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Master Thesis

La contraception à Madagascar : état des lieux des connaissances, des pratiques et des déterminants de son utilisation en milieu rural en 2017-2018 : cas des districts d’Antsohihy, de Moramanga et de Manakara

Abstract : Background: The use of family planning (FP) prevents the risk associated with pregnancy and childbirth, but Madagascar has a contraceptive prevalence of only 33% which is reflected by complications: fistulas, early pregnancies and abortions. The objectives of this study are to describe the knowledge, practices and factors influencing the use of contraceptive methods (CM) by Malagasy women in rural areas. Methods: The data collected comes from a project of the Pasteur Institute of Madagascar. Two cross-sectional surveys, quantitative and qualitative, were conducted. The collection was conducted via standardized questionnaires administered face to face with pregnant women in 3 districts of Madagascar between 2017 and 2018. Data were described then a multivariate logistic regression was performed to identify the determinants of past use of CM. These results were discussed using qualitative data. Results: 512 pregnant women were included in the study. 90% of women knew some MC. 58.20% had already used it, mainly the injection to 79%. The main determinants of past use of CM were: age (ORa = 3.04, CI = [1.25-7.85] for women aged 18-24 versus women under 18) with increasing ORa with increasing age; history of pregnancy (ORa = 3.56, CI = [1.71-7.62]); and spousal support (ORa = 9.17, CI = [2.34-38.65]). Conclusion: Outreach speeches about FP should focus on girls and their parents as well as spouses. Training would be needed to democratize CM and to make it clear that early use is safe and essential to prevent unwanted pregnancies. "The health of mother and child depends on family planning." 9_AC
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Master Thesis
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Submitted on : Wednesday, September 25, 2019 - 1:41:37 PM
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Adélaïde Soulard. La contraception à Madagascar : état des lieux des connaissances, des pratiques et des déterminants de son utilisation en milieu rural en 2017-2018 : cas des districts d’Antsohihy, de Moramanga et de Manakara. Sciences du Vivant [q-bio]. 2019. ⟨dumas-02296683⟩

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