Trends in contraceptive use in Africa: preliminary Outputs Ayaga - PowerPoint PPT Presentation

Trends in contraceptive use in Africa: preliminary Outputs Ayaga Bawah, INDEPTH Network, Ghana Pearl Kyei, University of Pennsylvania, USA Realising Rights Consortium 5 th African Population Conference, Arusha, Tanzania

Currently 37 sites in 19 countries 22 sites in Africa 9 sites in Asia 1 site in Oceania 1 site in Latin America Over 2,000,000 people under surveillance

Introduction • Family planning programs vibrant in the 1970s and 1980s • Rapid reductions in fertility • Stalling fertility • Concern over lost interest in family planning

Objectives • Examine trends in contraceptive • Types of methods use over time • Determinants of use • Reasons for use and for which methods

In this presentation • First two…

Contraceptive Mix (Last DHS) Benin Benin Burkina Faso Burkina Faso Cameroon Cameroon Chad Chad Ethiopia Ethiopia Ghana Ghana Guinea Guinea Kenya Kenya Lesotho Lesotho Madagascar Madagascar No Method No Method Malawi Malawi Traditional Method Traditional Method Mali Mali Modern Method Modern Method Mozambique Mozambique Namibia Namibia Nigeria Nigeria Rwanda Rwanda Senegal Senegal Tanzania Tanzania Uganda Uganda Zambia Zambia Zimbabwe Zimbabwe 0.0 0.2 0.4 0.6 0.8 1.0 0.0 0.2 0.4 0.6 0.8 1.0 Married women Non- married women

Trends in Condom Use 1.0 1.0 0.9 0.9 Cameroon Cameroon 0.8 0.8 Ghana Ghana Kenya Kenya Malawi Malawi 0.7 0.7 Tanzania Tanzania Uganda Uganda Zambia Zambia 0.6 0.6 Zimbabwe Zimbabwe 0.5 0.5 0.4 0.4 1985-1989 1990-1995 1996-1999 2000-2005 1985-1989 1990-1995 1996-1999 2000-2005 Married women Non- married women

Trends in IUD Use 0.4 0.4 0.4 0.4 0.3 0.3 Cameroon Cameroon 0.3 0.3 Ghana Ghana Kenya Kenya Malawi Malawi 0.2 0.2 Tanzania Tanzania Uganda Uganda 0.2 0.2 Zambia Zambia Zimbabwe Zimbabwe 0.1 0.1 0.1 0.1 0.0 0.0 1985-1989 1990-1995 1996-1999 2000-2005 1985-1989 1990-1995 1996-1999 2000-2005 Married women Non- married women

Trends in Pill Use 1.0 1.0 0.9 0.9 0.8 0.8 0.7 0.7 Cameroon Cameroon Ghana Ghana 0.6 0.6 Kenya Kenya Malawi Malawi 0.5 0.5 Tanzania Tanzania 0.4 0.4 Uganda Uganda Zambia Zambia 0.3 0.3 Zimbabwe Zimbabwe 0.2 0.2 0.1 0.1 0.0 0.0 1985-1989 1990-1995 1996-1999 2000-2005 1985-1989 1990-1995 1996-1999 2000-2005 Married women Non- married women

Trends in Sterilization Use 0.40 0.40 0.35 0.35 0.30 0.30 Cameroon Cameroon 0.25 0.25 Ghana Ghana Kenya Kenya Malawi Malawi 0.20 0.20 Tanzania Tanzania Uganda Uganda 0.15 0.15 Zambia Zambia Zimbabwe Zimbabwe 0.10 0.10 0.05 0.05 0.00 0.00 1985-1989 1990-1995 1996-1999 2000-2005 1985-1989 1990-1995 1996-1999 2000-2005 Married women Non- married women

Trends in Norplant Use 0.09 0.09 0.08 0.08 0.07 0.07 Cameroon Cameroon 0.06 0.06 Ghana Ghana Kenya Kenya 0.05 0.05 Malawi Malawi Tanzania Tanzania 0.04 0.04 Uganda Uganda Zambia Zambia 0.03 0.03 Zimbabwe Zimbabwe 0.02 0.02 0.01 0.01 0.00 0.00 1985-1989 1990-1995 1996-1999 2000-2005 1985-1989 1990-1995 1996-1999 2000-2005 Married women Non- married women

Preliminary observations • Uptake in contraceptive use has slowed down in most countries • Increasing use of barrier methods • Non-barrier methods less popular • It appears contraceptive use is more related to protection against STDs and HIV/AIDS

Next steps • Determinants of use • Reasons for use and for which method