title: Factors Influencing Contraceptive Use in Sub-Saharan Africa: A Systematic Review.
abstract: The purpose of this study was to systematically review the literature regarding factors influencing contraceptive use in sub-Saharan Africa between 2005 and 2015. A total of 58 studies from twelve Sub-Saharan African countries were reviewed. Keywords were grouped using the PEN-3 cultural model. Negative factors prohibiting or reducing contraceptive use were women's misconceptions of contraceptive side-effects, male partner disapproval, and social/cultural norms surrounding fertility. Positive factors included education, employment, and communication with male partner. Increasing modern contraceptive use in Sub-Saharan Africa is a multi-faceted problem that will require community and systems wide interventions that aim to counteract negative perceptions and misinformation.
authors.affiliation: 1 University of Illinois Urbana-Champaign, College of Applied Health Sciences, Department of Kinesiology and Community Health, IL, USA.
authors.forename: Sarah R
authors.initials: SR
authors.lastname: Blackstone
authors.affiliation: 1 University of Illinois Urbana-Champaign, College of Applied Health Sciences, Department of Kinesiology and Community Health, IL, USA.
authors.forename: Ucheoma
authors.initials: U
authors.lastname: Nwaozuru
authors.affiliation: 1 University of Illinois Urbana-Champaign, College of Applied Health Sciences, Department of Kinesiology and Community Health, IL, USA.
authors.forename: Juliet
authors.initials: J
authors.lastname: Iwelunmor
mesh_terms: D000293:Adolescent; D000328:Adult; D017954:Africa South of the Sahara; D003268:Contraception Behavior / Q000208:ethnology* / Q000523:psychology*; D003466:Cultural Characteristics; D005260:Female; D006801:Humans; D007398:Interpersonal Relations; D008297:Male; D008875:Middle Aged; D012737:Sex Factors; D066262:Social Norms; D012959:Socioeconomic Factors; D055815:Young Adult
keywords: PEN-3 cultural model; Sub-Saharan Africa; contraception