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Factors affecting contraceptive use among currently married women in Iraq in 2018

Published online by Cambridge University Press:  10 March 2022

Wafaa Abdelaziz*
Affiliation:
Cairo University, Department of Biostatistics and Demography, Giza, Egypt
Zohdy Nofal
Affiliation:
Benha University, Department of Statistics, Mathematics and Insurance, Benha, Egypt
Suhair Al-neyazy
Affiliation:
University of Baghdad, Baghdad, Iraq
*
*Corresponding author. Email: wafaa_feps@cu.edu.eg

Abstract

Level of contraceptive use is one of the primary proximate determinants of fertility level. Among Arab countries, Iraq experiences high fertility rates, especially among adolescents. According to the 2018 Iraq Multiple Indicator Cluster Survey (IMICS 2018), 52.8% of currently married Iraqi women used a contraceptive method (36.1% used modern methods, and 16.7% used traditional methods). A multiple multinomial logistic regression model was adopted to investigate the demographic, socioeconomic, fertility, and cultural determinants of contraceptive use among currently married, nonpregnant Iraqi women based on the 2018 Iraq Multiple Indicator Cluster Survey data. The main findings indicated that women using modern contraceptive methods had more children, did not experience the death of a child, and had no desire for more children. Moreover, they were married before age 21, had at least an upper secondary education, had access to mass media, used the internet, belonged to a low or middle wealth category, and lived in urban Kurdistan. Kurdish women prefer to use traditional methods. The results suggest that family planning programmes should target women who live in southern/central areas of Iraq, as they were the least likely to use contraceptives, and motivate Kurdish women to use modern contraceptives rather than traditional contraceptives.

Type
Research Article
Copyright
© The Author(s), 2022. Published by Cambridge University Press

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References

Abd, AY (2017) Knowledge and practice of using contraception among Iraqi child bearing age females. American Journal of Pharmacy and Pharmacology 4(6), 4549.Google Scholar
Agha, SY and Rasheed, BO (2007) Family planning and unmet need among Iraqi Kurds. Eastern Mediterranean Health Journal 13(6), 13821391. doi: 10.26719/2007.13.6.1382 Google ScholarPubMed
Ajmal, S, Idris, A and Ajmal, B (2018) Factors affecting contraceptive use and unmet need among currently married women in Afghanistan: further analysis of the 2015 Afghanistan Demographic and Health Survey. Journal of Global Health Reports 2, e2018037. doi: 10.29392/joghr.2.e2018037 CrossRefGoogle Scholar
Al-Azzawi, SM, Salman, MM and Hamid, DK (2005) Determinants of family planning use among married women in Diyala governorate. Journal of Al-Fath (1)23, 1-9. Faculty of Basic Education, Diyala University.Google Scholar
Aldabbagh, RO and Al-Qazaz, HK (2020) Knowledge and practice of contraception use among females of childbearing age in Mosul Iraq. International Journal of Women's Health 12, 107113. doi: https://doi.org/10.2147/IJWH.S231529 Google ScholarPubMed
Al-Hamzawi, SA and Al-Tameemi, SH (2020) Patterns of contraceptives use and their complications in Iraqi reproductive age women. International Journal of Research in Pharmaceutical Sciences 11(2), 14111416. doi: https://doi.org/10.26452/ijrps.v11i2.2010.Google Scholar
Allami, S (2015) Health rights in Iraq for Women: Considerations and Consequences. 17 March2015. Nina. https://www.nina-me.com/2015/03/17/health-rights-in-iraq-for-women-considerationsand-consequences/.Google Scholar
Basu, AM (2005) Ultramodern contraception: Social class and family planning in India. Asian Population Studies 1(3), 303323. Doi: https://doi.org/10.1080/17441730500441178 CrossRefGoogle Scholar
Central Statistical organization (CSO) (Iraq), Kurdistan Region Statistics Office (KRSO), Iraqi Ministry of Health, and UNICEF (2018) 2018 Multiple Indicator Cluster Survey (MICS6) Briefing. UNICEF Iraq. https://www.unicef.org/iraq/media/481/file/MICS6.pdf Google Scholar
Central Statistical Organization (CSO) (Iraq), Kurdistan Region Statistics Office (KRSO), and Iraqi Ministry of health (2019) Iraq Multiple Indicator Cluster Survey 2018: Report of survey results, UNICEF Iraq.Google Scholar
Central Statistical Organization (CSO) (Iraq) (2012) Iraq indicators and figures. iraqnums.pdf (cosit.gov.iq)Google Scholar
Central Statistical Organization (CSO) (Iraq) and Kurdistan Region Statistics Office (KRSO) (2012) Iraq Multiple Indicator Cluster Survey 2011. Final Report. Baghdad, Iraq: CSO, KRSO.Google Scholar
Central Organization for Statistics & Information Technology (COSIT) and Kurdistan Regional Statistics Office (KRSO) (2007) Iraq Multiple Indicator Cluster Survey 2006, Final Report. Iraq.Google Scholar
Ebrahim, SM and Muhammed, NK (2011) Knowledge, attitude and practice of family planning among women in Basrah city South of Iraq. The Medical Journal of Basrah University 29(1), 7076. doi: 10.33762/mjbu.2011.49488.Google Scholar
Erfani, A. and Yuksel-Kaptanoglu, I (2012) The use of withdrawal among birth limiters in Iran and Turkey. Studies in Family Planning 43(1), 2132.CrossRefGoogle ScholarPubMed
Fitaw, Y, Berhane, Y and Worku, A (2004) Impact of child mortality and fertility preferences on fertility status in rural Ethiopia. East African medical journal 81(6), 300306. doi: 10.4314/eamj.v81i6.9179.CrossRefGoogle ScholarPubMed
Imran, M, Nasir, JA and Zaidi, SA (2015) Demographic socio-economic characteristics of women and contraceptive use in Pakistan. Journal of University Medical & Dental College 6(2), 4754. Retrieved from http://www.jumdc.com/index.php/jumdc/article/view/235.Google Scholar
Kabir, A, Jahan, R, Islam, MS and Ali, R (2001) The effect of child mortality on fertility. Journal of Medical Sciences 1(6), 377380. doi: 10.3923/jms.2001.377.380.Google Scholar
Kurdistan Regional Statistics Office (KRSO), International Organization for Migration (IOM) and United Nations Population Fund (UNFPA) (2018) Demographic Survey: Kurdistan Region of Iraq.Google Scholar
Ministry of Health (2020) National Birth Spacing & Family Planning Strategy (2021-2025), UNFPA-Iraq. https://reliefweb.int/sites/reliefweb.int/files/resources/national_birth_spacing_family_planning_strategy_2021-2025.pdf Google Scholar
Ministry of Planning and National Population Commission (NPC) (2013) Trends of fertility and family planning in Iraq: Challenges and Interventions, Iraq, UNFPA-Iraq.Google Scholar
National Population Commission (NPC) (Iraq) (2012) Population Situation Analysis in Iraq 2012, The Second National Report on the State of Iraq Population in the Context of the ICPD and MDGs, UNFPA-Iraq.Google Scholar
Osmani, AK, Reyer, JA, Osmani, AR and Hamajima, N (2015) Factors influencing contraceptive use among women in Afghanistan: secondary analysis of Afghanistan Health Survey 2012. Nagoya journal of medical science 77(4), 551561.Google ScholarPubMed
Perera, N (2014) Preference for traditional contraceptive use and women's education: the case of Sri Lanka. Sri Lanka Journal of Population Studies 14, 115-29.Google Scholar
Republic of Iraq Council of Ministers, Planning Commission, and Central Statistical Organization (CSO) (Iraq) (2001) Multiple Indicator Cluster Survey for the Year 2000 (Detailed Report), United Nations Children's Fund (UNICEF).Google Scholar
Riese, S and Juan, C (2020) Determinants of modern contraceptive use in Jordan: further analysis of the Jordan population and family health survey 2017-18. DHS Further Analysis Reports No.140. Rockville, Maryland, USA: ICF.Google Scholar
Shabila, NP, Ahmed, HM, and Yasin, MY (2014) Women's views and experiences of antenatal care in Iraq: a Q methodology study. BMC Pregnancy Childbirth 14:43. https://doi.org/10.1186/1471-2393-14-43.CrossRefGoogle ScholarPubMed
Solanke, BL (2017) Factors influencing contraceptive use and non-use among women of advanced reproductive age in Nigeria. Journal of Health, Population and Nutrition 36(1), 114. doi: 10.1186/s41043-016-0077-6.CrossRefGoogle ScholarPubMed
Tull, K (2020) Barriers to family planning in Iraq and KRI. K4D Helpdesk Report 849. Brighton, UK: Institute of Development Studies.Google Scholar
United Nations, Department of Economic and Social Affairs, Population Division (2020a) Estimates and Projections of Family Planning Indicators 2020. New York: United Nations.Google Scholar
United Nations, Department of Economic and Social Affairs (UN-DESA), Population Division (2020b) World Fertility and Family Planning 2020: Highlights (ST/ESA/SER.A/440).Google Scholar
United Nations, Department of Economic and Social Affairs (UN-DESA), Population Division (2019) World Population Prospects 2019, Online Edition. Rev. 1. Accessed 19 March 2021.Google Scholar
United Nations, Department of Economic and Social Affairs (UN-DESA), Population Division (2013) World Population Policies 2013. New York: United Nations.Google Scholar
United States Agency for International Development (USAID) (2021) Family planning (core). Family Planning (Core) – DataForImpactProject (data4impactproject.org). Data for impact. Accessed 2 Sept 2021.Google Scholar
World Bank (2020) Databank, World Development Indicators, https://databank.worldbank.org. Accessed 19 March 2021.Google Scholar