Title: Trends in Contraceptive Prevalence and Family Planning Programs in Sub-Saharan Africa: A Critical Analysis
Introduction:
The article, “Trends in Contraceptive Prevalence in Sub-Saharan Africa: The Role of Family Planning Programs and Education” by Bongaarts and Hardee (2019), examines the impact of family planning programs and education on contraceptive prevalence in sub-Saharan Africa. The authors discuss the current state of contraceptive use, the role of family planning programs, and the importance of education in addressing fertility rates in the region. This article critically analyzes the findings of the study and provides a summary of its key points.
Key Findings:
1. Sub-Saharan Africa’s projected population size could surpass expectations by 2100 (Ezeh et al., 2020). The region faces the challenges of increasing population growth and limited resources, such as food security (Masipa, 2017) and environmental degradation (Ogundipe et al., 2020).
2. Family planning programs and education are crucial for addressing the high fertility rates in sub-Saharan Africa (Bongaarts, 2017). These programs have the potential to reduce the unmet need for contraception (Bongaarts, 2014), empower women (Cleland et al., 2011), and promote gender equality (Atake et al., 2019).
3. Media exposure plays a significant role in shaping contraceptive use behaviors among adolescents and young women in sub-Saharan Africa (Jacobs et al., 2017). Mass media campaigns and messages have been found to increase contraceptive use and promote positive reproductive health outcomes (Babalola et al., 2017).
4. Factors such as individual knowledge and attitudes, community norms, and socio-economic status influence contraceptive use and fertility preferences in sub-Saharan Africa (Phiri et al., 2020; Phiri et al., 2023). Education, particularly female education, is associated with lower fertility rates (Ajou University, Kim, 2016).
5. There is a need for comprehensive and targeted family planning interventions that address the specific needs of different populations, including rural areas (Namukoko et al., 2022) and adolescents (Sidibé et al., 2020). These interventions should address barriers such as early marriage (Phiri et al., 2023) and HIV status (Mulemena et al., 2020).
Summary:
The article by Bongaarts and Hardee (2019) highlights the importance of family planning programs and education in addressing high fertility rates in sub-Saharan Africa. The authors emphasize the need for comprehensive interventions that target different populations and address barriers to contraceptive use. They also underscore the role of media exposure in shaping reproductive health behaviors. Overall, the article provides valuable insights into the current trends in contraceptive prevalence and the potential for family planning programs and education to impact fertility rates in sub-Saharan Africa.
This summary highlights the key findings of the article and emphasizes the importance of family planning programs and education in addressing high fertility rates in sub-Saharan Africa. It acknowledges the role of media exposure in shaping contraceptive use behaviors and underlines the need for comprehensive interventions that address specific population needs and barriers to contraceptive use.
—————————————————-
Article | Link |
---|---|
UK Artful Impressions | Premiere Etsy Store |
Sponsored Content | View |
90’s Rock Band Review | View |
Ted Lasso’s MacBook Guide | View |
Nature’s Secret to More Energy | View |
Ancient Recipe for Weight Loss | View |
MacBook Air i3 vs i5 | View |
You Need a VPN in 2023 – Liberty Shield | View |
Bongaarts J, Hardee K. Trends in contraceptive prevalence in sub-Saharan Africa: the role of family planning programs and education. Afr J Reprod Health. 2019;23(3):96–105.
Academic google
Ezeh A, Kissling F, Singer P. Why sub-Saharan Africa could surpass its projected population size by 2100. The Lancet. 2020;396(10258):1131–3.
Academic google
Masipa TS. The impact of climate change on food security in South Africa: current realities and future challenges. Jàmbá J Disaster Risk Study [Internet]. 2017 August 11 [cited 2021 Jul 22];9(1). Available from: https://jamba.org.za/index.php/jamba/article/view/411.
Ogundipe AA, Obi S, Ogundipe OM, ENVIRONMENTAL DEGRADATION AND FOOD SECURITY IN NIGERIA. Int J Energy Economics Policy 2020;10(1):316–24.
Academic google
United Nations Population Fund. The state of world population 2021 [Internet]. 605 Third Avenue New York, NY 10158 USA ; 2021. Available in: https://www.unfpa.org/data/world-population-dashboard.
John B. Fertility transition: is sub-Saharan Africa different? Popul Dev Rev 2013;38:153–68.
Academic google
Westoff CF, Moreno L, Goldman N. The demographic impact of changes in contraceptive practices in third world populations.:17.
Mback C. The persistence of high fertility in sub-Saharan Africa: a commentary. 2017;43:330–7.
Bongaarts J. The effect of contraception on fertility. Is sub-Saharan Africa different? 2017;37:129–45.
Academic google
Cleland JG, Ndugwa RP, Zulu EM. Family planning in sub-Saharan Africa: progress or stagnation? 2011;Bulletin of the World Health Organization(89):137–243.
Ajou University, Kim J. Female education and its impact on fertility. IZA World Work [Internet]. 2016 [cited 2021 Jul 22]; Available from: http://wol.iza.org/articles/female-education-and-its-impact-on-fertility.
Cleland J, Harbison S, Shah IH. Unmet need for contraception: problems and challenges. Livestock plan. 2014;45(2):105–22.
Academic google
Bongaarts J. The impact of family planning programs on unmet need and demand for contraceptives. Livestock plan. 2014;45(2):247–62.
Academic google
Phiri M, Banda C, Lemba M. Why is Zambia’s rural fertility declining at a slow rate? A review of DHS data 1992-2018. Int J Res Publ Rev 2020;1(2):5–16.
Academic google
Bongaarts J. Fertility trends and fertility preferences in sub-Saharan Africa: the role of family planning and education programs. Gender. September 21, 2020; 76 (1): 32.
Ahmed M, Seid A. Association between exposure to media family planning messages and modern contraceptive use among urban and rural young women in Ethiopia. Int J Women’s Health. 2020;12:719–29.
Academic google
Jacobs J, Marino M, Edelman A, Jensen J, Darney B. Media exposure and modern contraceptive use among married West African adolescents. Eur J Contracept Reprod Healthcare. 2017;22(6):439–49.
Academic google
Babalola S, Figueroa ME, Krenn S. Association of mass media with contraceptive use in sub-Saharan Africa: a meta-analysis of demographic and health surveys. J Communal Health. 2017;22(11):885–95.
Academic google
Yesuf KA, Liyew AD, Bezabih AK. Impact of media exposure on modern contraceptive utilization among married adolescent women in Ethiopia: evidence from EDHS 2016 [Internet]. Rochester, NY: Social Science Research Network; January 2021 [cited 2021 Jul 6]. Report No.: Certificate 3756795. Available at: https://papers.ssrn.com/abstract=3756795.
Namukoko H, Likwa RN, Hamoonga TE, Phiri M. Unmet need for family planning among married women in Zambia: lessons from the Demographic and Health Survey 2018. BMC Women’s Health. 2022;22(1):137.
Academic google
Kalinda C, Phiri M, Chimpinde K, Ishimwe MCS, Simona SJ. Trends and sociodemographic components of modern contraceptive use among sexually active women in Rwanda: a multivariate decomposition analysis. Reproductive health. 2022;19(1):226.
Academic google
Bongaarts J. The effect of contraception on fertility: is sub-Saharan Africa different? Democrat Res. 2017;37:129–46.
Academic google
Adilo TM, Wordofa HM. Prevalence of fertility desire and its associated factors among people aged 15 to 49 years living with HIV/AIDS in Addis Ababa, Ethiopia: a cross-sectional study design. HIVAIDS Auckland New Zealand. 2017;9:167–76.
Academic google
Mulemena D, Phiri M, Mutombo N. Fertility intentions among HIV-positive and HIV-negative mothers in Zambia: analysis of 2013-14 and 2018 DHS data [Internet]. In Review; 2020 september [cited 2021 Dec 26]. Available from: https://www.researchsquare.com/article/rs-58160/v1.
Phiri M, Kasonde ME, Moyo N, Sikaluzwe M, Simona S. A multilevel analysis of trends and predictors associated with teenage pregnancy in Zambia (2001-2018). Reproductive health. 2023;20(1):16.
Academic google
Atake EH, Gnakou Ali P. Women’s empowerment and fertility preferences in high fertility countries in sub-Saharan Africa. BMC Women’s Health. 2019;19(1):54.
Academic google
Ewemooje OS, Biney E, Amoateng AY, Afolabi RF, Palamuleni ME. Preferences regarding the timing of fertility among women of reproductive age: the case of Malawi and South Africa. South Africa J Demogr. 2021;21(1):27–68.
Academic google
Casterline JB, Agyei-Mensah S. Fertility desires and the course of fertility decline in sub-Saharan Africa. Popul Dev Rev 2017;43(S1):84–111.
Academic google
Bongaarts J. Fertility trends and fertility preferences in sub-Saharan Africa: the role of family planning and education programs. Gender. 2020;76(1):32.
Academic google
Kodzi I, Johnson D, Casterline J. Examining the predictive value of fertility preferences among Ghanaian women. Democrat Res. 2010;22(30):965–84.
Academic google
Wusu O. Exposure to media content and sexual health behavior among adolescents in Lagos metropolis. Nigeria. 2013;17(2):157.
Academic google
Asuo F. Secular trends and determinants of adolescent motherhood in Ghana: a review of demographic and health survey data (1988-2003) [Internet] [Thesis]. University of Ghana; 2009 [cited 2021 Jul 6]. Available from: http://ugspace.ug.edu.gh/handle/123456789/34787.
Sidibé S, Delamou A, Camara BS, Dioubaté N, Manet H, El Ayadi AM, et al. Trends in contraceptive use, unmet needs and factors associated with modern contraceptive use among urban adolescents and young women in Guinea. BMC Public Health. 2020;20(1):1840.
Academic google
Phiri M, Musonda E, Shasha L, Kanyamuna V, Lemba M. Individual and community factors associated with early marriage in Zambia: a mixed effects analysis. BMC Women’s Health. 2023;23(1):21.
Academic google
May JF. The politics of family planning policies and programs in sub-Saharan Africa. Popul Dev Rev 2017;43:308–29.
Academic google
Croft et al. DHS Statistics Guide [Internet]. Rockville, Maryland, USA: ICF; 2018. Available at: www.DHSprogram.com.
DHS Program. The DHS Program [Online]. Available: www.dhsprogram.com [Internet]. The DHS Program [Online]. Available: www.dhsprogram.com.2021. Available at: www.dhsprogram.com.
van Dalen HP, Henkens K. When is fertility too low or too high? Population policy preferences of demographers around the world. Popular stallion. 2021;75(2):289–303.
Academic google
Billiards FC. A “great divergence” in fertility? In: Poston, DL, editor. Low fertility regimes and demographic and social changes [Internet]. Cham: Springer International Publishing; 2018 [cited 2022 Jan 6]. p. 15–35. Available from: http://link.springer.com/https://doi.org/10.1007/978-3-319-64061-7_2.
Anderson T, Kohler HP. Low fertility, socioeconomic development and gender equality. Popul Dev Rev 2015;41(3):381–407.
Academic google
Indrastuti AR, Salim LA. Factors that affect adolescents when determining the ideal number of children. Medic leg update. 2021;21(2):126–32.
Academic google
Muhoza DN, Rutayisire PC, Umubyeyi A. Measuring the success of family planning initiatives in Rwanda: a multivariate decomposition analysis. J Popul Res. 2016;33(4):361–77.
Academic google
Behrman JA, Wright KQ, Grant MJ, Soler-Hampejsek E. Trends in modern contraceptive use among young adult women in sub-Saharan Africa from 1990 to 2014. Stud Fam Plann. 2018;49(4):319–44.
Academic google
Mutumba M, Wekesa E, Stephenson R. Community influences on modern contraceptive use among young women in low- and middle-income countries: a cross-country analysis. BMC Public Health. 2018;18(1):430.
Academic google
Mayhew SH, Colombini M, Kimani JK, Tomlin K, Warren CE, Mutemwa R, et al. Fertility intentions and contraceptive practices among clinic users living with HIV in Kenya: a mixed methods study. BMC Public Health. 2017;17(1):626.
Academic google
Ambrosetti E, Angeli A, Novelli M. Ideal family size and fertility in Egypt: an overview of recent trends. Statistics. 2019;79(2):223–44.
Academic google
Mulenga J, Mulenga MC, Bwalya BB, Ngongola-Reinke C. Too young to be a wife! Analysis of the factors influencing child marriages and their influence on the preferred number of children among women in Zambia. Afr Popul Stallion [Internet]. 2018 November 1 [cited 2021 Dec 14];32(2). Available from: https://aps.journals.ac.za/pub/article/view/1210.
Ndahindwa V, Kamanzi C, Semakula M, Abalikumwe F, Hedt-Gauthier B, Thomson DR. Determinants of fertility in Rwanda in the context of a fertility transition: a secondary analysis of the Demographic and Health Survey 2010. Reproductive health. 2014;11(1):87.
Academic google
Ahmed S, Li Q, Liu L, Tsui AO. Maternal deaths prevented by contraceptive use: an analysis of 172 countries. The lancet. 2012;380(9837):111–25.
Academic google
Aryanty RI, Romadlona N, Besral B, Panggabean EDP, Utomo B, Makalew R, et al. Contraceptive use and maternal mortality in Indonesia: an ecological analysis at the community level. Reproductive health. 2021;18(1):42.
Academic google
https://bmcwomenshealth.biomedcentral.com/articles/10.1186/s12905-023-02609-4
—————————————————-