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. 2017 Jun 24;10(1):219.
doi: 10.1186/s13104-017-2543-7.

Determinants of modern contraceptive practice in Yaoundé-Cameroon: a community based cross sectional study

Philip Nana Njotang  1   2 , Martin Ndinakie Yakum  3 , Atem Bethel Ajong  1 , Marie José Essi  4 , Ebile Walter Akoh  5 , Nzene Edmond Mesumbe  1 , Simon Ako  2 , Enow Robinson Mbu  1   6
Affiliations

Determinants of modern contraceptive practice in Yaoundé-Cameroon: a community based cross sectional study

Philip Nana Njotang et al. BMC Res Notes. .

Abstract

Background: Despite numerous efforts put in place to increase modern contraceptive use in Cameroon as a means to fight maternal and infant mortality, the prevalence of modern contraception has shown only a slow increase and maternal mortality is constantly rising. This paper attempts to identify barriers to contraceptive use in Biyem-Assi, Yaoundé-Cameroon so as to clearly define in which domain and how to intervene concerning contraceptive use in Cameroon.

Methods: It was a community-based cross sectional study involving a two-steps cluster sampling. Data were collected from November 2014 to April 2015 and analysis done with Epi-Info version 3.5.4. Association between contraceptive use and independent factors was estimated by calculating odds ratio (OR) and confidence interval at 95%. Significance of association in univariate analysis was estimated by calculating the p value with chi2 test. Potential confounder (pregnancy intention) controlled in a multiple logistic regression.

Results: A total of 613 sexually active women were enrolled into the study with a mean age of 27.2 (δ ± 6.2) years. Among the women, 293 (47.8%) were in a union and 530 (86.8%) of them had attended at least a secondary education. Also, 107 (17.5%) responded that their beliefs do not approve contraceptive use and 101 (16.6%) said their partners do not approve contraception. At the moment of data collection, 361 (58.9 [54.9-62.8] %) were currently using a modern contraceptive method. The rate of use of modern contraception was significantly lower in women in a union (OR 0.57, p = 0.0002) and in those with age greater than 30 years (OR 0.45, p = 0.0004). Conversely, the rate of use was significantly higher in women whose partners approved contraception (OR 4.14, p = 0.0000) or when family planning was discussed within the couple (OR 1.93, p = 0.0028).

Conclusion: The rate of use of modern contraception in Biyem-Assi Health District is relatively high. Women in a union and those aged greater than 30 years turn to be less likely to use a contraceptive method than the rest of the population meanwhile women whose partner approve contraceptive-use or who discuss about family planning with their partners, are most likely to use a contraceptive method than others. To increase the rate of use of modern contraception in Yaoundé-Cameroon, interventions should target more of couples and not women alone.

Keywords: Cameroon; Child-bearing-age; Contraceptive-use; Factors; Modern-contraception; Yaoundé.

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References

    1. Vlassoff M, Jerman J. Benefits of meeting the contraceptive needs of Cameroonian women. s.l. New York: Guttmacher Institute; 2014. pp. 1–18. - PubMed
    1. International Federation of Gynecology and Obstetrics Prévention des avortements à risque et de leurs conséquences. Int J Gynecol Obstet. 2014;126(1):1–62. doi: 10.1016/j.ijgo.2013.07.034. - DOI
    1. Vouking MZ, Evina CD, Tadenfok CN. Male involvement in family planning decision making in sub-Saharan Africa—what the evidence suggests. Pan Afr Med J. 2014;19(349):1937–8688. - PMC - PubMed
    1. Mosoko A, Delvaux T, Glynn JR, Zekeng L, Macauley I, Buve A. Induced abortion among women attending antenatal clinics in Yaounde, Cameroon. East Afr Med J. 2004;81(1):71–77. - PubMed
    1. Ekane GEH, Obinchemti TE, Tchente CN, Fokunang LK, Njamen TN, Bechem NN, Njie MM, Latum D. Attainment of the fifth millennium development goal: Utopia or reality based on trends in maternal mortality in 12 years in Two Regional Hospitals in Fako Division, Cameroon? A retrospective study. Open J Obstet Gynecol. 2014;4:771–781. doi: 10.4236/ojog.2014.413107. - DOI