Trends in the Use of Reversible Modern Contraceptives in Burkina Faso between 2010 and 2015

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Résumé

Background: In Burkina Faso, efforts have been made between 2010 and
2015 to address the low levels of contraceptive utilization. However, the socio-cultural context in the country still reinforces traditional gender roles, low
status for women, and a strong desire for larger families. The objectives of
this study are twofold: 1) to analyze the trends in reversible modern contraceptive prevalence, and 2) to identify the factors influencing the use of reversible modern contraceptives, comparing the urban and rural areas. Data
and Methods: We conducted an analysis using data from Burkina Faso
sourced from the 2010 Demographic and Health Survey (DHS) and the 2015
Demographic and Health Module (DHM). The 2010 DHS received responses
from 17,087 women aged 15 - 49 years, achieving a response rate of 98.4%.
Similarly, the 2015 DHM garnered responses from 11,504 women aged 15 -
49 years, with a response rate of 96.6%. Results: Our findings revealed that
while advancements were observed in urban areas, the majority of underprivileged women still faced limited access to modern contraception. Moreover,
we did not observe any significant interaction effects between age and parity
with the year of the survey. However, there was a slight decrease in the impact
of marital status, although the difference between married and non-married
women remained significant in 2015. It is noteworthy that family planning
discussions and approval continued to play crucial roles. Conclusion: The
initiatives to subsidize contraceptive costs and establish mobile clinics have
proven inadequate in facilitating rural, impoverished, and young women’s
access to modern contraception. Additional endeavors are required to enhance geographical accessibility to modern contraceptives by expanding the availability of supply sources, particularly in rural areas. Furthermore, providing psychosocial support has the potential to empower women in making
informed contraceptive decisions and exercising greater control over their
reproductive choices.

Mots-clés

Modern Contraceptives, Reversible Contraceptives, Contraception, Family Planning, Burkina Faso