Contraception coverage and methods used among women in South Africa: A national household survey
Background. Globally, family planning services are being strengthened and the range of contraceptive choices expanded. Data on contraceptive coverage and service gaps could help to shape these initiatives. Objective. To assess contraception coverage in South Africa (SA) and identify underserved pop...
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doaj-cac9e7b5e52047ec9e131bbdb4a2d0a12020-11-24T22:08:36ZengHealth and Medical Publishing GroupSouth African Medical Journal0256-95742078-51352017-04-01107430731410.7196/SAMJ.2017.v107i4.12141Contraception coverage and methods used among women in South Africa: A national household surveyM F Chersich0N Wabiri1K Risher2O Shisana3D Celentano4T Rehle5M Evans6H Rees7Wits Reproductive Health and HIV Institute, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South AfricaHuman Sciences Research Council, Cape Town, South AfricaDepartment of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USAEvidenced Based Solutions, Cape Town; and Department of Psychiatry and Mental Health, Faculty of Health Sciences, University of Cape Town, South Africa Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USAHuman Sciences Research Council, Cape Town; and Centre for Infectious Disease Epidemiology and Research, School of Public Health and Family Medicine, University of Cape Town, South AfricaDepartment of Anthropology, Faculty of Graduate Studies, York University, Toronto, CanadaWits Reproductive Health and HIV Institute, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa; and London School of Hygiene and Tropical Medicine, University of London, UKBackground. Globally, family planning services are being strengthened and the range of contraceptive choices expanded. Data on contraceptive coverage and service gaps could help to shape these initiatives. Objective. To assess contraception coverage in South Africa (SA) and identify underserved populations and aspects of programming that require strengthening. Methods. Data from a 2012 SA household survey assessed contraception coverage among 6 296 women aged 15 - 49 years and identified underserved populations. Results. Two-thirds had an unintended pregnancy in the past 5 years, a quarter of which were contraceptive failures. Most knew of injectable (92.0%) and oral contraception (89.9%), but fewer of intrauterine devices (56.1%) and emergency contraception (47.3%). Contraceptive prevalence was 49.1%, and 41.8% women used modern non-barrier methods. About half had ever used injectable contraception. Contraception was lower in black Africans and younger women, who used a limited range of methods. Conclusion. Contraception coverage is higher than many previous estimates. Rates of unintended pregnancy, contraceptive failure and knowledge gaps, however, demonstrate high levels of unmet need, especially among black Africans and young women.http://www.samj.org.za/index.php/samj/article/view/11856/8015Reproductive healthContraception coverageHormonal contraceptivesfamily planningsouth africa |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
M F Chersich N Wabiri K Risher O Shisana D Celentano T Rehle M Evans H Rees |
spellingShingle |
M F Chersich N Wabiri K Risher O Shisana D Celentano T Rehle M Evans H Rees Contraception coverage and methods used among women in South Africa: A national household survey South African Medical Journal Reproductive health Contraception coverage Hormonal contraceptives family planning south africa |
author_facet |
M F Chersich N Wabiri K Risher O Shisana D Celentano T Rehle M Evans H Rees |
author_sort |
M F Chersich |
title |
Contraception coverage and methods used among women in South Africa: A national household survey |
title_short |
Contraception coverage and methods used among women in South Africa: A national household survey |
title_full |
Contraception coverage and methods used among women in South Africa: A national household survey |
title_fullStr |
Contraception coverage and methods used among women in South Africa: A national household survey |
title_full_unstemmed |
Contraception coverage and methods used among women in South Africa: A national household survey |
title_sort |
contraception coverage and methods used among women in south africa: a national household survey |
publisher |
Health and Medical Publishing Group |
series |
South African Medical Journal |
issn |
0256-9574 2078-5135 |
publishDate |
2017-04-01 |
description |
Background. Globally, family planning services are being strengthened and the range of contraceptive choices expanded. Data on contraceptive coverage and service gaps could help to shape these initiatives.
Objective. To assess contraception coverage in South Africa (SA) and identify underserved populations and aspects of programming that require strengthening.
Methods. Data from a 2012 SA household survey assessed contraception coverage among 6 296 women aged 15 - 49 years and identified underserved populations.
Results. Two-thirds had an unintended pregnancy in the past 5 years, a quarter of which were contraceptive failures. Most knew of injectable (92.0%) and oral contraception (89.9%), but fewer of intrauterine devices (56.1%) and emergency contraception (47.3%). Contraceptive prevalence was 49.1%, and 41.8% women used modern non-barrier methods. About half had ever used injectable contraception. Contraception was lower in black Africans and younger women, who used a limited range of methods.
Conclusion. Contraception coverage is higher than many previous estimates. Rates of unintended pregnancy, contraceptive failure and knowledge gaps, however, demonstrate high levels of unmet need, especially among black Africans and young women. |
topic |
Reproductive health Contraception coverage Hormonal contraceptives family planning south africa |
url |
http://www.samj.org.za/index.php/samj/article/view/11856/8015 |
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