Contraceptive preferences and use among auto artisanal workers in the informal sector of Kumasi, Ghana: a discrete choice experiment
Identifieur interne : 000171 ( Pmc/Curation ); précédent : 000170; suivant : 000172Contraceptive preferences and use among auto artisanal workers in the informal sector of Kumasi, Ghana: a discrete choice experiment
Auteurs : Peter Agyei-Baffour ; Mary Yaa Boahemaa ; Ernestine A. AddySource :
- Reproductive Health [ 1742-4755 ] ; 2015.
Abstract
Contraceptive uptake in Ghana, especially in the Ashanti region remains low. This may be partly due to products’ characteristics and choice which are influenced by attribute utility trade-offs by consumers in determining which method offers the optimal combinations, given the needs and desires of the individuals making the choice. The study sought to determine how specific attributes of contraceptives influence artisanal auto mechanics’ stated preferences for a hypothetical contraceptive use in the Tafo-Suame industrial area of Kumasi, Ghana.
A discrete choice experiment was conducted with artisanal auto mechanics in the study area from May to September 2011. Based on the summary of the attributes from the focus group discussion and in-depth interviews preceded administration of structured questionnaire, a discrete choice experiment (DCE) was created. The attributes used were; side effects, reversibility, ease of use, ability to prevent both pregnancy and sexually transmitted infection (STI’s), price and privacy in acquiring and attractiveness of the method. A total of 340 consented respondents aged 15 to 49 years participated in the study. Data were entered in Access and Sawtooth software SSI Web CAPi module and then exported to Stata for analysis.
The study showed a universal (99.4%) knowledge on contraception, ever used 87% and currently using a method, 58%. The study revealed that methods’ reversibility (β = 21.74; 95% CI: 20.17, 23.3), minimal allergic reaction (β = 13.93; 95% CI: 12.8, 15.05) and no effect on blood pressure (β = 12.71; 95% CI: 11.62, 13.79), were strongly associated with contraceptive preference and use. While contraceptives’ ability to prevent “only pregnancy”, (β = -15.13: 95% CI: -16.2, -14.02; “only STI’s”) (β = -11.65; 95% CI: -11.84, -11.46); and interrupt during sexual activity (β = -4.26; 95% CI: -5.19, -3.34), had large negative influence on contraceptive preference and use.
The study has documented the magnitude of the effects of contraceptive attributes on informed choice, use, preference. It revealed that reversibility, side effects and ability to prevent both pregnancy and STI’s are the major important attributes that. The findings have implications on contraceptive development, uptake and the implementation of other family planning programmes.
Url:
DOI: 10.1186/s12978-015-0022-y
PubMed: 25890234
PubMed Central: 4427994
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Peter Agyei-Baffour<affiliation><nlm:aff id="Aff1">Department of Community Health, Kwame Nkrumah University of Science and Technology (KNUST), College of Health Sciences, School of Medical Sciences, Kumasi, Ashanti Ghana</nlm:aff>
<wicri:noCountry code="subfield">Ashanti Ghana</wicri:noCountry>
</affiliation>
<affiliation><nlm:aff id="Aff1">Department of Community Health, Kwame Nkrumah University of Science and Technology (KNUST), College of Health Sciences, School of Medical Sciences, Kumasi, Ashanti Ghana</nlm:aff>
<wicri:noCountry code="subfield">Ashanti Ghana</wicri:noCountry>
</affiliation>
<affiliation><nlm:aff id="Aff1">Department of Community Health, Kwame Nkrumah University of Science and Technology (KNUST), College of Health Sciences, School of Medical Sciences, Kumasi, Ashanti Ghana</nlm:aff>
<wicri:noCountry code="subfield">Ashanti Ghana</wicri:noCountry>
</affiliation>
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<author><name sortKey="Agyei Baffour, Peter" sort="Agyei Baffour, Peter" uniqKey="Agyei Baffour P" first="Peter" last="Agyei-Baffour">Peter Agyei-Baffour</name>
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<author><name sortKey="Boahemaa, Mary Yaa" sort="Boahemaa, Mary Yaa" uniqKey="Boahemaa M" first="Mary Yaa" last="Boahemaa">Mary Yaa Boahemaa</name>
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<sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Contraceptive preferences and use among auto artisanal workers in the informal sector of Kumasi, Ghana: a discrete choice experiment</title>
<author><name sortKey="Agyei Baffour, Peter" sort="Agyei Baffour, Peter" uniqKey="Agyei Baffour P" first="Peter" last="Agyei-Baffour">Peter Agyei-Baffour</name>
<affiliation><nlm:aff id="Aff1">Department of Community Health, Kwame Nkrumah University of Science and Technology (KNUST), College of Health Sciences, School of Medical Sciences, Kumasi, Ashanti Ghana</nlm:aff>
<wicri:noCountry code="subfield">Ashanti Ghana</wicri:noCountry>
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<author><name sortKey="Boahemaa, Mary Yaa" sort="Boahemaa, Mary Yaa" uniqKey="Boahemaa M" first="Mary Yaa" last="Boahemaa">Mary Yaa Boahemaa</name>
<affiliation><nlm:aff id="Aff1">Department of Community Health, Kwame Nkrumah University of Science and Technology (KNUST), College of Health Sciences, School of Medical Sciences, Kumasi, Ashanti Ghana</nlm:aff>
<wicri:noCountry code="subfield">Ashanti Ghana</wicri:noCountry>
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<author><name sortKey="Addy, Ernestine A" sort="Addy, Ernestine A" uniqKey="Addy E" first="Ernestine A" last="Addy">Ernestine A. Addy</name>
<affiliation><nlm:aff id="Aff1">Department of Community Health, Kwame Nkrumah University of Science and Technology (KNUST), College of Health Sciences, School of Medical Sciences, Kumasi, Ashanti Ghana</nlm:aff>
<wicri:noCountry code="subfield">Ashanti Ghana</wicri:noCountry>
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<series><title level="j">Reproductive Health</title>
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<front><div type="abstract" xml:lang="en"><sec><title>Background</title>
<p>Contraceptive uptake in Ghana, especially in the Ashanti region remains low. This may be partly due to products’ characteristics and choice which are influenced by attribute utility trade-offs by consumers in determining which method offers the optimal combinations, given the needs and desires of the individuals making the choice. The study sought to determine how specific attributes of contraceptives influence artisanal auto mechanics’ stated preferences for a hypothetical contraceptive use in the Tafo-Suame industrial area of Kumasi, Ghana.</p>
</sec>
<sec><title>Methods</title>
<p>A discrete choice experiment was conducted with artisanal auto mechanics in the study area from May to September 2011. Based on the summary of the attributes from the focus group discussion and in-depth interviews preceded administration of structured questionnaire, a discrete choice experiment (DCE) was created. The attributes used were; side effects, reversibility, ease of use, ability to prevent both pregnancy and sexually transmitted infection (STI’s), price and privacy in acquiring and attractiveness of the method. A total of 340 consented respondents aged 15 to 49 years participated in the study. Data were entered in Access and Sawtooth software SSI Web CAPi module and then exported to Stata for analysis.</p>
</sec>
<sec><title>Results</title>
<p>The study showed a universal (99.4%) knowledge on contraception, ever used 87% and currently using a method, 58%. The study revealed that methods’ reversibility (β = 21.74; 95% CI: 20.17, 23.3), minimal allergic reaction (β = 13.93; 95% CI: 12.8, 15.05) and no effect on blood pressure (β = 12.71; 95% CI: 11.62, 13.79), were strongly associated with contraceptive preference and use. While contraceptives’ ability to prevent “only pregnancy”, (β = -15.13: 95% CI: -16.2, -14.02; “only STI’s”) (β = -11.65; 95% CI: -11.84, -11.46); and interrupt during sexual activity (β = -4.26; 95% CI: -5.19, -3.34), had large negative influence on contraceptive preference and use.</p>
</sec>
<sec><title>Conclusion</title>
<p>The study has documented the magnitude of the effects of contraceptive attributes on informed choice, use, preference. It revealed that reversibility, side effects and ability to prevent both pregnancy and STI’s are the major important attributes that. The findings have implications on contraceptive development, uptake and the implementation of other family planning programmes.</p>
</sec>
</div>
</front>
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<pmc article-type="research-article"><pmc-dir>properties open_access</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-ta">Reprod Health</journal-id>
<journal-id journal-id-type="iso-abbrev">Reprod Health</journal-id>
<journal-title-group><journal-title>Reproductive Health</journal-title>
</journal-title-group>
<issn pub-type="epub">1742-4755</issn>
<publisher><publisher-name>BioMed Central</publisher-name>
<publisher-loc>London</publisher-loc>
</publisher>
</journal-meta>
<article-meta><article-id pub-id-type="pmid">25890234</article-id>
<article-id pub-id-type="pmc">4427994</article-id>
<article-id pub-id-type="publisher-id">22</article-id>
<article-id pub-id-type="doi">10.1186/s12978-015-0022-y</article-id>
<article-categories><subj-group subj-group-type="heading"><subject>Research</subject>
</subj-group>
</article-categories>
<title-group><article-title>Contraceptive preferences and use among auto artisanal workers in the informal sector of Kumasi, Ghana: a discrete choice experiment</article-title>
</title-group>
<contrib-group><contrib contrib-type="author" corresp="yes"><name><surname>Agyei-Baffour</surname>
<given-names>Peter</given-names>
</name>
<address><email>agyeibaffour@yahoo.co.uk</email>
</address>
<xref ref-type="aff" rid="Aff1"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Boahemaa</surname>
<given-names>Mary Yaa</given-names>
</name>
<address><email>ladymayya@yahoo.com</email>
</address>
<xref ref-type="aff" rid="Aff1"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Addy</surname>
<given-names>Ernestine A</given-names>
</name>
<address><email>akosuaddy@gmail.com</email>
</address>
<xref ref-type="aff" rid="Aff1"></xref>
</contrib>
<aff id="Aff1">Department of Community Health, Kwame Nkrumah University of Science and Technology (KNUST), College of Health Sciences, School of Medical Sciences, Kumasi, Ashanti Ghana</aff>
</contrib-group>
<pub-date pub-type="epub"><day>12</day>
<month>4</month>
<year>2015</year>
</pub-date>
<pub-date pub-type="pmc-release"><day>12</day>
<month>4</month>
<year>2015</year>
</pub-date>
<pub-date pub-type="collection"><year>2015</year>
</pub-date>
<volume>12</volume>
<elocation-id>32</elocation-id>
<history><date date-type="received"><day>18</day>
<month>11</month>
<year>2013</year>
</date>
<date date-type="accepted"><day>30</day>
<month>3</month>
<year>2015</year>
</date>
</history>
<permissions><copyright-statement>© Agyei-Baffour et al.; licensee BioMed Central. 2015</copyright-statement>
<license license-type="open-access"><license-p>This is an Open Access article distributed under the terms of the Creative Commons Attribution License (<ext-link ext-link-type="uri" xlink:href="http://creativecommons.org/licenses/by/2.0">http://creativecommons.org/licenses/by/2.0</ext-link>
), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. The Creative Commons Public Domain Dedication waiver (<ext-link ext-link-type="uri" xlink:href="http://creativecommons.org/publicdomain/zero/1.0/">http://creativecommons.org/publicdomain/zero/1.0/</ext-link>
) applies to the data made available in this article, unless otherwise stated.</license-p>
</license>
</permissions>
<abstract id="Abs1"><sec><title>Background</title>
<p>Contraceptive uptake in Ghana, especially in the Ashanti region remains low. This may be partly due to products’ characteristics and choice which are influenced by attribute utility trade-offs by consumers in determining which method offers the optimal combinations, given the needs and desires of the individuals making the choice. The study sought to determine how specific attributes of contraceptives influence artisanal auto mechanics’ stated preferences for a hypothetical contraceptive use in the Tafo-Suame industrial area of Kumasi, Ghana.</p>
</sec>
<sec><title>Methods</title>
<p>A discrete choice experiment was conducted with artisanal auto mechanics in the study area from May to September 2011. Based on the summary of the attributes from the focus group discussion and in-depth interviews preceded administration of structured questionnaire, a discrete choice experiment (DCE) was created. The attributes used were; side effects, reversibility, ease of use, ability to prevent both pregnancy and sexually transmitted infection (STI’s), price and privacy in acquiring and attractiveness of the method. A total of 340 consented respondents aged 15 to 49 years participated in the study. Data were entered in Access and Sawtooth software SSI Web CAPi module and then exported to Stata for analysis.</p>
</sec>
<sec><title>Results</title>
<p>The study showed a universal (99.4%) knowledge on contraception, ever used 87% and currently using a method, 58%. The study revealed that methods’ reversibility (β = 21.74; 95% CI: 20.17, 23.3), minimal allergic reaction (β = 13.93; 95% CI: 12.8, 15.05) and no effect on blood pressure (β = 12.71; 95% CI: 11.62, 13.79), were strongly associated with contraceptive preference and use. While contraceptives’ ability to prevent “only pregnancy”, (β = -15.13: 95% CI: -16.2, -14.02; “only STI’s”) (β = -11.65; 95% CI: -11.84, -11.46); and interrupt during sexual activity (β = -4.26; 95% CI: -5.19, -3.34), had large negative influence on contraceptive preference and use.</p>
</sec>
<sec><title>Conclusion</title>
<p>The study has documented the magnitude of the effects of contraceptive attributes on informed choice, use, preference. It revealed that reversibility, side effects and ability to prevent both pregnancy and STI’s are the major important attributes that. The findings have implications on contraceptive development, uptake and the implementation of other family planning programmes.</p>
</sec>
</abstract>
<kwd-group xml:lang="en"><title>Keywords</title>
<kwd>Contraceptive use and preference</kwd>
<kwd>Contraceptive attributes</kwd>
<kwd>Informal sector operators</kwd>
<kwd>Artisanal auto mechanic</kwd>
<kwd>Ghana</kwd>
</kwd-group>
<custom-meta-group><custom-meta><meta-name>issue-copyright-statement</meta-name>
<meta-value>© The Author(s) 2015</meta-value>
</custom-meta>
</custom-meta-group>
</article-meta>
</front>
</pmc>
</record>
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