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AUTHOR(S)

C. M. Shah, A. M. Griffith, J. Ciera, E. M. Zulu, Tia Palermo

DETAIL(S)

International Journal of Gynecology and Obstetrics, April 2016, vol. 133 (1), pp. 53-58.

ABSTRACT

Objective

To examine trends in equity in contraceptive use, and in contraceptive-prevalence rates in six East African countries.

Methods

In this repeated cross-sectional study, Demographic and Health Surveys Program data from women aged 15–49 years in Ethiopia, Kenya, Malawi, Rwanda, Tanzania, and Uganda between 2000 and 2010 were analyzed. Individuals were ranked according to wealth quintile, stratified urban/rural populations, and calculated concentration index–a statistic integrating information from all wealth quintiles to analyze disparities.

Results

Equity and contraceptive-prevalence rates increased in most country regions over the study period. Notably, in rural Rwanda, contraceptive-prevalence rates increased from 3.9 to 44.0, and urban Kenya became the most equitable country region, with a concentration index of 0.02. The Pearson correlation coefficient between improvements in concentration index and contraceptive-prevalence rates was 0.52 (P = 0.011).

Conclusion

The results indicate that countries seeking to increase contraceptive use should prioritize equity in access to services and contraceptives.

LANGUAGE:
English
SOURCE: VIEW ARTICLE

LIBRARY RECORD

JOURNAL TITLEInternational Journal of Gynecology and Obstetrics
YEAR2016
VOLUME133
No. 1
PAGE(S)53-58
SOURCEVIEW ARTICLE
DESCRIPTORSContraceptives
Inequality
GEO DESCRIPTORSEast africa
RESEARCH PROJECT(S) Social Protection & Cash Transfers
PEER REVIEWEDYES