Knowledge and attitude towards contraceptive use among adolescents in Africa: a systematic review
DOI:
https://doi.org/10.18203/2320-1770.ijrcog20214349Keywords:
Adolescents, Attitude towards contraception, Contraception, Contraceptive use, Knowledge of contraception, Systematic reviewAbstract
A 46% rate of unintended pregnancies among adolescents in Africa is a glaring notification of the barriers to contraception. There is little documentation of the knowledge and attitude towards contraceptive use among adolescents in Africa especially from systematic review perspective, which purposed this study. An E-literature search of the studies on the topic was conducted through PubMed, and Google Scholar, considering a period between January 2015 to August 2021. The search strategy used; “knowledge and attitude towards contraceptive use among adolescents in Africa”, which was sorted by date. The search resulted in 14,468 journal articles: 14,300 from Google Scholar, and 168 from PubMed but only 27 studies qualified for inclusion. Results indicate inadequate knowledge of contraception but this varies by age, level of education, marital status and geographical distribution. The majority of adolescents are aware of emergency contraception and traditional methods such as abstinence, lactational amenorrhea, and coïtus interruptus. Even with this knowledge, a larger proportion of adolescents do not use contraception due to limited access, misinformation on side effects and the negative attitude shaped by religious and socio-cultural beliefs and attitude of health care providers to them. Adolescent boys have more knowledge of contraception than the adolescent girls do but their use of contraceptives is not well documented. The low level of knowledge and negative attitude limits the use of these services and could be addressed by a well-informed approach on sexuality literacy and contraception that involves not only adolescents but also parents, the community and health care providers.
References
Tchokossa MA, Adeyemi BA. Knowledge and use of contraceptives among female adolescents in selected senior secondary schools in ife central local government of osun state. J Commu Med Health Edu. 2018;08(03):1647-61.
Chola M, Hlongwana K, Ginindza TG. Patterns, trends, and factors associated with contraceptive use among adolescent girls in Zambia (1996 to 2014): a multilevel analysis. BMC Womens Health. 2020;20(1):185.
World Fertility and Family Planning 2020: Highlights. Available at: https://www.un.org/en/ development/desa/population/publications/pdf/family/World_Fertility_and_Family_Planning_2020_Highlights.pdf. Accessed on 20 July 2021.
Munakampe MN, Zulu JM, Michelo C. Contraception and abortion knowledge, attitudes and practices among adolescents from low and middle-income countries: a systematic review. BMC Health Serv Res. 2018;18(1):909.
Jain R, Muralidhar S. Contraceptive methods: needs, options and utilization. J Obstet Gynaecol India. 2011;61(6):626-34.
World Family Planning 2017 Highlights. Economic & Social Affairs. Available at: https://www.un.org/en/ development/desa/population/publications/pdf/family/WFP2017_Highlights.pdf. Accessed on 20 July 2021.
Melesse DY, Mutua MK, Choudhury A, Wado YD, Faye CM, Neal S, Boerma T. Adolescent sexual and reproductive health in sub-Saharan Africa: who is left behind? BMJ Glob Health. 2020;5(1):e002231.
Kinaro J, Kimani M, Ikamari L, Ayiemba EHO. Perceptions and barriers to contraceptive use among adolescents aged 15-19 years in Kenya: A Case Study of Nairobi. Health. 2015;7(1):85-97.
Blackstone SR, Nwaozuru U, Iwelunmor J. Factors Influencing Contraceptive Use in Sub-Saharan Africa: A Systematic Review. Int Q Community Health Educ. 2017;37(2):79-91.
Hagan JE, Buxton C. Contraceptive knowledge, perceptions and use among adolescents in selected senior high schools in the central region of Ghana. J Sociol Res. 2008;3(2):170-80.
Ameyaw EK, Budu E, Sambah F, Baatiema L, Appiah F, Seidu AA, Ahinkorah BO. Prevalence and determinants of unintended pregnancy in sub-Saharan Africa: A multi-country analysis of demographic and health surveys. PLoS One. 2019;14(8):e0220970.
Paquette E, Kamuyango A, Hou WH, Li CY. Trends and contributing factors to contraceptive use in kenya: a large population-based Survey 1989 to 2014. Int J Environ Res Public Health. 2020;17(19):7065.
Sserwanja Q, Musaba MW, Mukunya D. Prevalence and factors associated with modern contraceptives utilization among female adolescents in Uganda. BMC Womens Health. 2021;21(1):61.
Moyo S, Rusinga O. Contraceptives: Adolescents' Knowledge, Attitudes and Practices. A Case Study of Rural Mhondoro-Ngezi District, Zimbabwe. Afr J Reprod Health. 2017;21(1):49-63.
Deitch J, Stark L. Adolescent demand for contraception and family planning services in low- and middle-income countries: A systematic review. Glob Public Health. 2019;14(9):1316-34.
Ahinkorah BO, Hagan JE Jr, Seidu AA, et al. Linking Female Adolescents' Knowledge, Attitudes and Use of Contraceptives to Adolescent Pregnancy in Ghana: A Baseline Data for Developing Sexuality Education Programmes. Healthcare (Basel). 2021;9(3):272.
Mwaisaka J, Wado YD, Ouedraogo R, Oduor C, Habib H, Njagi J, Bangha MW. "Those are things for married people" exploring parents'/adults' and adolescents' perspectives on contraceptives in Narok and Homa Bay Counties, Kenya. Reprod Health. 2021;18(1):48.
Jonas K, Duby Z, Maruping K, et al. Perceptions of contraception services among recipients of a combination HIV-prevention interventions for adolescent girls and young women in South Africa: a qualitative study. Reprod Health. 2020;17(1):122.
Mbadu Muanda F, Gahungu NP, Wood F, Bertrand JT. Attitudes toward sexual and reproductive health among adolescents and young people in urban and rural DR Congo. Reprod Health. 2018;15(1):74.
Onasoga OA, Afolayan JA, Asamabiriowei TF, Jibril UN, Imam AA. Adolescents' Knowledge, Attitude and Utilization of Emergency Contraceptive Pills in Nigeria's Niger Delta Region. Int J MCH AIDS. 2016;5(1):53-60.
Casey SE, Gallagher MC, Kakesa J, Kalyanpur A, Muselemu JB, Rafanoharana RV, Spilotros N. Contraceptive use among adolescent and young women in North and South Kivu, Democratic Republic of the Congo: A cross-sectional population-based survey. PLoS Med. 2020;17(3):e1003086.
Semachew Kasa A, Tarekegn M, Embiale N. Knowledge, attitude and practice towards family planning among reproductive age women in a resource limited settings of Northwest Ethiopia. BMC Res Notes. 2018;11(1):577.
Bekele D, Surur F, Nigatu B, et al. Knowledge and Attitude Towards Family Planning Among Women of Reproductive Age in Emerging Regions of Ethiopia. J Multidiscip Healthc. 2020;13:1463-74.
Crawford EE, Atchison CJ, Ajayi YP, Doyle AM. Modern contraceptive use among unmarried girls aged 15-19 years in South Western Nigeria: results from a cross-sectional baseline survey for the Adolescent 360 (A360) impact evaluation. Reprod Health. 2021;18(1):6.
Ezenwaka U, Mbachu C, Ezumah N, Eze I, Agu C, Agu I, Onwujekwe O. Exploring factors constraining utilization of contraceptive services among adolescents in Southeast Nigeria: an application of the socio-ecological model. BMC Public Health. 2020; 20(1):1162.
Kara WSK, Benedicto M, Mao J. Knowledge, Attitude, and Practice of Contraception Methods Among Female Undergraduates in Dodoma, Tanzania. Cureus. 2019;11(4):e4362.
Iyanda AE, Dinkins BJ, Osayomi T, Adeusi TJ, Lu Y, Oppong JR. Fertility knowledge, contraceptive use and unintentional pregnancy in 29 African countries: a cross-sectional study. Int J Public Health. 2020; 65(4):445-455.
Casey SE, Gallagher MC, Kakesa J, et al. Contraceptive use among adolescent and young women in North and South Kivu, Democratic Republic of the Congo: A cross-sectional population-based survey. PLoS Med. 2020;17(3):e1003086.
Abdulahi M, Kakaire O, Namusoke F. Determinants of modern contraceptive use among married Somali women living in Kampala; a cross sectional survey. Reprod Health. 2020;17(1):72.
Nsubuga H, Sekandi JN, Sempeera H, Makumbi FE. Contraceptive use, knowledge, attitude, perceptions and sexual behavior among female University students in Uganda: a cross-sectional survey. BMC Womens Health. 2016;16:6.
Nsubuga H, Sekandi JN, Sempeera H, Makumbi FE. Contraceptive use, knowledge, attitude, perceptions and sexual behavior among female University students in Uganda: a cross-sectional survey. BMC Womens Health. 2016;16:6.
Bongongo T, Govender I. Knowledge, attitudes and practices of contraceptive methods among women seeking voluntary termination of pregnancy at Jubilee Hospital, Pretoria, South Africa. Afr J Prim Health Care Fam Med. 2019;11(1):e1-5.
Dennis ML, Radovich E, Wong KLM, Owolabi O, Cavallaro FL, Mbizvo MT, Binagwaho A, Waiswa P, Lynch CA, Benova L. Pathways to increased coverage: an analysis of time trends in contraceptive need and use among adolescents and young women in Kenya, Rwanda, Tanzania, and Uganda. Reprod Health. 2017;14(1):130.
Sokkary N, Mansouri R, Yoost J, Focseneanu M, Dumont T, Nathwani M, Allen L, Hertweck SP, Dietrich JE. A multicenter survey of contraceptive knowledge among adolescents in North America. J Pediatr Adolesc Gynecol. 2013;26(5):274-6.
Brown JL, Hennessy M, Sales JM, DiClemente RJ, Salazar LF, Vanable PA, Carey MP, Romer D, Valois RF, Brown LK, Stanton B. Multiple method contraception use among African American adolescents in four US cities. Infect Dis Obstet Gynecol. 2011;2011:765917.
Bongongo T, Govender I. Knowledge, attitudes and practices of contraceptive methods among women seeking voluntary termination of pregnancy at Jubilee Hospital, Pretoria, South Africa. Afr J Prim Health Care Fam Med. 2019;11(1):e1-5.
Taylor E, Gilliam ML, Davis SD, Neustadt AB, Levey EJ. Contraceptive attitudes among inner-city African American female adolescents: Barriers to effective hormonal contraceptive use. J Pediatr Adolesc Gynecol. 2009;22(2):97-104.
