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Mapping Evidence Regarding Decision-Making on Contraceptive Use among Adolescents in Sub-Saharan Africa: A Scoping Review

Author

Listed:
  • Mumbi Chola

    (Discipline of Public Health Medicine, School of Nursing and Public Health, University of KwaZulu-Natal, Durban 4041, South Africa
    Department of Epidemiology and Biostatistics, School of Public Health, University of Zambia, Lusaka 10101, Zambia)

  • Khumbulani W. Hlongwana

    (Discipline of Public Health Medicine, School of Nursing and Public Health, University of KwaZulu-Natal, Durban 4041, South Africa
    Cancer & Infectious Diseases Epidemiology Research Unit (CIDERU), College of Health Sciences, University of KwaZulu-Natal, Durban 4041, South Africa)

  • Themba G. Ginindza

    (Discipline of Public Health Medicine, School of Nursing and Public Health, University of KwaZulu-Natal, Durban 4041, South Africa
    Cancer & Infectious Diseases Epidemiology Research Unit (CIDERU), College of Health Sciences, University of KwaZulu-Natal, Durban 4041, South Africa)

Abstract

This scoping review mapped and synthesised existing evidence on the influence of individual, parental, peer, and societal-related factors on adolescents’ decisions to use contraception in sub-Saharan Africa (SSA). Peer-reviewed and review articles published before May 2022, targeting adolescents aged 10–19 years were searched in PubMed, MEDLINE with Full Text via EBSCOhost, PsychINFO via EBSCOhost, CINAHL with Full Text via EBSCOhost, Google Scholar, Science Direct, and Scopus databases. Seven studies were included and analysed using thematic analysis based on the social-ecological model (SEM) and reported using the preferred reporting items for systematic reviews and meta-analyses (PRISMA). Individual (fear of side effects, fear of infertility), parental (parental disappointment and disapproval), peer (social stigma), partner (association with promiscuity and multiple sexual partners), societal and community (contraceptive use disapproval and stigma), and institutional and environmental factors (lack of privacy and confidentiality) influence contraceptive decisions among adolescents. These also include a lack of accurate information, social exclusion, negative health provider attitudes, and a lack of infrastructure that provides privacy and safe spaces. Identifying and addressing core issues within the context of local cultural practices that restrict contraceptive use is important. Holistic, inclusive approaches that promote the well-being of adolescents must be utilised to provide a conducive environment that ensures privacy, confidentiality, safety, and easy access to contraceptive services.

Suggested Citation

  • Mumbi Chola & Khumbulani W. Hlongwana & Themba G. Ginindza, 2023. "Mapping Evidence Regarding Decision-Making on Contraceptive Use among Adolescents in Sub-Saharan Africa: A Scoping Review," IJERPH, MDPI, vol. 20(3), pages 1-16, February.
    • Handle: RePEc:gam:jijerp:v:20:y:2023:i:3:p:2744-:d:1057048
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    References listed on IDEAS

    as
    1. John Lekan Oyefara, 2009. "Socio-Economic Consequences of Adolescent Childbearing in Osun State, Nigeria," KASBIT Business Journals (KBJ), Khadim Ali Shah Bukhari Institute of Technology (KASBIT), vol. 2, pages 1-18, December.
    2. repec:ksb:journl:v:2:y:2009:i:1:p:1-18 is not listed on IDEAS
    3. Nicola Branson & Cally Ardington & Murray Leibbrandt, 2015. "Health Outcomes for Children Born to Teen Mothers in Cape Town, South Africa," Economic Development and Cultural Change, University of Chicago Press, vol. 63(3), pages 589-616.
    4. David Moher & Alessandro Liberati & Jennifer Tetzlaff & Douglas G Altman & The PRISMA Group, 2009. "Preferred Reporting Items for Systematic Reviews and Meta-Analyses: The PRISMA Statement," PLOS Medicine, Public Library of Science, vol. 6(7), pages 1-6, July.
    5. Shattuck, D. & Kerner, B. & Gilles, K. & Hartmann, M. & Ng'ombe, T. & Guest, G., 2011. "Encouraging contraceptive uptake by motivating men to communicate about family planning: The Malawi Male Motivator project," American Journal of Public Health, American Public Health Association, vol. 101(6), pages 1089-1095.
    6. Whitney Garney & Kelly Wilson & Kobi V. Ajayi & Sonya Panjwani & Skylar M. Love & Sara Flores & Kristen Garcia & Christi Esquivel, 2021. "Social-Ecological Barriers to Access to Healthcare for Adolescents: A Scoping Review," IJERPH, MDPI, vol. 18(8), pages 1-19, April.
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