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Changes in contraceptive method mix in developing countries.

Eric E Seiber1, Jane T Bertrand, Tara M Sullivan

  • 1Division of Health Services Management and Policy, Ohio State University-College of Public Health, Columbus, OH, USA. eseiber@cph.osu.edu

International Family Planning Perspectives
|October 17, 2007
PubMed
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Global contraceptive use increased, but reliance on IUDs and pills declined. Injectables and female sterilization rose, while traditional methods decreased, especially in Sub-Saharan Africa. Accessible modern methods are crucial.

Area of Science:

  • Demography
  • Reproductive Health
  • Global Health

Background:

  • Understanding shifts in contraceptive method mix is vital for meeting current and future contraceptive demand in developing countries.
  • Policymakers, program managers, and donor agencies require insights into contraceptive trends to inform resource allocation and program design.

Purpose of the Study:

  • To describe trends and shifts in contraceptive method mix among married women of reproductive age in developing countries from 1980 to 2005.
  • To analyze changes in the utilization of various contraceptive methods over a 25-year period.

Main Methods:

  • Analysis of data from 310 nationally representative surveys, including Demographic and Health Surveys and Reproductive Health Surveys.
  • Inclusion of data from 104 developing countries, covering the period from 1980 to 2005.

Related Experiment Videos

Main Results:

  • Contraceptive use increased globally, with high rates in Asia (66%) and Latin America/Caribbean (73%), but lower rates in Sub-Saharan Africa (22%) by 2000-2005.
  • Proportion of users relying on IUDs and pills decreased, while injectables and female sterilization saw increased use. Male sterilization remained below 3%.
  • Use of traditional contraceptive methods declined significantly across all regions, most notably in Sub-Saharan Africa (from 56% to 31%).

Conclusions:

  • Meeting the rising demand for modern contraceptive methods requires ensuring accessibility and user acceptability.
  • Programmatic efforts should focus on providing a range of modern methods that meet diverse user needs and preferences.