Assessing the inequalities in demand for family planning satisfied in Ghana: evidence from the 1993-2014 Demographic and Health Surveys.

Azure, SA; Budu, E; Okyere, J; Mensah, F; Ahinkorah, BO; Seidu, A-A; Ameyaw, EK

Assessing the inequalities in demand for family planning satisfied in Ghana: evidence from the 1993-2014 Demographic and Health Surveys.

Azure, SA Budu, E Okyere, J Mensah, F Ahinkorah, BO Seidu, A-A Ameyaw, EK

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Publisher:: Oxford University Press (OUP)
Publication Type:: Journal Article
Citation:: Int Health, 2024, 16, (1), pp. 61-67
Issue Date:: 2024-01-02

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Field	Value	Language
dc.contributor.author	Azure, SA
dc.contributor.author	Budu, E
dc.contributor.author	Okyere, J
dc.contributor.author	Mensah, F
dc.contributor.author	Ahinkorah, BO
dc.contributor.author	Seidu, A-A
dc.contributor.author	Ameyaw, EK
dc.date.accessioned	2024-08-06T02:07:33Z
dc.date.available	2023-03-02
dc.date.available	2024-08-06T02:07:33Z
dc.date.issued	2024-01-02
dc.identifier.citation	Int Health, 2024, 16, (1), pp. 61-67
dc.identifier.issn	1876-3413
dc.identifier.issn	1876-3405
dc.identifier.uri	http://hdl.handle.net/10453/180058
dc.description.abstract	BACKGROUND: Family planning is essential in promoting the well-being of women and their families and communities and ensuring quality of care in contraceptive use. This study sought to assess the trend and inequalities in the demand for family planning satisfied (DFPS) in Ghana from 1993 to 2014. METHODS: The World Health Organization's Health Equity Assessment Toolkit was employed to analyse the data. We disaggregated DFPS by five equity stratifiers: age, economic status, education, residence and region. Inequality was measured using difference (D), population attributable risk (PAR), ratio (R) and population attributable fraction (PAF). RESULTS: The study showed an increment in DFPS from 17.8% to 38.7% between 1993 and 2014. With respect to age, we noted substantial inequality in 2003 (D=21.9 [95% confidence interval {CI} 15.2 to 28.7]), 1993 (D=4.8 [95% CI -1.8 to 11.4]) and 2014 (D=15 [95% CI 3 to 26.9]). The greatest economic inequality occurred in 1993 (PAF=69.7 [95% CI 50.8 to 88.6]; D=20.1 [95% CI 14.8 to 25.4]). Regarding education, significant inequality existed in 1993 (PAF=112 [95% CI 100.8 to 123.2]; D=29.7 [95% CI 21.9 to 37.4]). Ashanti and the Upper West regions reported significant inequalities (PAF=55.6 [95% CI 33.1 to 78.2]; D=16.1 [95% CI 8.9 to 23.3]). CONCLUSIONS: There are age-, education-, wealth-, residence- and region-related inequalities with respect to DFPS. Policymakers will have to prioritize the needs of women with no formal or low educational attainment in order to improve DFPS coverage. Special attention needs to be given to adolescent girls since they suffer greater inequalities than adult women.
dc.format	Print
dc.language	eng
dc.publisher	Oxford University Press (OUP)
dc.relation.ispartof	Int Health
dc.relation.isbasedon	10.1093/inthealth/ihad019
dc.rights	info:eu-repo/semantics/openAccess
dc.subject	11 Medical and Health Sciences
dc.subject.classification	32 Biomedical and clinical sciences
dc.subject.classification	42 Health sciences
dc.subject.mesh	Adult
dc.subject.mesh	Adolescent
dc.subject.mesh	Humans
dc.subject.mesh	Female
dc.subject.mesh	Family Planning Services
dc.subject.mesh	Ghana
dc.subject.mesh	Socioeconomic Factors
dc.subject.mesh	Educational Status
dc.subject.mesh	Healthcare Disparities
dc.subject.mesh	Health Surveys
dc.subject.mesh	Humans
dc.subject.mesh	Health Surveys
dc.subject.mesh	Socioeconomic Factors
dc.subject.mesh	Adolescent
dc.subject.mesh	Adult
dc.subject.mesh	Educational Status
dc.subject.mesh	Family Planning Services
dc.subject.mesh	Ghana
dc.subject.mesh	Female
dc.subject.mesh	Healthcare Disparities
dc.subject.mesh	Adult
dc.subject.mesh	Adolescent
dc.subject.mesh	Humans
dc.subject.mesh	Female
dc.subject.mesh	Family Planning Services
dc.subject.mesh	Ghana
dc.subject.mesh	Socioeconomic Factors
dc.subject.mesh	Educational Status
dc.subject.mesh	Healthcare Disparities
dc.subject.mesh	Health Surveys
dc.title	Assessing the inequalities in demand for family planning satisfied in Ghana: evidence from the 1993-2014 Demographic and Health Surveys.
dc.type	Journal Article
utslib.citation.volume	16
utslib.location.activity	England
utslib.for	11 Medical and Health Sciences
pubs.organisational-group	University of Technology Sydney
pubs.organisational-group	University of Technology Sydney/DVC (Research)
utslib.copyright.status	open_access	*
dc.rights.license	This work is licensed under a Creative Commons Attribution 4.0 International License (CC BY 4.0). To view a copy of this license, visit https://creativecommons.org/licenses/by/4.0/
dc.date.updated	2024-08-06T02:07:31Z
pubs.issue	1
pubs.publication-status	Published
pubs.volume	16
utslib.citation.issue	1

Abstract:

BACKGROUND: Family planning is essential in promoting the well-being of women and their families and communities and ensuring quality of care in contraceptive use. This study sought to assess the trend and inequalities in the demand for family planning satisfied (DFPS) in Ghana from 1993 to 2014. METHODS: The World Health Organization's Health Equity Assessment Toolkit was employed to analyse the data. We disaggregated DFPS by five equity stratifiers: age, economic status, education, residence and region. Inequality was measured using difference (D), population attributable risk (PAR), ratio (R) and population attributable fraction (PAF). RESULTS: The study showed an increment in DFPS from 17.8% to 38.7% between 1993 and 2014. With respect to age, we noted substantial inequality in 2003 (D=21.9 [95% confidence interval {CI} 15.2 to 28.7]), 1993 (D=4.8 [95% CI -1.8 to 11.4]) and 2014 (D=15 [95% CI 3 to 26.9]). The greatest economic inequality occurred in 1993 (PAF=69.7 [95% CI 50.8 to 88.6]; D=20.1 [95% CI 14.8 to 25.4]). Regarding education, significant inequality existed in 1993 (PAF=112 [95% CI 100.8 to 123.2]; D=29.7 [95% CI 21.9 to 37.4]). Ashanti and the Upper West regions reported significant inequalities (PAF=55.6 [95% CI 33.1 to 78.2]; D=16.1 [95% CI 8.9 to 23.3]). CONCLUSIONS: There are age-, education-, wealth-, residence- and region-related inequalities with respect to DFPS. Policymakers will have to prioritize the needs of women with no formal or low educational attainment in order to improve DFPS coverage. Special attention needs to be given to adolescent girls since they suffer greater inequalities than adult women.

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http://hdl.handle.net/10453/180058