Background: Despite efforts to improve access to family planning, contraceptive prevalence remain... more Background: Despite efforts to improve access to family planning, contraceptive prevalence remains relatively low among adolescents and youth in Guinea. The objective of this study was to understand the barriers to the use of modern contraceptive methods among urban adolescents and youth (15–24 years) in Conakry, Guinea.Methods: This was a qualitative study using an exploratory design. It was conducted in the capital city of Guinea, Conakry in 2019. Respondents included adolescents and youth aged 15–24 years, health care providers, and parents of adolescents and youth. In-depth individual interviews (IDIs) and focus group discussions (FGDs) were used to collect the data. Sixty IDIs and ten FGDs were planned in Conakry. These data were recorded and transcribed, when applicable, from the local languages into French in an anonymous manner. The data were analyzed using a mixed (inductive and deductive) thematic approach following the elements of the socio-ecological model.Results: Overa...
Female genital mutilation (FGM) is justified by sociocultural arguments, including that it guaran... more Female genital mutilation (FGM) is justified by sociocultural arguments, including that it guarantees girls’/women’s appropriate sexual behavior, thus preserving family honor. We explored the perspectives of Guineans who do not practice FGM (“positive deviants”), as well as of Guineans who still practice FGM but who are supportive of abandoning the practice (“reluctant adherents”). We conducted a “focused ethnographic” study in Conakry, Guinea with a sample of 58 people. Individual semi-structured interviews were undertaken to explore the views and experiences of 18 women and 12 men of different generations who abandoned the practice of FGM. Group interviews with an additional 16 women and 12 men (half of whom were “positive deviants” and the other half “reluctant adherents”) validated and enriched the data. Participants consider that FGM has deleterious consequences as it: (1) does not prevent girls or married women from being sexually active outside of marriage; (2) may impair cou...
IntroductionMaternal mortality remains very high in Sub-Saharan African countries and the risk is... more IntroductionMaternal mortality remains very high in Sub-Saharan African countries and the risk is higher among adolescent girls. Maternal mortality occurs in these settings mainly around the time of childbirth and the first 24 hours after birth. Therefore, skilled attendance in an enabling environment is essential to reduce the occurrence of adverse outcomes for both women and their children. This study aims to analyze the determinants of facility childbirth among adolescents and young women in Guinea.MethodsWe used the Guinea Demographic and Health Survey (DHS) conducted in 2018. All females who were adolescents (15 -19) or young women (20-24 years) at the time of their most recent live birth in the five years before the survey were included. We examined the use of health facilities for childbirth and its determinants using multivariable logistic regression, built through the Andersen health-seeking model.ResultsOverall, 58% of adolescents and 57% of young women gave birth in a hea...
Introduction: The use of contraceptive methods is very low in Guinea, particularly among adolesce... more Introduction: The use of contraceptive methods is very low in Guinea, particularly among adolescents and young people. The purpose of this study is to analyze the experiences and expectations of adolescents and young people regarding the use of contraceptive methods in 2019 in Conakry, Guinea.Methods: We conducted a 6-month qualitative and descriptive study. Data were collected through individual in-depth interviews and focus group discussions with adolescents and young people, health providers and health policy makers. Two approaches of deductive and inductive analysis were used to synthesize the main insights from the data.Findings: Twenty-six participants were included in this study. Adolescents and young people have personal, family and community experiences that positively or negatively influence their contraceptive needs and preferences. Positive experiences include the relative cost of injectable forms, perceived absence of side effects of implants, proven efficacy and durati...
BackgroundThe use of modern contraceptive methods among adolescents and youth is a public health ... more BackgroundThe use of modern contraceptive methods among adolescents and youth is a public health priority to prevent unwanted pregnancies. To our knowledge, no study has ever explored and documented the promoting factors for contraceptive use among urban adolescents and youth in Guinea. The objective of this study was to explore the personal, community, and health system factors that promote the use of contraceptive methods among urban adolescents and youth in Guinea. MethodsWe conducted a qualitative exploratory and descriptive study with adolescents and youth aged 15 to 24 living in Conakry, Guinea. Data were collected through twenty-six individual in-depth interviews, and 10 group interviews with an additional eighty individuals, for a total of 106 participants. The investigation was conducted from June to October 2019. Both individual and group interviews were audio-recorded, and the verbatims were afterwards transcribed. Data was analyzed using the “thematic analysis” method (d...
Background Despite improvements, adolescent fertility remains high in Africa. In Guinea, high fer... more Background Despite improvements, adolescent fertility remains high in Africa. In Guinea, high fertility among adolescents and young women in urban areas remains a public health concern. This study aims to describe levels and trends in, and factors associated with using modern family planning (FP) methods among urban adolescents and young women in Guinea.Methods We used four Guinea Demographic and Health Surveys (DHS) conducted in 1999, 2005, 2012, and 2018. Among urban adolescents and young women (15–24 years), we examined trends over time in four key indicators: 1. Contraceptive use (% using any using any FP method among all and among those in need for FP), 2. Unmet need for FP (% not using any FP method among all and among those in need for FP) and 3.Modern contraceptive use (% of using modern FP methods and among those in need of FP), and 4. % using modern FP method (demand satisfied). We multivariable logistic regression to examine association between socio-demographic factors a...
BackgroundFemale genital mutilation (FGM) can give rise to immediate and long-term health problem... more BackgroundFemale genital mutilation (FGM) can give rise to immediate and long-term health problems for girls/women. Numerous studies have identified the sociocultural determinants of this tradition, but so far, in a national context where FGM is highly practiced, virtually none have focused on people refusing to have their daughters cut. We therefore aimed to understand the sociocultural dynamics underlying the non-practice of FGM in Guinea, a country which has one of the most prevalent rates of this practice in the world. This research explored the demographic and sociocultural profiles of Guineans who do not practice FGM, as well as their non-practice experience in a context of high FGM prevalence and social pressure.MethodsWe used a “focused ethnography” methodology and conducted semi-structured individual interviews with 30 women and men from different generations (young adults, parents, grandparents) living in Conakry, Guinea.ResultsWe found that participants 1) do not disclose...
Background In Guinea, high fertility among adolescents and young women in urban areas remains a p... more Background In Guinea, high fertility among adolescents and young women in urban areas remains a public health concern. This study describes trends in contraceptive use, unmet need, and factors associated with the use of modern family planning (FP) methods among urban adolescents and young women in Guinea. Methods We used four Guinea Demographic and Health Surveys (DHS) conducted in 1999, 2005, 2012, and 2018. Among urban adolescents and young women (15–24 years), we examined trends over time in three key indicators: 1. Modern Contraceptive use, 2. Unmet need for FP and 3. Modern contraceptive use among those in need of FP (demand satisfied). We used multivariable logistic regression to examine association between socio-demographic factors and modern FP use on the most recent DHS dataset (2018). Results We found statistically significant changes over the time period examined with an increase in modern contraceptive use (8.4% in 1999, 12.8% in 2018, p < 0.01) and demand satisfied (...
Background: Despite efforts to improve access to family planning, contraceptive prevalence remain... more Background: Despite efforts to improve access to family planning, contraceptive prevalence remains relatively low among adolescents and youth in Guinea. The objective of this study was to understand the barriers to the use of modern contraceptive methods among urban adolescents and youth (15–24 years) in Conakry, Guinea.Methods: This was a qualitative study using an exploratory design. It was conducted in the capital city of Guinea, Conakry in 2019. Respondents included adolescents and youth aged 15–24 years, health care providers, and parents of adolescents and youth. In-depth individual interviews (IDIs) and focus group discussions (FGDs) were used to collect the data. Sixty IDIs and ten FGDs were planned in Conakry. These data were recorded and transcribed, when applicable, from the local languages into French in an anonymous manner. The data were analyzed using a mixed (inductive and deductive) thematic approach following the elements of the socio-ecological model.Results: Overa...
Female genital mutilation (FGM) is justified by sociocultural arguments, including that it guaran... more Female genital mutilation (FGM) is justified by sociocultural arguments, including that it guarantees girls’/women’s appropriate sexual behavior, thus preserving family honor. We explored the perspectives of Guineans who do not practice FGM (“positive deviants”), as well as of Guineans who still practice FGM but who are supportive of abandoning the practice (“reluctant adherents”). We conducted a “focused ethnographic” study in Conakry, Guinea with a sample of 58 people. Individual semi-structured interviews were undertaken to explore the views and experiences of 18 women and 12 men of different generations who abandoned the practice of FGM. Group interviews with an additional 16 women and 12 men (half of whom were “positive deviants” and the other half “reluctant adherents”) validated and enriched the data. Participants consider that FGM has deleterious consequences as it: (1) does not prevent girls or married women from being sexually active outside of marriage; (2) may impair cou...
IntroductionMaternal mortality remains very high in Sub-Saharan African countries and the risk is... more IntroductionMaternal mortality remains very high in Sub-Saharan African countries and the risk is higher among adolescent girls. Maternal mortality occurs in these settings mainly around the time of childbirth and the first 24 hours after birth. Therefore, skilled attendance in an enabling environment is essential to reduce the occurrence of adverse outcomes for both women and their children. This study aims to analyze the determinants of facility childbirth among adolescents and young women in Guinea.MethodsWe used the Guinea Demographic and Health Survey (DHS) conducted in 2018. All females who were adolescents (15 -19) or young women (20-24 years) at the time of their most recent live birth in the five years before the survey were included. We examined the use of health facilities for childbirth and its determinants using multivariable logistic regression, built through the Andersen health-seeking model.ResultsOverall, 58% of adolescents and 57% of young women gave birth in a hea...
Introduction: The use of contraceptive methods is very low in Guinea, particularly among adolesce... more Introduction: The use of contraceptive methods is very low in Guinea, particularly among adolescents and young people. The purpose of this study is to analyze the experiences and expectations of adolescents and young people regarding the use of contraceptive methods in 2019 in Conakry, Guinea.Methods: We conducted a 6-month qualitative and descriptive study. Data were collected through individual in-depth interviews and focus group discussions with adolescents and young people, health providers and health policy makers. Two approaches of deductive and inductive analysis were used to synthesize the main insights from the data.Findings: Twenty-six participants were included in this study. Adolescents and young people have personal, family and community experiences that positively or negatively influence their contraceptive needs and preferences. Positive experiences include the relative cost of injectable forms, perceived absence of side effects of implants, proven efficacy and durati...
BackgroundThe use of modern contraceptive methods among adolescents and youth is a public health ... more BackgroundThe use of modern contraceptive methods among adolescents and youth is a public health priority to prevent unwanted pregnancies. To our knowledge, no study has ever explored and documented the promoting factors for contraceptive use among urban adolescents and youth in Guinea. The objective of this study was to explore the personal, community, and health system factors that promote the use of contraceptive methods among urban adolescents and youth in Guinea. MethodsWe conducted a qualitative exploratory and descriptive study with adolescents and youth aged 15 to 24 living in Conakry, Guinea. Data were collected through twenty-six individual in-depth interviews, and 10 group interviews with an additional eighty individuals, for a total of 106 participants. The investigation was conducted from June to October 2019. Both individual and group interviews were audio-recorded, and the verbatims were afterwards transcribed. Data was analyzed using the “thematic analysis” method (d...
Background Despite improvements, adolescent fertility remains high in Africa. In Guinea, high fer... more Background Despite improvements, adolescent fertility remains high in Africa. In Guinea, high fertility among adolescents and young women in urban areas remains a public health concern. This study aims to describe levels and trends in, and factors associated with using modern family planning (FP) methods among urban adolescents and young women in Guinea.Methods We used four Guinea Demographic and Health Surveys (DHS) conducted in 1999, 2005, 2012, and 2018. Among urban adolescents and young women (15–24 years), we examined trends over time in four key indicators: 1. Contraceptive use (% using any using any FP method among all and among those in need for FP), 2. Unmet need for FP (% not using any FP method among all and among those in need for FP) and 3.Modern contraceptive use (% of using modern FP methods and among those in need of FP), and 4. % using modern FP method (demand satisfied). We multivariable logistic regression to examine association between socio-demographic factors a...
BackgroundFemale genital mutilation (FGM) can give rise to immediate and long-term health problem... more BackgroundFemale genital mutilation (FGM) can give rise to immediate and long-term health problems for girls/women. Numerous studies have identified the sociocultural determinants of this tradition, but so far, in a national context where FGM is highly practiced, virtually none have focused on people refusing to have their daughters cut. We therefore aimed to understand the sociocultural dynamics underlying the non-practice of FGM in Guinea, a country which has one of the most prevalent rates of this practice in the world. This research explored the demographic and sociocultural profiles of Guineans who do not practice FGM, as well as their non-practice experience in a context of high FGM prevalence and social pressure.MethodsWe used a “focused ethnography” methodology and conducted semi-structured individual interviews with 30 women and men from different generations (young adults, parents, grandparents) living in Conakry, Guinea.ResultsWe found that participants 1) do not disclose...
Background In Guinea, high fertility among adolescents and young women in urban areas remains a p... more Background In Guinea, high fertility among adolescents and young women in urban areas remains a public health concern. This study describes trends in contraceptive use, unmet need, and factors associated with the use of modern family planning (FP) methods among urban adolescents and young women in Guinea. Methods We used four Guinea Demographic and Health Surveys (DHS) conducted in 1999, 2005, 2012, and 2018. Among urban adolescents and young women (15–24 years), we examined trends over time in three key indicators: 1. Modern Contraceptive use, 2. Unmet need for FP and 3. Modern contraceptive use among those in need of FP (demand satisfied). We used multivariable logistic regression to examine association between socio-demographic factors and modern FP use on the most recent DHS dataset (2018). Results We found statistically significant changes over the time period examined with an increase in modern contraceptive use (8.4% in 1999, 12.8% in 2018, p < 0.01) and demand satisfied (...
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