Prevalence of, and factors associated with contraceptive use among sexually active female adolescents in selected second cycle institutions in Kumasi Metropolis, Ghana.
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Date
2016-10-03
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Abstract
A steady progress has been made in the last decade on adolescent’s contraceptive use among sexually active adolescents in Sub-Saharan Africa; however, an unmet need of contraception still remains. The main objective of the study was to assess the prevalence of, and factors associated with contraceptive use among sexually active female in-school adolescents in Kumasi Metropolis.
Methodology: This is an analytical cross-sectional, conducted among 350 sexually active female adolescents’ students in four selected second cycle institutions in Kumasi Metropolis. Multistage sampling technique was used to select the selected schools and final individuals’ participants for the study.
Data was collected using a questionnaire with close and open ended questions. Analysis was done using Stata 11.0 (Stata Corporation, Texas, and USA).
Chi-Square was used to compare proportions. Univariable and multivariable regression analyses were done to determine factors associated with contraceptive use to determine crude and adjusted relative risks (RRs) with 95% confidence intervals (CIs) and p-value < 0.05 was considered as statistically significant.
Results: The prevalence of contraceptive use among sexually active female students studied was 213(61%). Altogether, 301(86%) respondents had knowledge on contraception.
The pill was the most common contraceptive method used among the respondents 97(27.7%), and 52(14.9%) respondents used more than one contraceptive method.
The main source of information on contraception was from family and friends 216(61.7%).
Most respondents 110 (55.8%) obtained contraceptives from Pharmacies and drug stores. A Sexually active students about (64%) of contraceptive users reported they experienced method-related side effects.
Partner support for contraceptive use (p = 0.05) and sources of information on contraception were independent factors associated with contraceptive use among sexually active female students studied in Kumasi Metropolis (p= < 0.0001).
Conclusion: Partner support for contraceptive use and sources of information on contraception can influence contraceptive uptake. Therefore, communication on sexual and reproduction health especially on contraceptive use should be freely discussed in schools and at home among sexually active adolescents to improve their contraceptives uptake.
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A thesis submitted to The School of Public Health, College of Health Sciences, KNUST in partial fulfilment of the requirements for the degree of Master of Science in Public Health in Health Promotion and Education, 2016