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Factors influencing contraceptive use and method choice among women and men in Zambia.

Factors influencing contraceptive use and method choice among women and men in Zambia.
Factors influencing contraceptive use and method choice among women and men in Zambia.

This study examines demand and supply factors influencing men and women’s contraceptive practice in Zambia.

Pills and condoms are popular among both sexes; a higher proportion of women are using pills than condoms, while the opposite is true among men.  Most male condom users are unmarried and aged below 20 years.  The main findings show that the patterns of contraceptive use and method choice are similar to those found in other studies in the region.  However, surprising results are noted for men’s method choice by education and current residence.  The findings reveal that regional differences do exist and are important in explaining men and women’s contraceptive use.  Among women, education, region of residence, ethnicity, current residence, desire for more children, partner’s approval of family planning and access to information are among important determinants of contraceptive use.  Among men, important determinants of use include current residence, region of residence and partners’ approval of family planning.  Regarding men’s choice of methods, education, current residence, ethnicity, region of residence and family planning information source, are among the significant predictors. Some key barriers identified in men and women’s contraceptive practice include, limited method mix, lack of availability of methods, inadequately trained providers and socio-cultural barriers such as high fertility aspirations.

The findings suggest that strategies aimed at promoting contraceptive adoption among men and women in Zambia should recognise the importance of background characteristics and the supply environment. Additionally, the service delivery mechanism starting from the policy level to the service delivery needs to be revisited.  Key suggestions include expansion of the method mix, strengthening contraceptive logistics, expanding the CBD programme, and intensifying awareness creation.

University of Southampton
Benaya, Kabwe W. Kalunde
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Benaya, Kabwe W. Kalunde
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Madise, Nyovani J
2ea2fbcc-50da-4696-a0a5-2fe01db63d8c
Matthews, Zoe
ebaee878-8cb8-415f-8aa1-3af2c3856f55

Benaya, Kabwe W. Kalunde (2004) Factors influencing contraceptive use and method choice among women and men in Zambia. University of Southampton, Doctoral Thesis, 367pp.

Record type: Thesis (Doctoral)

Abstract

This study examines demand and supply factors influencing men and women’s contraceptive practice in Zambia.

Pills and condoms are popular among both sexes; a higher proportion of women are using pills than condoms, while the opposite is true among men.  Most male condom users are unmarried and aged below 20 years.  The main findings show that the patterns of contraceptive use and method choice are similar to those found in other studies in the region.  However, surprising results are noted for men’s method choice by education and current residence.  The findings reveal that regional differences do exist and are important in explaining men and women’s contraceptive use.  Among women, education, region of residence, ethnicity, current residence, desire for more children, partner’s approval of family planning and access to information are among important determinants of contraceptive use.  Among men, important determinants of use include current residence, region of residence and partners’ approval of family planning.  Regarding men’s choice of methods, education, current residence, ethnicity, region of residence and family planning information source, are among the significant predictors. Some key barriers identified in men and women’s contraceptive practice include, limited method mix, lack of availability of methods, inadequately trained providers and socio-cultural barriers such as high fertility aspirations.

The findings suggest that strategies aimed at promoting contraceptive adoption among men and women in Zambia should recognise the importance of background characteristics and the supply environment. Additionally, the service delivery mechanism starting from the policy level to the service delivery needs to be revisited.  Key suggestions include expansion of the method mix, strengthening contraceptive logistics, expanding the CBD programme, and intensifying awareness creation.

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Published date: 2004

Identifiers

Local EPrints ID: 465542
URI: http://eprints.soton.ac.uk/id/eprint/465542
PURE UUID: e304c941-f34b-4e4c-b22e-1c7674be0408
ORCID for Nyovani J Madise: ORCID iD orcid.org/0000-0002-2813-5295
ORCID for Zoe Matthews: ORCID iD orcid.org/0000-0003-1533-6618

Catalogue record

Date deposited: 05 Jul 2022 01:41
Last modified: 17 Mar 2024 02:41

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Contributors

Author: Kabwe W. Kalunde Benaya
Thesis advisor: Nyovani J Madise ORCID iD
Thesis advisor: Zoe Matthews ORCID iD

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