A comparative study on the availability of modern contraceptives in public and private health facilities in a peri-urban community in Ghana

Reproductive Health

Sam Adjei⁴  Seth Owusu-Agyei¹  Sam Newton¹  Martha A. Abdulai¹  Clement T. Narh³  Amos K Laar²  Kwame K. Adjei¹ 

[1] Kintampo Health Research Centre, Ghana Health Service, Kintampo, Ghana;Department of Population, Family and Reproductive Health, University of Ghana, Accra, Legon, Ghana;University of Health and Allied Sciences, Ho, Ghana;Centre for Health and Social Services, Accra, Ghana

关键词: Health facilities;    Factors;    Contraceptives;    Availability;   

Others  :  1226173
DOI  :  10.1186/s12978-015-0058-z

 received in 2014-08-30, accepted in 2015-07-16,  发布年份 2015

【 摘 要 】

Background

Sub-Saharan Africa reports low use of family planning methods and high unmet need. Availability of these methods is one of the major barriers to contraceptive use in the region. This study determined the availability of modern contraceptives and perceived factors affecting this in health facilities in the Ga East municipality of Ghana.

Methods

This was a cross-sectional study involving quantitative and qualitative techniques. Data was obtained from 51 randomly selected health facilities using a checklist. Relationships between certain attributes of the facilities and availability of each category of contraceptive identified was tested using univariate and and multiple logistic regression techniques. The qualitative data was obtained by conducting in-depth interviews with the managers of the facilities and then analysed according to emerging themes.

Results

The study gave an indication that there was a low availability of long acting reversible contraceptives (LARC) such as implants (14 %) and IUDs (14 %) in the health facilities. Male condoms (78 %) and combined oral contraceptives (82 %) were the most available At the bivariate level, emergency contraceptives were less likely to be found in public health facilities (OR = 0.11, p = 0.05). Facility managers cited ‘profit’ and ‘preference’ as some of the reasons for availability of their contraceptives.

Conclusion

Availability of modern contraceptives differ according to the type and brand of contraceptive. There is however a low availability of LARC methods in all the health facilities. Factors such as ‘profit’ accounted for the low availability of this method.

【 授权许可】

   
2015 Adjei et al.

【 图 表 】

Fig. 1.

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