Trends and patterns of modern contraceptive use and relationships with high-risk births and child mortality in Burkina Faso

Adboulaye Maiga, Sennen Hounton, Agbessi Amouzou, Akanni Akinyemi, Solomon Shiferaw, Banza Baya, Dalomi Bahan, Aluisio J D Barros, Neff Walker, Howard Friedman

Research output: Contribution to journalArticle

Abstract

Background: In sub-Saharan Africa, few studies have stressed the importance of spatial heterogeneity analysis in modern contraceptive use and the relationships with high-risk births. Objective: This paper aims to analyse the association between modern contraceptive use, distribution of birth risk, and under-five child mortality at both national and regional levels in Burkina Faso. Design: The last three Demographic and Health Surveys - conducted in Burkina Faso in 1998, 2003, and 2010-enabled descriptions of differentials, trends, and associations between modern contraceptive use, total fertility rates (TFR), and factors associated with high-risk births and under-five child mortality. Multivariate models, adjusted by covariates of cultural and socio-economic background and contact with health system, were used to investigate the relationship between birth risk factors and modern contraceptive prevalence rates (mCPR). Results: Overall, Burkina Faso's modern contraception level remains low (15.4% in 2010), despite significant increases during the last decade. However, there are substantial variations in mCPR by region, and health facility contact was positively associated with mCPR increase. Women's fertility history and cultural and socio-economic background were also significant factors in predicting use of modern contraception. Low modern contraceptive use is associated with higher birth risks and increased child mortality. This association is stronger in the Sahel, Est, and Sud-Ouest regions. Even though all factors in high-risk births were associated with under-five mortality, it should be stressed that short birth spacing ranked as the highest risk in relation to mortality of children. Conclusions: Programmes that target sub-national differentials and leverage women's health system contacts to inform women about family planning opportunities may be effective in improving coverage, quality, and equity of modern contraceptive use. Improving the demand satisfied for modern contraception may result in a reduction in the percentage of women experiencing high-risk births and may also reduce child mortality.

Original languageEnglish (US)
Article number29736
JournalGlobal Health Action
Volume8
Issue number1
DOIs
StatePublished - 2015

Fingerprint

Burkina Faso
Child Mortality
Contraceptive Agents
Parturition
Contraception
Economics
Birth Intervals
Spatial Analysis
Africa South of the Sahara
Birth Rate
Health Facilities
Family Planning Services
Women's Health
Fertility
Demography
Delivery of Health Care
Mortality
Health

Keywords

  • Burkina Faso
  • Fertility
  • High-risk births
  • Modern contraceptive use
  • Under-five child mortality

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health
  • Health Policy

Cite this

Trends and patterns of modern contraceptive use and relationships with high-risk births and child mortality in Burkina Faso. / Maiga, Adboulaye; Hounton, Sennen; Amouzou, Agbessi; Akinyemi, Akanni; Shiferaw, Solomon; Baya, Banza; Bahan, Dalomi; Barros, Aluisio J D; Walker, Neff; Friedman, Howard.

In: Global Health Action, Vol. 8, No. 1, 29736, 2015.

Research output: Contribution to journalArticle

Maiga, Adboulaye ; Hounton, Sennen ; Amouzou, Agbessi ; Akinyemi, Akanni ; Shiferaw, Solomon ; Baya, Banza ; Bahan, Dalomi ; Barros, Aluisio J D ; Walker, Neff ; Friedman, Howard. / Trends and patterns of modern contraceptive use and relationships with high-risk births and child mortality in Burkina Faso. In: Global Health Action. 2015 ; Vol. 8, No. 1.
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AU - Amouzou, Agbessi

AU - Akinyemi, Akanni

AU - Shiferaw, Solomon

AU - Baya, Banza

AU - Bahan, Dalomi

AU - Barros, Aluisio J D

AU - Walker, Neff

AU - Friedman, Howard

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AB - Background: In sub-Saharan Africa, few studies have stressed the importance of spatial heterogeneity analysis in modern contraceptive use and the relationships with high-risk births. Objective: This paper aims to analyse the association between modern contraceptive use, distribution of birth risk, and under-five child mortality at both national and regional levels in Burkina Faso. Design: The last three Demographic and Health Surveys - conducted in Burkina Faso in 1998, 2003, and 2010-enabled descriptions of differentials, trends, and associations between modern contraceptive use, total fertility rates (TFR), and factors associated with high-risk births and under-five child mortality. Multivariate models, adjusted by covariates of cultural and socio-economic background and contact with health system, were used to investigate the relationship between birth risk factors and modern contraceptive prevalence rates (mCPR). Results: Overall, Burkina Faso's modern contraception level remains low (15.4% in 2010), despite significant increases during the last decade. However, there are substantial variations in mCPR by region, and health facility contact was positively associated with mCPR increase. Women's fertility history and cultural and socio-economic background were also significant factors in predicting use of modern contraception. Low modern contraceptive use is associated with higher birth risks and increased child mortality. This association is stronger in the Sahel, Est, and Sud-Ouest regions. Even though all factors in high-risk births were associated with under-five mortality, it should be stressed that short birth spacing ranked as the highest risk in relation to mortality of children. Conclusions: Programmes that target sub-national differentials and leverage women's health system contacts to inform women about family planning opportunities may be effective in improving coverage, quality, and equity of modern contraceptive use. Improving the demand satisfied for modern contraception may result in a reduction in the percentage of women experiencing high-risk births and may also reduce child mortality.

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KW - Fertility

KW - High-risk births

KW - Modern contraceptive use

KW - Under-five child mortality

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