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Unmet need for contraception and its determinants among adolescent girls in Uganda: Findings from Demographic and Health Survey (2011).
Introduction Worldwide, an estimated 16 million adolescents fall pregnant annually among these; at least three (3) million have unsafe abortions performed. Similarly, in sub-Sharan Africa more than 50% of the pregnancies in adolescents are unintended and of those, more than half of them end in u...
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| Format: | Thesis |
| Language: | English |
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Department of Public Health and Family Medicine
2020
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| _version_ | 1867613254561300480 |
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| access_status_str | Open Access |
| author | Magezi, Alex |
| author2 | Alaba, Olufunke |
| author_browse | Alaba, Olufunke Magezi, Alex |
| author_facet | Alaba, Olufunke Magezi, Alex |
| author_sort | Magezi, Alex |
| collection | Thesis |
| description | Introduction
Worldwide, an estimated 16 million adolescents fall pregnant annually among these; at least three (3) million have unsafe abortions performed. Similarly, in sub-Sharan Africa more than 50% of the pregnancies in adolescents are unintended and of those, more than half of them end in unsafe abortions (Susheela Singh and Jacqueline E. Darroch & Darroch, 2012). 24% of adolescent females get pregnant annually in Uganda, and most of these are unwanted and unintended pregnancies (Atuyambe et al., 2015). These statistics indicate a problem of unmet need for contraception in Uganda, more so among adolescents, and this calls for more impact studies around adolescent unmet needs for contraception if the problem is to be meaningfully mitigated.
Methods
An explorative quantitative secondary data analysis study was conducted to determine the unmet need for contraception and its determinants among adolescent girls in Uganda, based on 2011 Ugandan Demographic and Health Survey (UDHS) data.
Results
Focusing exclusively on female adolescent’s aged 15- 19 years (n= 541), STATA software logistic regression was done to test a model on factors that are significantly associated with unmet needs in the target population of the study. A third (30%) of the study population reported having an unmet need for contraception; the study also revealed that the educational status of an adolescent girl was statistically significant (p=0.002) and related to unmet needs. Married adolescent girls were four times more likely to have unmet needs than those who were never in a union (OR=4.63; 95% CI: 2.06-10.39; p<0.001). Likewise, those adolescent girls who reported living with a partner were twice as likely to have a higher unmet need compared to those having no partners (OR=2.83; 95% CI: 1.30-6.16; p=0.009).
Conclusion
Any efforts to address the unmet need for contraception among adolescents in Uganda would need specific attention on factors influencing the uptake of family planning services, education, marital status and place of residence being key determinant factors. |
| format | Thesis |
| id | oai:open.uct.ac.za:11427/31672 |
| institution | University of Cape Town (South Africa) |
| language | eng |
| last_indexed | 2026-06-10T12:33:13.838Z |
| license_str | Not specified — see source repository |
| provenance_str_mv | Harvested via OAI-PMH from UCTD — University of Cape Town Open Access Repository |
| publishDate | 2020 |
| publishDateRange | 2020 |
| publishDateSort | 2020 |
| publisher | Department of Public Health and Family Medicine |
| publisherStr | Department of Public Health and Family Medicine |
| record_format | dspace |
| source_str | UCTD — University of Cape Town Open Access Repository |
| spelling | oai:open.uct.ac.za:11427/31672 Unmet need for contraception and its determinants among adolescent girls in Uganda: Findings from Demographic and Health Survey (2011). Magezi, Alex Alaba, Olufunke Health Economics Introduction Worldwide, an estimated 16 million adolescents fall pregnant annually among these; at least three (3) million have unsafe abortions performed. Similarly, in sub-Sharan Africa more than 50% of the pregnancies in adolescents are unintended and of those, more than half of them end in unsafe abortions (Susheela Singh and Jacqueline E. Darroch & Darroch, 2012). 24% of adolescent females get pregnant annually in Uganda, and most of these are unwanted and unintended pregnancies (Atuyambe et al., 2015). These statistics indicate a problem of unmet need for contraception in Uganda, more so among adolescents, and this calls for more impact studies around adolescent unmet needs for contraception if the problem is to be meaningfully mitigated. Methods An explorative quantitative secondary data analysis study was conducted to determine the unmet need for contraception and its determinants among adolescent girls in Uganda, based on 2011 Ugandan Demographic and Health Survey (UDHS) data. Results Focusing exclusively on female adolescent’s aged 15- 19 years (n= 541), STATA software logistic regression was done to test a model on factors that are significantly associated with unmet needs in the target population of the study. A third (30%) of the study population reported having an unmet need for contraception; the study also revealed that the educational status of an adolescent girl was statistically significant (p=0.002) and related to unmet needs. Married adolescent girls were four times more likely to have unmet needs than those who were never in a union (OR=4.63; 95% CI: 2.06-10.39; p<0.001). Likewise, those adolescent girls who reported living with a partner were twice as likely to have a higher unmet need compared to those having no partners (OR=2.83; 95% CI: 1.30-6.16; p=0.009). Conclusion Any efforts to address the unmet need for contraception among adolescents in Uganda would need specific attention on factors influencing the uptake of family planning services, education, marital status and place of residence being key determinant factors. 2020-04-23T06:59:37Z 2020-04-23T06:59:37Z 2019 2020-04-23T01:19:55Z Master Thesis Masters MPH https://hdl.handle.net/11427/31672 eng application/pdf Department of Public Health and Family Medicine Faculty of Health Sciences |
| spellingShingle | Health Economics Magezi, Alex Unmet need for contraception and its determinants among adolescent girls in Uganda: Findings from Demographic and Health Survey (2011). |
| thesis_degree_str | Master's |
| title | Unmet need for contraception and its determinants among adolescent girls in Uganda: Findings from Demographic and Health Survey (2011). |
| title_full | Unmet need for contraception and its determinants among adolescent girls in Uganda: Findings from Demographic and Health Survey (2011). |
| title_fullStr | Unmet need for contraception and its determinants among adolescent girls in Uganda: Findings from Demographic and Health Survey (2011). |
| title_full_unstemmed | Unmet need for contraception and its determinants among adolescent girls in Uganda: Findings from Demographic and Health Survey (2011). |
| title_short | Unmet need for contraception and its determinants among adolescent girls in Uganda: Findings from Demographic and Health Survey (2011). |
| title_sort | unmet need for contraception and its determinants among adolescent girls in uganda findings from demographic and health survey 2011 |
| topic | Health Economics |
| url | https://hdl.handle.net/11427/31672 |
| work_keys_str_mv | AT magezialex unmetneedforcontraceptionanditsdeterminantsamongadolescentgirlsinugandafindingsfromdemographicandhealthsurvey2011 |