Factors associated with decision-making on family planning use among women aged 15-49 in Guinea

Tiany Sidibe; Sadan Camara; Madeleine Toure; Aissatou Diallo; Ramata Diallo; Alpha Oumar Sall; Fanta Barry; Kaba Saran Keita; Ibrahima Conte; Mamadou Dioulde Balde

doi:10.18203/2320-1770.ijrcog20241054

Authors

Tiany Sidibe Center of Research in Reproductive Health in Guinea (CERREGUI), Conakry, Guinea
Sadan Camara Center of Research in Reproductive Health in Guinea (CERREGUI), Conakry, Guinea
Madeleine Toure Center of Research in Reproductive Health in Guinea (CERREGUI), Conakry, Guinea
Aissatou Diallo Center of Research in Reproductive Health in Guinea (CERREGUI), Conakry, Guinea
Ramata Diallo Center of Research in Reproductive Health in Guinea (CERREGUI), Conakry, Guinea
Alpha Oumar Sall Center of Research in Reproductive Health in Guinea (CERREGUI), Conakry, Guinea
Fanta Barry Center of Research in Reproductive Health in Guinea (CERREGUI), Conakry, Guinea
Kaba Saran Keita Center of Research in Reproductive Health in Guinea (CERREGUI), Conakry, Guinea
Ibrahima Conte Department of Obstetrics and Gynaecology, Gamal Abdel Nasser University of Conakry, Guinea
Mamadou Dioulde Balde Center of Research in Reproductive Health in Guinea (CERREGUI), Conakry, Guinea

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20241054

Keywords:

Decision-making, Family planning, Factors associated, Guinea, Women

Abstract

Background: In Guinea, several factors affect women's ability to make decisions about contraceptive use. The objective of this study was to identify factors associated with married women's decision-making power regarding family planning use in Guinea.

Methods: Data from the 2018 Guinea Demographic and Health Survey were used. A sample of 752 women was included in the study. Multivariate logistic regression was performed to determine the factors associated with women's decision-making power regarding the use of family planning in Guinea. The Odd ratio with 95% confidence interval was calculated for the variables in the final model.

Results: The overall prevalence of women deciding to use family planning was 65.47% [95%CI: 62.18 68.61]. Urban women had a 49% lower chance of deciding to use family planning than rural women (adjusted OR=0.61; 95% CI [0.238 0.92]). Similarly, women with secondary education were 3.53 times more likely to use family planning than those with no formal education (adjusted OR=3.53; 95% CI [1.27 9.78]).

Conclusions: This study shows the importance of several factors in women's decision-making power regarding family planning use in Guinea. Women with secondary education, those in the Kindia and Kankan regions, and those with a job had higher probability of deciding to use family planning. Findings from this study could help guide public health policies, emphasising the importance of education, employment and access to health services in improving women's decision-making power when it comes to family planning in the Republic of Guinea.

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