ArticleReproductive health2021
Wealth-related inequalities in demand for family planning satisfied among married and unmarried adolescent girls and young women in sub-Saharan Africa.
Article in Reproductive health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.
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Who cites it
16 citing papers in PubMed, 20 citations in OpenAlex.
- Factors Associated With Female Adolescent Usage of Modern Contraceptives in Northern Ghana: A Cross-Sectional Survey of a Rural Municipality.Public health challenges · 2026Article
- Trends and socioeconomic inequalities in contraceptive use, skilled birth attendance, and fertility in Malawi (2015-2024).BMC public health · 2026Article
- Inequities in contraceptive use among adults in Lebanon: a national study.Journal of global health · 2026Article
- A multivariate decomposition analysis of urban-rural disparities in contraceptive use among women in Ethiopia.Scientific reports · 2026Article
- Trends and patterns of inequality in modern contraceptive use in urban and rural India: are family planning programmes increasingly reaching the marginalized?Health policy and planning · 2026Article
- The effect of a sexual and reproductive health programme on socio-economic and education-related inequities in the use of modern contraceptives in seven sub-regions in Uganda: a case of RISE programme 2019-2023.BMC health services research · 2025Article
- Assessing regional disparities and sociodemographic influences on short birth intervals (SBI) among reproductive-age women in Nigeria.Scientific reports · 2025Article
- Progress in reducing socioeconomic inequalities in the use of modern contraceptives in 48 focus countries as part of the FP2030 initiative between 1990 and 2020: a population-based analysis.The Lancet. Global health · 2025Article
- Family Planning, Reproductive Health, and Progress Toward the Sustainable Development Goals: Reflections and Directions on the 30th Anniversary of the International Conference on Population and Development.Global health, science and practice · 2024Article
- Assessing the inequalities in demand for family planning satisfied in Ghana: evidence from the 1993-2014 Demographic and Health Surveys.International health · 2024Article
- Inequalities in the demand and unmet need for contraception among women in four regions of Ethiopia.PloS one · 2024Article
- Contraception and intersection with HIV services in 11 high HIV burden sub-Saharan African countries: Results from the population-based HIV Impact Assessment cross-sectional studies conducted from 2015 to 2018.International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2023Article
- What are the sources of contraceptives for married and unmarried adolescents: Health services or friends? Analysis of 59 low- and middle-income countries.Frontiers in public health · 2023Article
- Four in ten married women demands satisfied by modern contraceptives in high fertility sub-Saharan Africa countries: a multilevel analysis of demographic and health surveys.BMC public health · 2022Article
- Adolescent experiences of mistreatment during childbirth in health facilities: secondary analysis of a community-based survey in four countries.BMJ global health · 2022Article
- Adolescent sexual and reproductive health for all in sub-Saharan Africa: a spotlight on inequalities.Reproductive health · 2021Article
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Authors and funding
10 authors at 5 institutions in 5 countries.
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Abstract
backgroundThe use of modern contraception has increased in much of sub-Saharan Africa (SSA). However, the extent to which changes have occurred across the wealth spectrum among adolescents is not well known. We examine poor-rich gaps in demand for family planning satisfied by modern methods (DFPSm) among sexually active adolescent girls and young women (AGYW) using data from national household surveys.
methodsWe used recent Demographic and Health Surveys and Multiple Indicator Cluster Surveys to describe levels of wealth-related inequalities in DFPSm among sexually active AGYW using an asset index as an indicator of wealth. Further, we used data from countries with more than one survey conducted from 2000 to assess DFPSm trends. We fitted linear models to estimate annual average rate of change (AARC) by country. We fitted random effects regression models to estimate regional AARC in DFPSm. All analysis were stratified by marital status.
resultsOverall, there was significant wealth-related disparities in DFPSm in West Africa only (17.8 percentage points (pp)) among married AGYW. The disparities were significant in 5 out of 10 countries in Eastern, 2 out of 6 in Central, and 7 out of 12 in West among married AGYW and in 2 out of 6 in Central and 2 out of 9 in West Africa among unmarried AGYW. Overall, DFPSm among married AGYW increased over time in both poorest (AARC = 1.6%, p < 0.001) and richest (AARC = 1.4%, p < 0.001) households and among unmarried AGYW from poorest households (AARC = 0.8%, p = 0.045). DPFSm increased over time among married and unmarried AGYW from poorest households in Eastern (AARC = 2.4%, p < 0.001) and Southern sub-regions (AARC = 2.1%, p = 0.030) respectively. Rwanda and Liberia had the largest increases in DPFSm among married AGYW from poorest (AARC = 5.2%, p < 0.001) and richest (AARC = 5.3%, p < 0.001) households respectively. There were decreasing DFPSm trends among both married (AARC = - 1.7%, p < 0.001) and unmarried (AARC = - 4.7%, p < 0.001) AGYW from poorest households in Mozambique.
conclusionDespite rapid improvements in DFPSm among married AGYW from the poorest households in many SSA countries there have been only modest reductions in wealth-related inequalities. Significant inequalities remain, especially among married AGYW. DFPSm stalled in most sub-regions among unmarried AGYW.
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