Factors associated with contraceptive choice (short/long acting methods) among women in Burkina Faso

Georges Guiella, Université de Ouagadougou
Lonkila Moussa Zan, Institut Supérieur des Sciences de la Population (ISSP)

Despite extensive investment in improving access to services, contraceptive use in Burkina Faso is less than expected and women are still confronted with unwanted pregnancies which often lead to unsafe abortions. However, despite the influence of lineage, women seem to start shifting contraceptive behaviors. Recent findings from PMA2020 data on family planning performance suggest greater use of longer term methods among married women who are current users of contraception. Using a multivariate trinomial logistic model where using short and long acting methods represent two “competing risks” for contraceptive choice, we analyzed factors associated with this choice among women in Burkina Faso. Results indicate that implants currently represent 46% of the method mix among women in union, whereas they accounted for 21% in DHS 2010. Strategies to address this increasing demand of long lasting methods may include delegating some FP tasks to lower-level health workers (task shifting) and strengthening community-based services.