Need for and use of contraception by women before and during COVID-19 in four sub-Saharan African geographies: results from population-based national or regional cohort surveys

June 1, 2021

Shannon Wood, Celia Karp, Funmilola OlaOlorun, Akilimali Z Pierre, Georges Guiella, Peter Gichangi, Linnea Zimmerman, Philip Anglewicz, Elizabeth Larson, Caroline Moreau.

The Lancet

Wood et al. researched the changes in need and use of contraception by sub-Saharan African women during the COVID-19 pandemic. The study used data from the Performance Monitoring for Action (PMA) survey collected in Burkina Faso, Kenya, Kinshasa, and Lagos (n=7,245), between November 2019 to February 2020 and from May to July 2020. Need for contraception increased in Lagos from 74.5% to 80.3%. Among women needing contraception, contraceptive use increased in rural Burkina Faso (30.7% to 48.1%) and rural Kenya (71.6% to 78.9%). Urban regions in these countries did not show significant changes in contraceptive use. In Kenya, contraceptive use increased 5.24 percentage points in urban areas, and 7.35 percentage points in rural areas. It was noted that the need increased specifically among women who had not given birth to children yet. While the findings are encouraging that the pandemic did not negatively impact contraception use in the regions studied, researchers warn that these trends may not be sustained because of economic turmoil in these geographies.

Wood SN, Karp C, OlaOlorun F, et al. Need for and use of contraception by women before and during COVID-19 in four sub-Saharan African geographies: results from population-based national or regional cohort surveys. Lancet Glob Heal 2021; 9: e793–801.

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