Women's marital status, contraceptive use, and unmet need in Sub-Saharan Africa, Latin America, and the Caribbean /

This comparative report analyzes contraceptive use and unmet need for family planning among sexually active women age 15-49 in 21 countries of sub-Saharan Africa, Latin America, and the Caribbean. Sexually active unmarried women are an important and increasing sub-population typically excluded from...

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Bibliographic Details
Main Authors: Wang, Wenjuan, 1975- (Author), Allen, Courtney (Demographer) (Author), Staveteig, Sarah (Author), Winter, Rebecca (Author)
Format: Book
Language:English
Published: Rockville, Maryland, USA : ICF, 2017
Series:DHS comparative reports ; no. 44
Subjects:
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245 1 0 |a Women's marital status, contraceptive use, and unmet need in Sub-Saharan Africa, Latin America, and the Caribbean /  |c Wenjuan Wang, Sarah Staveteig, Rebecca Winter, Courtney Allen 
264 1 |a Rockville, Maryland, USA :  |b ICF,  |c 2017 
300 |a ix, 65 pages :  |b color illustrations ;  |c 28 cm 
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490 1 |a DHS comparative reports ;  |v no. 44 
500 |a "July 2017." 
500 |a "This publication was produced for review by the United States Agency for International Development (USAID)"--Cover 
504 |a Includes bibliographical references (pages 61-63) 
520 |a This comparative report analyzes contraceptive use and unmet need for family planning among sexually active women age 15-49 in 21 countries of sub-Saharan Africa, Latin America, and the Caribbean. Sexually active unmarried women are an important and increasing sub-population typically excluded from large-scale studies of contraception and unmet need. In this study we disaggregate sexually active women into three marital groups: currently married, never-married, and formerly married. Overall, countries in Latin America and the Caribbean have the highest levels of contraceptive use and lowest levels of unmet need for family planning. Differentials in contraceptive use and unmet need by women's marital status are negligible in this region. Family planning practices vary substantially within sub-Saharan Africa. Western African and Central African countries generally have lower contraceptive prevalence than Eastern and Southern African countries. A considerable proportion of women in Central and West Africa have no need for family planning. Sub-Saharan Africa as a whole shows greater variation in contraceptive use by marital status. Never-married women usually have the highest contraceptive prevalence, and currently married women have the lowest. Women in sub-Saharan Africa rely on a very limited number of modern methods, and the predominant method differs by their marital status. While never-married women tend to use condoms, currently married and formerly married women are more likely to use injectables or pills. The differences in contraceptive use and unmet need by individual and household characteristics are largely consistent across the three marriage groups. Regression results indicate that in a number of countries, compared with currently married women, never-married women are significantly more likely to have their demand for contraceptive use satisfied, but formerly married women are less likely. We also found that women in polygynous marriages are less likely to use a contraceptive method compared with women in monogamous marriages. Both groups share a similar method mix. While the findings about never-married women are somewhat encouraging, when taken as a whole these results underscore the importance of ensuring equitable access to family planning among all marital groups, particularly in countries where nonmarital sex may be stigmatized, and of anticipating the particular contraceptive needs of unmarried women. The results for polygynous versus monogamous women suggest the importance of demand generation activities in areas where polygyny is prevalent 
530 |a Also issued online 
650 0 |a Contraception  |z Africa, Sub-Saharan  |v Statistics 
650 0 |a Contraception  |z Caribbean Area  |v Statistics 
650 0 |a Contraception  |z Latin America  |v Statistics 
650 0 |a Family planning  |z Africa, Sub-Saharan  |v Statistics 
650 0 |a Family planning  |z Caribbean Area  |v Statistics 
650 0 |a Family planning  |z Latin America  |v Statistics 
650 0 |a Marital status  |z Africa, Sub-Saharan  |v Statistics 
650 0 |a Marital status  |z Caribbean Area  |v Statistics 
650 0 |a Marital status  |z Latin America  |v Statistics 
650 0 |a Youth  |x Sexual behavior  |z Developing countries  |v Statistics 
650 1 2 |a Contraception Behavior 
650 1 2 |a Family Planning Services 
650 2 2 |a Developing Countries 
650 2 2 |a Health Services Accessibility 
650 2 2 |a Marital Status 
651 2 |a Africa South of the Sahara 
651 2 |a Caribbean Region 
651 2 |a Latin America 
655 7 |a Statistics  |2 lcgft 
700 1 |a Allen, Courtney  |c (Demographer)  |e author 
700 1 |a Staveteig, Sarah,  |e author 
700 1 |a Winter, Rebecca,  |e author 
710 1 |a United States  |b Agency for International Development,  |e issuing body. 
710 2 |a ICF International (Firm),  |e issuing body 
776 0 8 |i Online version:  |a Wang, Wenjuan, 1975-  |t Women's marital status, contraceptive use, and unmet need in Sub-Saharan Africa, Latin America, and the Caribbean  |d Rockville, Maryland, USA : ICF, 2017  |w (OCoLC)1013466307 
830 0 |a DHS comparative reports ;  |v no. 44 
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