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Correlates of Unintended Pregnancies in Ivory Coast: Results from a National Survey

Received: 27 September 2017     Accepted: 19 October 2017     Published: 5 December 2017
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Abstract

As in most of Africa, unintended pregnancy remains a major reproductive health challenge in Ivory Coast. The 3 Demographic and Health Survey (DHS) conducted in the country in 1994, 1999, and 2012, revealed a decreasing trend in the percentage of unwanted pregnancies: 7.8%, 4.9%, 3.3% in 1994, 1999, and 2012 respectively. However, the percentage of births that were wanted later remained regularly high, around 20% with a pic on 23.8% in 1999. Understanding the extent of unintended pregnancy and the factors associated is crucial to conduct evidence-based interventions and avoiding women’s resort to unsafe abortions. A secondary analysis of the DHS 2011-2012 of Ivory Coast allowed to include 1032 pregnant women at the time of data collection. A bivariate analysis and multivariate was conducted with Stata 14.0 for identifying associated factors with unintended pregnancy. In total, 26.4% of the pregnancies were unintended. Age was not found as a correlate of unintended pregnancy. Women in primary and secondary education categories were more likely to have unintended pregnancy as compared to the no education category (OR (95%CI): 2.0 (1.3-3.1) and 2.1 (1.1-4.0) respectively). Ever use of family planning, high parity (5 children and more), and one as well as two and more deliveries in the past five years were associated with unintended pregnancy (OR (95%CI): 2.1 (1.4-3.2), 3.5 (1.2-10.2) and 2.8 (1.5-5.5), respectively). Partner’s desire for less children was also found to be associated with unintended pregnancy (OR (95% CI): 1.9 (1.1-3.1)). Women already burdened with higher fertility were suffering from unintended pregnancy. Efforts to increase the use of family planning services among these women should be strengthened.

Published in Science Journal of Public Health (Volume 6, Issue 1)
DOI 10.11648/j.sjph.20180601.12
Page(s) 6-14
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2017. Published by Science Publishing Group

Keywords

Unintended Pregnancies, Family Planning, Associated Factors, Ivory Coast

References
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Cite This Article
  • APA Style

    Kpebo Djoukou Olga Denise, Aké-Tano Sassor Odile Purifine, Aka Joseph, Konan Yao Eugène, Attoh-Touré Harvey, et al. (2017). Correlates of Unintended Pregnancies in Ivory Coast: Results from a National Survey. Science Journal of Public Health, 6(1), 6-14. https://doi.org/10.11648/j.sjph.20180601.12

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    Kpebo Djoukou Olga Denise; Aké-Tano Sassor Odile Purifine; Aka Joseph; Konan Yao Eugène; Attoh-Touré Harvey, et al. Correlates of Unintended Pregnancies in Ivory Coast: Results from a National Survey. Sci. J. Public Health 2017, 6(1), 6-14. doi: 10.11648/j.sjph.20180601.12

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    AMA Style

    Kpebo Djoukou Olga Denise, Aké-Tano Sassor Odile Purifine, Aka Joseph, Konan Yao Eugène, Attoh-Touré Harvey, et al. Correlates of Unintended Pregnancies in Ivory Coast: Results from a National Survey. Sci J Public Health. 2017;6(1):6-14. doi: 10.11648/j.sjph.20180601.12

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  • @article{10.11648/j.sjph.20180601.12,
      author = {Kpebo Djoukou Olga Denise and Aké-Tano Sassor Odile Purifine and Aka Joseph and Konan Yao Eugène and Attoh-Touré Harvey and Tetchi Ekissi Orsot and Dagnan N’Cho Simplice},
      title = {Correlates of Unintended Pregnancies in Ivory Coast: Results from a National Survey},
      journal = {Science Journal of Public Health},
      volume = {6},
      number = {1},
      pages = {6-14},
      doi = {10.11648/j.sjph.20180601.12},
      url = {https://doi.org/10.11648/j.sjph.20180601.12},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.sjph.20180601.12},
      abstract = {As in most of Africa, unintended pregnancy remains a major reproductive health challenge in Ivory Coast. The 3 Demographic and Health Survey (DHS) conducted in the country in 1994, 1999, and 2012, revealed a decreasing trend in the percentage of unwanted pregnancies: 7.8%, 4.9%, 3.3% in 1994, 1999, and 2012 respectively. However, the percentage of births that were wanted later remained regularly high, around 20% with a pic on 23.8% in 1999. Understanding the extent of unintended pregnancy and the factors associated is crucial to conduct evidence-based interventions and avoiding women’s resort to unsafe abortions. A secondary analysis of the DHS 2011-2012 of Ivory Coast allowed to include 1032 pregnant women at the time of data collection. A bivariate analysis and multivariate was conducted with Stata 14.0 for identifying associated factors with unintended pregnancy. In total, 26.4% of the pregnancies were unintended. Age was not found as a correlate of unintended pregnancy. Women in primary and secondary education categories were more likely to have unintended pregnancy as compared to the no education category (OR (95%CI): 2.0 (1.3-3.1) and 2.1 (1.1-4.0) respectively). Ever use of family planning, high parity (5 children and more), and one as well as two and more deliveries in the past five years were associated with unintended pregnancy (OR (95%CI): 2.1 (1.4-3.2), 3.5 (1.2-10.2) and 2.8 (1.5-5.5), respectively). Partner’s desire for less children was also found to be associated with unintended pregnancy (OR (95% CI): 1.9 (1.1-3.1)). Women already burdened with higher fertility were suffering from unintended pregnancy. Efforts to increase the use of family planning services among these women should be strengthened.},
     year = {2017}
    }
    

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  • TY  - JOUR
    T1  - Correlates of Unintended Pregnancies in Ivory Coast: Results from a National Survey
    AU  - Kpebo Djoukou Olga Denise
    AU  - Aké-Tano Sassor Odile Purifine
    AU  - Aka Joseph
    AU  - Konan Yao Eugène
    AU  - Attoh-Touré Harvey
    AU  - Tetchi Ekissi Orsot
    AU  - Dagnan N’Cho Simplice
    Y1  - 2017/12/05
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    DO  - 10.11648/j.sjph.20180601.12
    T2  - Science Journal of Public Health
    JF  - Science Journal of Public Health
    JO  - Science Journal of Public Health
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    EP  - 14
    PB  - Science Publishing Group
    SN  - 2328-7950
    UR  - https://doi.org/10.11648/j.sjph.20180601.12
    AB  - As in most of Africa, unintended pregnancy remains a major reproductive health challenge in Ivory Coast. The 3 Demographic and Health Survey (DHS) conducted in the country in 1994, 1999, and 2012, revealed a decreasing trend in the percentage of unwanted pregnancies: 7.8%, 4.9%, 3.3% in 1994, 1999, and 2012 respectively. However, the percentage of births that were wanted later remained regularly high, around 20% with a pic on 23.8% in 1999. Understanding the extent of unintended pregnancy and the factors associated is crucial to conduct evidence-based interventions and avoiding women’s resort to unsafe abortions. A secondary analysis of the DHS 2011-2012 of Ivory Coast allowed to include 1032 pregnant women at the time of data collection. A bivariate analysis and multivariate was conducted with Stata 14.0 for identifying associated factors with unintended pregnancy. In total, 26.4% of the pregnancies were unintended. Age was not found as a correlate of unintended pregnancy. Women in primary and secondary education categories were more likely to have unintended pregnancy as compared to the no education category (OR (95%CI): 2.0 (1.3-3.1) and 2.1 (1.1-4.0) respectively). Ever use of family planning, high parity (5 children and more), and one as well as two and more deliveries in the past five years were associated with unintended pregnancy (OR (95%CI): 2.1 (1.4-3.2), 3.5 (1.2-10.2) and 2.8 (1.5-5.5), respectively). Partner’s desire for less children was also found to be associated with unintended pregnancy (OR (95% CI): 1.9 (1.1-3.1)). Women already burdened with higher fertility were suffering from unintended pregnancy. Efforts to increase the use of family planning services among these women should be strengthened.
    VL  - 6
    IS  - 1
    ER  - 

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Author Information
  • National Institute of Public Health, Abidjan, Ivory Coast

  • National Institute of Public Health, Abidjan, Ivory Coast

  • National Institute of Public Health, Abidjan, Ivory Coast

  • National Institute of Public Health, Abidjan, Ivory Coast

  • Public Health and Biostatistics Department, Medical School, University Félix Houphouet Boigny, Abidjan, Ivory Coast

  • National Institute of Public Health, Abidjan, Ivory Coast

  • Public Health and Biostatistics Department, Medical School, University Félix Houphouet Boigny, Abidjan, Ivory Coast

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