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Determinants of current contraceptive use and method choice in Mongolia
Altankhuyagiin Gereltuya1, Jane Falkingham, James Brown
1School of Geography and Geosciences, University of St Andrews, UK.
Journal of Biosocial Science
|April 21, 2007
Summary
Contraceptive use in Mongolia is increasing, with education and rural location influencing choices. The IUD and periodic abstinence are most common, though community factors also play a role in method selection.
Area of Science:
- Reproductive Health
- Demography
- Public Health
Background:
- Mongolia liberalized access to modern contraceptives starting in 1976, with all restrictions removed by 1989.
- Despite liberalization, the Intrauterine Device (IUD) and periodic abstinence remained the most prevalent contraceptive methods in the early 21st century.
Purpose of the Study:
- To examine the factors influencing current contraceptive use and method choice in Mongolia.
- To identify demographic and community-level determinants of contraceptive uptake and selection.
Main Methods:
- Utilized data from the 1998 Mongolian Reproductive Health Survey and the 2000 Mongolian Population and Housing Census.
- Employed statistical analysis to assess the impact of individual and community variables on contraceptive use and method choice.
Main Results:
- Higher education levels correlated with increased likelihood of current contraceptive use, favoring the IUD and traditional methods.
- Women in rural areas showed a higher probability of contraceptive use, also preferring the IUD and traditional methods.
- Significant variations in contraceptive use and modern method choice were observed across primary sampling units, with community-level factors explaining some of this variation.
Conclusions:
- Education and rural residence are key determinants of contraceptive use and method preference in Mongolia.
- Community-level factors significantly influence contraceptive method choice, highlighting the need for localized interventions.
- While modern contraceptive access has improved, method mix remains dominated by IUD and traditional methods, necessitating further research into user preferences and access barriers.
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