Use of Modern Contraceptive Methods in Family Planning Among Married Women in Guinea

Abstract

Introduction: The use of modern contraceptives by married women remains a challenge in Guinea despite ongoing efforts. The objective of this study was to analyse the factors associated with the use of modern methods of contraception by married women in Guinea. Methods: This paper carried out a cross-sectional study with married women aged 19 to 49 in two communes of the Republic of Guinea. Data were collected using a structured questionnaire and analysed using Stata SE 16.1 software. This paper performed univariate and multivariate analyses to identify factors that independently influence contraceptive method use by women. Results: This paper interviewed a total of 567 married women living as a couple who agreed to participate in the study. Modern contraceptive prevalence among married women was 20% (112/567). The average age of women was 37, 3±4.6. The women had discussed family planning (71.1%) for birth spacing (86.6%). Factors significantly associated with the use of modern contraceptive methods (p<0.05) were urban residence (OR: 4,094; 1,990-8,880); the profession of wives (OR: 2,094; 1,126 -3,893); supply to the private sector (OR: 6,210; 3,010-12,810); information received from medical staff (OR: 3.512377; 0.139-0.885) and from television (OR: 1921224; 0.069-0.533); desire for pregnancy (OR: 1486705. 0.0711-0.309); couple discussion (OR: 1691515; 0.080 -355); and spousal approval (OR: 17.78085; 8.530- 37.062). Conclusion: the non-use of modern contraceptive methods was associated with urban residence, self-employment of wives, supply in the private sector, information, husband's agreement in our study. The implementation of individual and collective health promotion measures would mitigate their impact.