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[Evidence on the prevalence and drivers of contraceptive use among married adolescents in sub-Saharan Africa is limited. This chapter uses multivariable regression analysis to determine the barriers and facilitators to modern contraceptive use among married adolescent girls in six countries with the highest prevalence of adolescent marriage on the continent. The study finds that facilitators of contraceptive use among married adolescents are own and partner education, visits to health facilities, living in urban areas and receiving family planning information from the media. Having a partner or husband who wants more children is a barrier to contraceptive use. Factors such as household size, age and knowledge of ovulatory cycle are both barriers and facilitators of contraceptive use. These findings can inform policy strategies for increasing contraceptive uptake among married adolescent girls which would aid progress towards ensuring “universal access to sexual and reproductive health-care services” as stated in Target 3.7 of Sustainable Development Goal 3 and “universal access to sexual and reproductive health and reproductive rights” as stated in Target 5.6 of Sustainable Development Goal 5.]
Published: Jun 30, 2019
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