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Statut matrimonial et non-utilisation de la contraception moderne chez les femmes exposées au risque de grossesse non désirée en Guinée entre 1999 et 2018

Abstract : Guinea is one of the West African countries where fertility is still high and declining little, with a worrying health situation (maternal and infant mortality levels among the highest in the world). The level of demographic growth (2.5% per year on average) associated with the low level of socioeconomic development of the country seems difficult to reconcile with the satisfaction of the objectives of sustainable development and thus makes the control of fertility a major challenge.Despite the political will displayed since the early 1980s, the adoption of a national population policy declaration in 1992 and a reproductive health policy in 2001 and the Government's efforts to promote Family Planning (FP), unmet need for family planning still affects nearly one in four women, and Guinea's contraceptive prevalence rate remains among the lowest in the world in 2018.•Regardless of the group of women considered, knowledge of modern contraception and approval of FP (both from the woman and her partner if she is in union) are the two most important factors in the the explanation ofnot using modern contraception.Thus, taking into account the importance of the use of modern contraception in the process of fertility transition, on the one hand, and the low prevalence of modern contraceptive as well as the lack of in-depth research in this field in Guinea, on the other hand, the present study aims to analyze the levels and trends in the use of modern contraception between 1999 and 2018 and to identify the factors that significantly influence the non-use of modern contraception among Guinean women at risk of unwanted pregnancy. The study uses secondary data from demographic and health surveys (DHS) carried out in Guinea in 1999, 2005, 2012 and 2018. The analyzes focused on women actually exposed to the risk of pregnancy :women who, at the time of the surveys,are considered fit to conceive and are exposed to this risk.The analyzes were carried out at three levels. At the first level, trends in the proportion of women using a contraceptive method were analyzed by type of method. Confidence intervals associated with each proportion were used to judge the significance or otherwise of the observed variation in the proportionof modern contraceptive users from year to year. At the second level of analysis, the statistical link between each of the variables and whether or not to use modern contraception was analyzed using the khideux test. At the third level of analysis, all the variables significantly associated with whether or not to use modern contraception with a significance level of at most 10% were introduced into a binary logistic regression model to identify the factors that significantly influence the non-use of modern contraception.The following main results emerge from the analyzes:•Between 1999 and 2018, the proportion of modern contraceptive users decreased significantly among women studied, from 23.1% to 18.7% over this period. However, this tendency is very different among women in union and among women not in union. Indeed, while among women in union, the proportion of female users almost doubled (from 12.2% to 23.5%) over the period studied, this proportion fell by 28% among women not in union over the same period. However, the variations in the proportion of modern contraceptive users over the period 1999-2018 were neither uniform nor regular.
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Submitted on : Thursday, September 16, 2021 - 10:15:26 AM
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Mamadou Saliou Barry. Statut matrimonial et non-utilisation de la contraception moderne chez les femmes exposées au risque de grossesse non désirée en Guinée entre 1999 et 2018. Sociologie. Université Bourgogne Franche-Comté, 2021. Français. ⟨NNT : 2021UBFCH011⟩. ⟨tel-03346139⟩

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