Author ORCID Identifier

Date of Award

Spring 4-26-2023

Degree Type

Capstone Project

Degree Name

Master of Public Health (MPH)


Public Health

First Advisor

Dr. Solomon Okosun

Second Advisor

Dr.Kevin Maloney


Introduction: Unintended pregnancies and unsafe abortions can seriously affect any sexually active women and have negative impacts on their personal and conjugal life, their families, and societies. unsafe abortions cause the death of thousands of women every year and lead millions more to suffer long-term reproductive problems, including infertility. Rarely any study has explored and compared the prevalence and associated factors of contraceptive use among married women in these two countries. AIM: Therefore, this study seeks to determine the association between socio economic factors and contraceptive use in two sub-Saharan African countries: Guinea and Mali. METHODS: Relevant data on contraceptive use among married women was extracted from the Guinean and Malian 2018 Demographic and Health Survey. Quantitative data was analyzed using the IBM SPSS STATISTICS version

RESULTS:89% of our respondents from Guinea and 85% of those from Mali were using no contraceptives. 35% of Malians had the intention to use it later against only 21% from Guinea and difference was statistically significant(p

contraceptives (OR=1.37; 95% CI 1.26-1.49) as compared to Mali and the difference was statistically significant at p < 0.001. This is a critical finding compared to the univariate analysis. The poorest are more likely to use contraceptives than other classes; followed by the poorer and the difference was statistically significant. DISCUSSION: In Guinea and Mali, wealth and education have been consistently found to be positively associated with contraceptive use. These findings are constant with previous studies indicating that wealth and education have been reliably found to be completely correlated contraceptive use [Budu et al., 2022]. This may be due to the fact that rich people have more access to health facilities and health education. These results strongly advocate that educational programs should target the poor and those with low educational attainment to encourage family planning.


File Upload Confirmation