The University of Southampton
University of Southampton Institutional Repository

Targeting women at risk of unintended pregnancy in Ghana: Should geography matter?

Record type: Article

Unintended childbearing in Ghana is estimated to be about 0.7 births per woman, thus contributing to the high total fertility rate of more than 4 births. About one-third of women of reproductive age have an unmet need for family planning and there are strong geographic differences between and within ecological zones. Spatial analysis of risk of unintended pregnancies planning can reveal differences in the provision and usage of contraceptive commodities, thereby providing information of areas where programmes should be strengthened. This study uses data from the 1998 and 2003 Ghana Demographic and Health Surveys to examine geographical variation in the risk of unintended pregnancies among women in the three ecological zones of Ghana (Savannah, Forest, and Coastal). The data was analysed using multilevel logistic regression. Approximately 55% of Ghanaian women (married or in union) are at risk of unintended pregnancies and there are differences between urban and rural women, with rural women more likely to have their demand for contraception unmet. After adjusting for the socio-economic and demographic factors, the results show little differences between ecological zones in the levels of women exposed to the risk of unintended pregnancy, but they demonstrate significant within community effects, which influence the risk of unintended pregnancies for women within the community. Communities, therefore, can be used as units for targeting services aimed at increasing coverage of contraceptive commodities.

PDF amoako_Johnson.pdf - Other
Restricted to Repository staff only
Download (281kB)

Citation

Johnson, Fiifi Amoako and Madise, Nyovani J. (2011) Targeting women at risk of unintended pregnancy in Ghana: Should geography matter? Sexual & Reproductive Healthcare, 2, (1), pp. 29-35. (doi:10.1016/j.srhc.2010.10.003). (PMID:21147456).

More information

Published date: January 2011
Keywords: unintended pregnancy, geography, ghana, ecological zones, dhs, contraception

Identifiers

Local EPrints ID: 183167
URI: http://eprints.soton.ac.uk/id/eprint/183167
ISSN: 1877-5756
PURE UUID: 84c1c504-9453-4937-adb4-c6027de08cda
ORCID for Nyovani J. Madise: ORCID iD orcid.org/0000-0002-2813-5295

Catalogue record

Date deposited: 11 May 2011 15:09
Last modified: 18 Jul 2017 11:56

Export record

Altmetrics


Download statistics

Downloads from ePrints over the past year. Other digital versions may also be available to download e.g. from the publisher's website.

View more statistics

Atom RSS 1.0 RSS 2.0

Contact ePrints Soton: eprints@soton.ac.uk

ePrints Soton supports OAI 2.0 with a base URL of http://eprints.soton.ac.uk/cgi/oai2

This repository has been built using EPrints software, developed at the University of Southampton, but available to everyone to use.

We use cookies to ensure that we give you the best experience on our website. If you continue without changing your settings, we will assume that you are happy to receive cookies on the University of Southampton website.

×