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Factors Influencing Contraceptive Use in Sub-Saharan Africa: A Systematic Review
Sarah R Blackstone1, Ucheoma Nwaozuru1, Juliet Iwelunmor1
11 University of Illinois Urbana-Champaign, College of Applied Health Sciences, Department of Kinesiology and Community Health, IL, USA.
Abstract:
The purpose of this study was to systematically review the literature regarding factors influencing contraceptive use in sub-Saharan Africa between 2005 and 2015. A total of 58 studies from twelve Sub-Saharan African countries were reviewed. Keywords were grouped using the PEN-3 cultural model. Negative factors prohibiting or reducing contraceptive use were women's misconceptions of contraceptive side-effects, male partner disapproval, and social/cultural norms surrounding fertility. Positive factors included education, employment, and communication with male partner. Increasing modern contraceptive use in Sub-Saharan Africa is a multi-faceted problem that will require community and systems wide interventions that aim to counteract negative perceptions and misinformation.
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