SynthesisPloS one2021
Barriers and motivators of contraceptive use among young people in Sub-Saharan Africa: A systematic review of qualitative studies.
Synthesis in PloS one, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06521138 (The Effect of Transtheoretical Model-Based Antenatal and Postnatal Motivational Interviewing on Contraceptive Self-Efficacy, Contraceptive Attitude and Contraceptive Use), which is not on this map. Cited by 69 papers, 3 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
The Effect of Transtheoretical Model-Based Antenatal and Postnatal Motivational Interviewing on Contraceptive Self-Efficacy, Contraceptive Attitude and Contraceptive Use: A Randomized Controlled Trial
Who cites it
69 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- The sex effect: the prevalence of sex life reasons for contraceptive discontinuation. A systematic review and meta-analysis.Sexual and reproductive health matters · 2025Pooled it
- Are facility service delivery models meeting the sexual and reproductive health needs of adolescents in Sub-Saharan Africa? A qualitative evidence synthesis.BMC health services research · 2025Pooled it
- Use of contraceptives, empowerment and agency of adolescent girls and young women: a systematic review and meta-analysis.BMJ sexual & reproductive health · 2024Pooled it
- Navigating recruitment and retention challenges in a social media health intervention in francophone West Africa.Health promotion international · 2025Trial
- Barriers to accessing contraceptive services for adolescents in Sub-Saharan Africa: a scoping review.Global health action · 2026Article
- Article
- Levels and trends in fertility rates among adolescents aged 10-14 and 15-19 in 201 countries and areas from 1950 to 2023.BMJ global health · 2026Article
- Contradictions in value systems, social norms, and the disconnect between expectations and reality of sexuality and contraceptive use among youth in Karamoja, Uganda.BMC public health · 2026Article
- Social influence on women's contraceptive use: Population-based, sociocentric network study in rural Uganda.Social science & medicine (1982) · 2026Article
- Barriers to contraception access and use among youth: A scoping review in high-income countries.International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2026Article
- Knowledge, attitudes and factors associated with uptake of modern contraceptive methods among young women living with disabilities in Botswana.African journal of primary health care & family medicine · 2026Article
- Understanding contraception-use intentions among women of reproductive age not currently using contraceptives in sub-Saharan Africa: key insights from Demographic and Health Surveys.International health · 2026Article
- Contraception and unintended pregnancy: explaining the unexpected relationship in Sub-Saharan Africa using demographic and health survey data.BMJ public health · 2026Article
- Article
- Gender differences in comprehensive HIV/AIDS knowledge and safe sex practices among sexually active young people (15-24 years) in Nigeria: insights from the 2008-2018 demographic and health surveys.AIDS research and therapy · 2025Article
- Article
- Exploring sexual myths and influencing factors among Muslim men in Turkey: a cross-sectional analysis.Basic and clinical andrology · 2025Article
- Opening the black box of agency in contraceptive decision-making: A cross-country qualitative study of a complex process.SSM. Qualitative research in health · 2025Article
- Exploring barriers, facilitators, and preferences for the uptake of contraceptive methods among adolescents aged 15-19 years in Neno district, Malawi: a qualitative study.Sexual and reproductive health matters · 2025Article
- Preventing high-risk pregnancies: a qualitative analysis of contraceptive needs in women with cardiac disease in a tertiary care center in Sri Lanka.Contraception and reproductive medicine · 2025Article
9 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundIn sub-Saharan Africa, about 80% of young women either use a traditional method or do not use any form of contraception at all. The objectives of this review were to ascertain the barriers and motivators of contraceptive use among young people in Sub-Saharan Africa. MATERIALS AND
methodsWe conducted electronic literature searches in PubMed, EMBASE, Ebsco/PsycINFO and Scopus. We identified a total of 4,457 publications and initially screened 2626 based on the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA). A total of 13 qualitative studies were retained for the final analysis based on the Joanna Briggs criteria for assessing qualitative studies. The systematic review is registered on PROSPERO with identifier CRD42018081877.
resultsSupportive social networks, respect for privacy and confidentiality, ready availability, affordability and accessibility of contraceptives, as well as the desire to prevent unintended pregnancy and sexually transmitted infections were the motivators of contraceptive use among young people in sub-Saharan Africa. Despite these motivators, myriad of personal, societal, and health systems-based barriers including myths and misconceptions, known side effects of contraceptives, prohibitive social norms, and negative attitude of health professionals were the major barriers to contraceptive use among young people.
conclusionSub-Saharan African countries with widespread barriers to contraceptive use among young people may not be able to achieve the Sustainable Development Goal 3.8 target of achieving health for all by the year 2030. Interventions intended to improve contraceptive use need to be intersectoral and multi-layered, and designed to carefully integrate the personal, cultural, organizational and political dimensions of contraception.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.