Investigating Determinants Affecting the Adoption of Contemporary Contraceptive Methods: A Cross-Sectional Analysis of Adolescent Utilization in the Nabdan District, Upper East Region, Ghana

Introduction: Promoting the use of contraception among adolescents is essential to improving their sexual and reproductive health. Teenage pregnancies are becoming more common, and the Nabdam area continues to have low rates of use of contemporary contraceptive methods. These facts highlight the urgent need to address the needs of adolescents concerning their sexual and reproductive health. This study aims to investigate the factors impacting the Upper East Region of Ghana's Nabdam District's adoption of contemporary contraceptive methods.

Methods: 261 older teenage girls from the Nabdam district, ages 15 to 19, were included in the study, which used a quantitative technique and a descriptive cross-sectional design. Respondents were chosen using a multiphase sample technique, and data were collected over the course of 10 working days using a standardized survey form. STATA Version 14 was utilized for data analysis. A significance criterion of p < 0.05 was applied to bivariate and logistic regression models to investigate any correlations between independent factors and outcome variables.

Results: 52.1% of respondents said they have had their first sexual experience before turning 20. The oldest stated age at first sex was 19 years old, while the youngest was 10 years old. Additionally, 97.8% of respondents reported learning about contemporary contraception via a variety of sources, such as peers, instructors, health professionals, and radio media. Even with this knowledge, 48.7% of respondents thought using a contraceptive technique would provide 100% protection against getting pregnant, while 73.6% of respondents had never used any kind of birth control. Age (p< 0.001), educational attainment (p< 0.001), marital status (p< 0.001), peer influence (p< 0.001), place of residence (p< 0.001), religious affiliation (p< 0.018), consent from a sexual partner (p< 0.001), positive attitudes from healthcare providers (p < 0.001), and the availability of contraceptives (p < 0.001) were discovered to be linked to the usage of modern contraceptives.

Conclusion: Although a sizable percentage of respondents showed awareness of contemporary contraceptive methods, low modern contraceptive usage was significantly correlated with several factors, including age, marital status, educational attainment, peer influence, partner consent, and the unfavorable attitudes of healthcare professionals. To tackle this problem, a community-based strategy emphasizing the advancement of enabling elements and the removal of obstacles is required. The Ghana Health Service could enhance its School Health Education Program (SHEP) by increasing informational sessions, organizing theatrical productions and debates, and recruiting peer educators as invaluable resources to share experiences and instruct their peers on sexuality, reproductive health issues, and the use of modern contraceptives