Contraceptive use in Eswatini: do contextual influences matter?

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ID: 82227
2020
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Abstract
This study sought to investigate the determinants of current use of modern contraceptives beyond the individual level in Eswatini (formerly Swaziland). Previous studies have overlooked the role of community characteristics such as socioeconomic development, women's empowerment and fertility norms in shaping contraceptive use. Hierarchical structured subsample data of 4112 sexually experienced women from the 2007 Eswatini Demographic Health Survey were analysed using multilevel logistic regression to identify factors contributing to community/cluster variations in women's current use of modern contraceptives. Less than half (44.2%) of the sexually active women were using modern contraceptive methods in 2007. At the community level, the odds of contraceptive use decreased for rural women (AOR = 0.82, 95% CI: 0.68-0.98) and among women residing in communities with high-fertility norms (AOR = 0.77, 95% CI: 0.66-0.89). After adjusting for both individual- and community-level factors, no community-level variables considered for the study were significantly associated with contraceptive use. The findings highlight in all four models, from the empty to full model, that there is a small and decreasing significant variation in women's contraceptive use across communities (MOR, 1.37-1.17). In 2007, the findings suggest individual rather than community factors account for some contextual variability in contraceptive use. The study proposes the use of ethnographic techniques to unravel community factors that promote modern contraceptive use in Eswatini.
Reference Key
odimegwu2020contraceptivejournal Use this key to autocite in the manuscript while using SciMatic Manuscript Manager or Thesis Manager
Authors Odimegwu, Clifford;Chemhaka, Garikayi B;
Journal journal of biosocial science
Year 2020
DOI
10.1017/S0021932019000889
URL
Keywords
community contraceptive use community-level factors

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