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Developing strategies to address contraceptive needs of adolescents: exploring patterns of use among sexually active adolescents in 46 low- and middle-income countries

      Abstract

      Objective

      We explore the patterns of adolescents' need for contraception in 46 low- and middle-income countries.

      Methods

      Using data from the Demographic and Health Surveys, we estimate the prevalence of never-use, ever-use and current contraceptive use of sexually active adolescent girls ages 15–19. We use weighted fixed-effects meta-analytic techniques to estimate summary measures. Finally, we highlight country profiles of adolescent contraceptive use.

      Results

      More than half (54.4%) of sexually active or girls in unions report never using contraception, while 13.3% report having used contraception but not currently doing so. Nearly a third report currently using a contraceptive method: 24.6% are using a modern short-term method, 2.5% are using a most effective method, and 5.2% are using a traditional method.

      Conclusions

      We find significant heterogeneity across countries as well as within countries based on adolescents needs for spacing, limiting and method preference. With more than half of sexually active adolescents having never used contraception, the potential for unwanted pregnancies is high.

      Implications

      While there is no single strategy to address adolescents' contraceptive needs, country programs may want to consider the heterogeneity of adolescents' risks for unintended pregnancy and tailor programs to align with the profile of adolescents in their settings.

      Keywords

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      References

        • Das Gupta M.
        • Engleman R.
        • Levy J.
        • Luchsinger G.
        • Merrick T.
        • Rosen J.E.
        The power of 1.8 billion: adolescents, youth and the transformation of the future.
        State of the world population 2014, New York2014
        • Darroch J.E.
        • Woog V.
        • Bankole A.
        • Ashford L.S.
        Adding it up: costs and benefits of meeting contraceptive needs of adolescents.
        Guttmacher Institute, New York, NY2016
        • MacQuarrie K.
        Unmet need for family planning among young women: levels and trends.
        in: DHS comparative reports Np 34. ICF International, Rockville, MD2014
        • Hindin M.J.
        • Kalamar A.M.
        Country-specific data on the contraceptive needs of adolescents.
        Bull World Health Organ. 2017; 95: 166
        • Blanc A.K.
        • Tsui A.O.
        • Croft T.N.
        • Trevitt J.L.
        Patterns and trends in adolescents' contraceptive use and discontinuation in developing countries and comparisons with adult women.
        Int Perspect Sex Reprod Health. 2009; 35: 63-71
        • Blanc A.K.
        • Way A.A.
        Sexual behavior and contraceptive knowledge and use among adolescents in developing countries.
        Stud Fam Plan. 1998; 29: 106-116
        • Bankole A.
        • Malarcher S.
        Removing barriers to adolescents' access to contraceptive information and services.
        Stud Fam Plan. 2010; 41: 117-124
        • Doyle A.M.
        • Mavedzenge S.N.
        • Plummer M.L.
        • Ross D.A.
        The sexual behaviour of adolescents in sub-Saharan Africa: patterns and trends from national surveys.
        Trop Med Int Health. 2012; : 796-807
        • Chandra-Mouli V.
        • McCarraher D.R.
        • Phillips S.J.
        • Williamson N.E.
        • Hainsworth G.
        Contraception for adolescents in low and middle income countries: needs, barriers, and access.
        Reprod Health. 2014; 11: 1-8
        • ICF International
        Demographic and health surveys.
        2016 ed. ICF International, Calverton, MD2008-2016
        • Ahmed S.
        • Creanga A.
        • Gillespie D.
        • Tsui A.
        Economic status, education, and empowerment: implications for maternal health service utilization in developing countries.
        PLoS One. 2010; 5: e11190
        • Hindin M.J.
        Adolescent childbearing and women's attitudes towards wife beating in 25 sub-Saharan African countries.
        Matern Child Health J. 2013; 18: 1488-1495
        • StataCorp
        Stata statistical software: release 13.
        StataCorp LP, College Station, TX2013