Use of Female Contraception, Mixed and Multicentric Study in Chad

摘要

In Chad, population growth is estimated at 3.5% per year; a consequence of high fertility and low use of contraceptives (3%). The objective of this study was to describe the use of contraceptives and to identify the factors associated with the use of contraceptive methods among women of childbearing age. A cross-sectional study was conducted with women and with health professionals. It took place over 3 months (December 2015 to March 2016) on the basis of a questionnaire, tested and validated, administered during face-to-face interviews. Logistic regression measured the association between contraceptive use and place of residence (urban / rural), marital status, age, education, religion and ethnicity. A total of 314 women and 17 health professionals were interviewed. 35.9% of women had no contraception. The rate of natural contraceptive methods was 28.7% and modern 25.2%. Age (≤ 19 years) (p <0.001), place of residence (p = 0.04) and Arab ethnicity (p = 0.12) were significantly associated with non-use of contraception modern by women. In Chad, particularly in the health facilities of Abéché, socio-demographic factors, information and awareness-raising on modern contraception and spousal support are indicators to be taken into account when targeting public health interventions.