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Factors Influencing Contraceptive Use in Sub-Saharan Africa: A Systematic Review
January 05 2017
January 05 2017
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Abstract
The purpose of this study was to systematically review the literature regarding factors
influencing contraceptive use in sub-Saharan Africa between 2005 and 2015. A total
of 58 studies from twelve Sub-Saharan African countries were reviewed. Keywords were
grouped using the PEN-3 cultural model. Negative factors prohibiting or reducing contraceptive
use were women's misconceptions of contraceptive side-effects, male partner disapproval,
and social/cultural norms surrounding fertility. Positive factors included education,
employment, and communication with male partner. Increasing modern contraceptive use
in Sub-Saharan Africa is a multi-faceted problem that will require community and systems
wide interventions that aim to counteract negative perceptions and misinformation.