Temporal Trends and Predictors of Modern Contraceptive Use in Lusaka, Zambia, 2004-2011

BioMed Research International
Nancy L HancockBenjamin H Chi

Abstract

Although increasing access to family planning has been an important part of the global development agenda, millions of women continue to face unmet need for contraception. We analyzed data from a repeated cross-sectional community survey conducted in Lusaka, Zambia, over an eight-year period. We described prevalence of modern contraceptive use, including long-acting reversible contraception (LARC), among female heads of household aged 16-50 years. We also identified predictors of LARC versus short-term contraceptive use among women using modern methods. Twelve survey rounds were completed between November 2004 and September 2011. Among 29,476 eligible respondents, 17,605 (60%) reported using modern contraception. Oral contraceptive pills remained the most popular method over time, but use of LARC increased significantly, from less than 1% in 2004 to 9% by 2011 (p < 0.001). Younger women (OR: 0.46, 95% CI: 0.34, 0.61) and women with lower levels of education (OR: 0.70, 95% CI: 0.56, 0.89) were less likely to report LARC use compared to women using short-term modern methods. Population-based assessments of contraceptive use over time can guide programs and policies. To achieve reproductive health equity and reduce unmet contracep...Continue Reading

References

Oct 17, 2007·International Family Planning Perspectives·Eric E SeiberTara M Sullivan
May 10, 2008·The European Journal of Contraception & Reproductive Health Care : the Official Journal of the European Society of Contraception·Shareen Y El-Ibiary, Jennifer M Cocohoba
Apr 12, 2011·Contraception·John W TownsendKlaus Brill
Apr 12, 2011·Contraception·Josselyn NeukomDavid Hubacher
Oct 19, 2011·Infectious Diseases in Obstetrics and Gynecology·Carla J ChibweshaElizabeth M Stringer
Mar 27, 2012·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·Sarah PragerPaul D Blumenthal
Jul 13, 2012·Lancet·John ClelandAmy Tsui
Aug 29, 2012·Infectious Diseases in Obstetrics and Gynecology·Jennifer A RobinsonAnne E Burke
Nov 29, 2012·Journal of Acquired Immune Deficiency Syndromes : JAIDS·Nadia Kancheva LandoltJintanat Ananworanich
Nov 8, 2014·Bulletin of the World Health Organization·Sujit D RathodJeffrey S A Stringer
Oct 31, 2015·Contraception·Sharon J PhillipsKathryn M Curtis

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BETA
contraception
hysterectomy

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