome variable in this study. The explanatory variables were age, marital status, occupation, educational level, frequency of reading newspaper/magazine, frequency of listening to radio, frequency of watching television and parity (individual level variables) and wealth quintile, sex of household head, place of residence and decision-maker in healthcare (household/community level variables). Descriptive and multilevel logistic regression analyses were carried out. The results of the multilevel logistic regression analyses were reported using adjusted odds ratios at 95% confidence interval. Results: The prevalence of unmet need for contraception in all the countries considered in this study was 24.9%, with Angola, recording the highest prevalence of 42.6% while Niger had the lowest prevalence of 17.8%. In terms of the individual level predictors, the likelihood of unmet need for contraception was low among AGYW aged 20–24 [aOR = 0.82; 95% CI = 0.76–0.88], those with primary [aOR = 1.22; 95% CI = 1.13–1.31] and secondary/higher levels of formal education [aOR = 1.18; 95% CI = 1.08–1.28, p

Suggested Citation

  • Bright Opoku Ahinkorah, 2020. "Predictors of unmet need for contraception among adolescent girls and young women in selected high fertility countries in sub-Saharan Africa: A multilevel mixed effects analysis," PLOS ONE, Public Library of Science, vol. 15(8), pages 1-15, August.
    • Handle: RePEc:plo:pone00:0236352
    DOI: 10.1371/journal.pone.0236352
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    1. Tanvir M Huda & Morseda Chowdhury & Shams El Arifeen & Michael J Dibley, 2019. "Individual and community level factors associated with health facility delivery: A cross sectional multilevel analysis in Bangladesh," PLOS ONE, Public Library of Science, vol. 14(2), pages 1-13, February.
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