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Contraceptive Use in Ghana: What about Women Empowerment?

机译:加纳的避孕药具使用:妇女赋权如何?

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Introduction: Although contraceptive usage appears to be increasing in Ghana, 30 and 42 percent of married and unmarried women respectively still have unmet need for family planning services partly due to their inability to exercise their basic rights on fertility issues. Meanwhile, expanding freedom of choice and actions to shape women’s life is critical to how women can be autonomous about issues surrounding their fertility. On this premise, this study aimed at investigating empowerment status and usage of contraceptives among women in the reproductive age in Ghana. Methods: The study made use of the 2014 Ghana Demographic and health survey with a sample size of 9396. The outcome variable was contraceptive use whilst the main independent variable was women empowerment (measured by ability to decide on a woman’s own healthcare, large household purchases and visiting family members). Both bivariate and multivariate binary logistic regressions were carried out generating odd ratios to explore the association at 95% confidence interval. Results: The results indicated that women who were not deciding alone on their own healthcare were less probable to use contraceptives (OR = 0.92, CI = 0.80 - 1.07) as well as those who were not deciding alone on large household purchases (OR = 0.96, CI = 0.82 - 1.11) and visiting family members (OR = 0.63, CI = 0.93 - 1.25) at the bivariate level. However, at the multivariate level, higher likelihoods of contraceptive use were found among those who were not deciding alone on health (OR = 1.26, CI = 1.18 - 1.68), large household purchases (OR = 1.30, CI = 1.08 - 1.55) and visiting family members (OR = 1.32, CI = 1.12 - 1.57). Conclusion: This has inspired the need to intensify women empowerment interventions through mass media and all possible avenues in order to enhance reproductive health.
机译:简介:尽管加纳避孕药具的使用量似乎有所增加,但分别有30%和42%的已婚和未婚妇女仍未满足计划生育服务的需求,部分原因是她们无法在生育问题上行使其基本权利。同时,扩大选择自由和采取行动来改变妇女的生活,对于妇女如何在围绕生育力的问题上保持自主性至关重要。在此前提下,本研究旨在调查加纳育龄妇女的赋权状况和避孕方法的使用。方法:该研究使用了2014年加纳的人口与健康调查,样本量为9396。结果变量是避孕药具使用,而主要自变量是妇女赋权(通过决定妇女自己的医疗保健能力,购买大量家庭产品来衡量)和探望家人)。进行了二元和多元二元logistic回归,生成奇数比,以95%置信区间探索关联。结果:结果表明,并非独自决定自己的医疗保健的妇女使用避孕药具的可能性较低(OR = 0.92,CI = 0.80-1.07),而并非独自决定是否购买大量家庭用品的女性(OR = 0.96) ,CI = 0.82-1.11)和来访家庭成员(OR = 0.63,CI = 0.93-1.25)处于双变量水平。但是,在多变量水平上,在并非独自决定健康(OR = 1.26,CI = 1.18-1.68),大家庭购买(OR = 1.30,CI = 1.08-1.55)的人群中,使用避孕药具的可能性更高。来访的家庭成员(OR = 1.32,CI = 1.12-1.57)。结论:这激发了通过大众媒体和所有可能途径加强妇女赋权干预措施的需要,以增强生殖健康。

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