Determinants of DMPA-SC self-care/self-injectable contraceptive uptake among modern contraceptive users in Burkina Faso: findings from the 2021 demographic and health survey.

IF 2.3 Q2 OBSTETRICS & GYNECOLOGY Frontiers in global women's health Pub Date : 2024-09-05 eCollection Date: 2024-01-01 DOI:10.3389/fgwh.2024.1385446
Aristide Romaric Bado
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Abstract

Introduction: This study aimed to identify the determinants that influence the use of DMPA-SC/Sayana Press among women who use modern contraceptive methods in Burkina Faso.

Methods: This study used secondary data obtained from the 2021 Burkina Faso Demographic and Health Survey (EDSBF). The dependent variable is the use of DMPA-SC among women aged 15-49 who employ modern contraceptive methods. The descriptive analysis used percentages to describe the study variables. The Pearson chi-square test was used to assess the associations between the explanatory variables and the study variable of interest. Bivariate logistic regression was used to examine the crude odds ratios of each explanatory variable with respect to the dependent variable. The multivariate model was used to determine the net effect of each independent variable on the dependent variable. The significance levels were defined at p < 0.05, with corresponding confidence intervals.

Results: The study revealed significant differences in the use of DMPA-SC according to age, marital status, region of residence, level of education, number of children, and involvement in contraceptive decision-making within the couple. Younger women (aged 15-29 aOR = 2.12, p < 0.001)) and women aged 30-39 (aOR = 1.51, p = 0.02) are also more likely to use DMPA-SC compared to those aged 40-49. Married women or those living with a partner [aOR = 1.93 (1.22, 3.05)] are more likely to use DMPA-SC. Women with 1-3 children are twice as likely to use DMPA-SC as those without children (aOR = 1.97, p = 0.02). Region and Wealth Index were significantly associated with DMPA-SC use. The Boucle du Mouhoun region showed a significantly higher likelihood of DMPA-SC use (aOR = 8.10) and women in the highest wealth group are significantly less likely to use DMPA-SC (aOR = 0.59, p = 0.001).

Conclusion: These results demonstrated the importance of adapting interventions to account for socio-demographic, regional, and cultural differences. This will enable the provision of services to the entire female population in a fair and equitable manner, while also addressing the limitations and enhancing the understanding of the underlying factors influencing the use of DMPA-SC.

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布基纳法索现代避孕药具使用者使用 DMPA-SC 自我护理/自我注射避孕药具的决定因素:2021 年人口与健康调查的结果。
简介:本研究旨在确定影响布基纳法索使用现代避孕方法的妇女使用 DMPA-SC/Sayana Press 的决定因素:本研究旨在确定影响布基纳法索使用现代避孕方法的妇女使用 DMPA-SC/Sayana Press 的决定因素:本研究使用了从 2021 年布基纳法索人口与健康调查(EDSBF)中获得的二手数据。因变量是使用现代避孕方法的 15-49 岁女性中 DMPA-SC 的使用情况。描述性分析使用百分比来描述研究变量。皮尔逊卡方检验用于评估解释变量与相关研究变量之间的关联。二元逻辑回归用于研究各解释变量与因变量之间的粗略几率比率。多变量模型用于确定每个自变量对因变量的净影响。显著性水平定义为 p 结果:研究显示,不同年龄、婚姻状况、居住地区、教育水平、子女数量以及夫妻双方是否参与避孕决策,在使用 DMPA-SC 方面存在明显差异。与 40-49 岁的女性相比,年轻女性(15-29 岁 aOR = 2.12,P = 0.02)也更有可能使用 DMPA-SC。已婚妇女或与伴侣同居的妇女 [aOR = 1.93 (1.22, 3.05)]更有可能使用 DMPA-SC。有 1-3 个子女的妇女使用 DMPA-SC 的可能性是无子女妇女的两倍(aOR = 1.97,p = 0.02)。地区和财富指数与 DMPA-SC 的使用有很大关系。Boucle du Mouhoun地区使用DMPA-SC的可能性明显较高(aOR = 8.10),而最高财富组的妇女使用DMPA-SC的可能性明显较低(aOR = 0.59,p = 0.001):这些结果表明了根据社会人口、地区和文化差异调整干预措施的重要性。这将有助于以公平、公正的方式为所有女性提供服务,同时也能解决影响 DMPA-SC 使用的限制因素,并加深对这些因素的理解。
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3.70
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13 weeks
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