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Socio-cultural obstacles and barriers related to the use of modern contraception in a population in africa south of the sahara

Madikiny Coulibaly,DaoudaDoukouré, Simone Koussoh Malik, AyékoéAdou Ignace, Marie-DorothéeKoumi-Mélèdje, Julie Sackou-Kouakou, Odile Aké and Luc Kouadio

Introduction: In sub-Saharan African countries, contraceptive use has always been low. Ivory Coastis not to be outdone, as national contraceptive prevalence was low, rising from 14% in 2012 to 22% in 2017. The objective of the study was to identify socio-cultural obstacles and barriers related to the use of modern contraception among women of childbearing age. Methods: We conducted a qualitative cross-sectional descriptive qualitative study in the Dallas district of Adjamé commune, located in the centre of Abidjan city in Ivory Coast. From June 5th to July 4th, 2018, we conducted four focus groups with men, women of childbearing age and a religious leader recruited from a reasoned sample.Results: We interviewed 29 people, including 14 men, 14 women and a religious leader. Both men and women described several obstacles and barriers related to the use of modern contraception. They also spoke about the social risks involved and the strategies that women have put in place to overcome barriers to contraceptive use in order to plan the family. Conclusion: Socio-cultural obstacles and barriers persisted in the community.

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