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Title Factors affecting contraceptive use in Sub-Saharan Africa / Working Group on Factors Affecting Contraceptive Use, Panel on the Population Dynamics of Sub-Saharan Africa, Committee on Population, Commission on Behavioral and Social Sciences and Education, National Research Council
Published Washington, D.C. : National Academy Press, 1993


Description 1 online resource (1 PDF file (xv, 252 pages)) : illustrations
Series Population dynamics of Sub-Saharan Africa
Population dynamics of Sub-Saharan Africa
Summary A Working Group of the US National Research Council's Committee on Population analyzes Demographic and Health Surveys data from sub-Saharan African countries to determine factors affecting contraceptive use. It also reviews the literature to consider socioeconomic, social organizational, and family planning program factors of contraceptive use. The most well-developed family planning programs exist in Zimbabwe, Botswana, and Kenya where the trend is increased contraceptive use (>15%) and fertility decline. This transition is unlikely to occur in the other countries until there are consistent improvements in child survival. Economic crises and reduced health services keep many countries from achieving declines in child mortality. Modern contraceptive use is less than 6% in most of these countries and lactational amenorrhea and sexual abstinence are used to control fertility. Female education is a significant determinant of modern contraceptive at the individual, regional and national level. Its current use only rises above 10% in regions where the average amount of female education is at least 4 years. Urbanity directly and postivitely determines fertility at the individual level and negatively at the national level. The proportion of women in a polygynous union negatively at the national level. The proportion of women in a polygynous union negatively affects contraceptive use at the national level. The proportion Muslim is associated with low level of schooling which, in turn, reduces contraceptive use. Oral contraceptives are the most popular contraceptive method, but a more diversified method mix is expected over time. Perpetuation of the lineage, a major organizing cultural principle, accounts for why Africa is following a different fertility transition than other parts of the developing world. Changes in kinship support and spousal relations should affect attitudes toward the value of family planning. Increases in contraceptive use will likely be uneven, since there is a variety of cultural and socioeconomic factors across Africa. Obstacles to increased contraceptive use include AIDS, political and social unrest, and deteriorating education
Notes Publication order number B168
Bibliography Includes bibliographical references
Notes Version viewed January 21, 2015
Subject Contraception -- Africa, Sub-Saharan
Birth control -- Africa, Sub-Saharan
Contraceptive Agents -- therapeutic use
Contraceptive Devices -- statistics & numerical data
Educational Status
Socioeconomic Factors
SOCIAL SCIENCE -- Demography.
Birth control
SUBJECT Africa, Sub-Saharan.
Africa South of the Sahara
Subject Sub-Saharan Africa
Genre/Form Statistics
Form Electronic book
Author National Research Council (U.S.). Working Group on Factors Affecting Contraceptive Use, ussing body
ISBN 0585143404