Efforts made to improve the availability and access to family planning services to adolescents in Ghana have not yielded the desired results. Adolescents in the Kintampo Health and Demographic Surveillance System area are no exception. This study explored contraceptive use intentions, preferences and their determinants among adolescents in rural Ghana. This was to contribute evidence towards achieving universal access to reproductive health. A cross-sectional study design was used to collect Sexual and Reproductive Health data in the Kintampo districts in 2011. A total of 1805 female adolescents were randomly sampled from a resident female adolescent population of 16,795. This study used intention and/or willingness of adolescents to use contraceptives as the outcome variable and the explanatory variables were demographic and socioeconomic factors. Descriptive and inferential statistical analyses were done. The findings indicated 54.3% of adolescents’ were willing to use contraceptives. Injectable was the most preferred contraceptive method among adolescents (48.6%); this was followed by the pill (29.6%) with the least being foam or jelly (0.2%). The most commonly cited reason for not intending to use contraception was adolescents’ opposition to family planning (31.5%) followed by a fear of side effects (25.8%). Age and education influenced adolescents’ willingness to use contraceptives in the future. Formal education of the young generation coupled with knowledge of contraceptive methods could yield positive outcomes for contraceptive use and ultimately reproductive health of the adolescent population in the near future.
Elissa, K., Natalie, G., Peter, A. and Mick, C. (2011) Adolescent Fertility and Family Planning in East Asia and the Pacific: A Review of DHS Reports. Reproductive Health, 8.
Singh, S., Darroch, J., Ashford, L. and Vlassoff, M. (2009) Adding It up: The Costs and Benefits of Investing in Family Planning and Maternal and Newborn Health. Guttmacher Institute and United Nations Population Fund, New York.
Blanc, A.K. and Way, A.A. (1998) Sexual Behavior and Contraceptive Knowledge and Use among Adolescents in Developing Countries. Studies in Family Planning, 29, 106-116. http://dx.doi.org/10.2307/172153
Owusu-Agyei, S., Nettey, O.E.A., Zandoh, C., Sulemana, A., Adda, R., Amenga-Etego, S. and Mbacke, C. (2012) Demographic Patterns and Trends in Central Ghana: Baseline Indicators from the Kintampo Health and Demographic Surveillance System. Global Health Action, 5, 1-11.
Enuameh, Y., Nettey, O.E., Mahama, E., Tawiah, C., Boamah, E., Sulemana, A., Adjei, G., Gyaase, S., Asiedu, S.A., Manu, A., Zandoh, C., Asante, K.P. and Owusu-Agyei, S. (2015) Family Planning Needs of Adolescents in Predominantly Rural Communities in the Central Part of Ghana. Open Journal of Preventive Medicine, 5, 269-279.
Chipeta, E.K., Chimwaza, W. and Kalilani-Phiri, L. (2010) Contraceptive Knowledge, Beliefs and Attitudes in Rural Malawi: Misinformation, Misbeliefs and Misperceptions. Malawi Medical Journal: The Journal of Medical Association of Malawi, 22, 38-41. http://dx.doi.org/10.4314/mmj.v22i2.58790
Orji, E.O. and Onwudiegwu, U. (2002) Prevalence and Determinants of Contraceptive Practice in a Defined Nigerian Population. Journal of Obstetrics & Gynaecology, 22, 540-543. http://dx.doi.org/10.1080/0144361021000003126
Shapiro, D. and Tambase, B.O. (1994) The Impact of Women’s Employment and Education on Contraceptive Use and Abortion in Kinshasa, Zaire. Studies in Family Planning, 25, 96-110. http://dx.doi.org/10.2307/2138087
Larsen, U. and Hollos, M. (2003) Women’s Empowerment and Fertility Decline among the Pare of Kilimanjaro Region, Northern Tanzania. Social Science & Medicine, 57, 1099-1115.
Keele, J.J., Forste, R. and Flake, D.F. (2005) Hearing Native Voices: Contraceptive Use in Matemwe Village, East Africa. African Journal of Reproductive Health, 9, 32-41. http://dx.doi.org/10.2307/3583158
Mubita-Ngoma, C. and Kadantu, C. (2010) Knowledge and Use of Modern Family Planning Methods by Rural Women in Zambia. Curationis, 33, 17-22.