Modern Contraceptive Utilisation and Associated Factors among Adolescents in Selected Communities of Sunyani West Municipality, Ghana: A Cross Sectional Survey

Naomi Nyanta

Anglican Health Services, Kumasi, Ghana.

Maxwell Owusu Peprah *

Anglican Health Services, Kumasi, Ghana and Presbyterian Nursing and Midwifery Training College, Dormaa Ahenkro, Ghana.

John Ndebugri Alem

University of Development Studies, Tamale-Northern Region, Ghana.

John-Mark Amponsah

Bosomtwi Urology Hospital, Sunyani, Ghana.

Canon Charles Osei-Poku

Anglican Diocese, Kumasi, Ghana.

Raphael Adu Amponsah

Anglican Health Services, Kumasi, Ghana.

*Author to whom correspondence should be addressed.


Background: Adolescence marks the transition from childhood to adulthood with remarkable physiological and anatomical changes which have a significant influence on reproductive health. These changes have serious implications on their developmental life exposing them to risky sexual behaviour, increasing their susceptibility to sexually transmitted diseases and unplanned pregnancies which may lead to unsafe abortion subsequent to maternal mortality. The utilisation of modern contraceptives is paramount in averting the majority of these complications. This study was aimed at evaluating modern contraception utilisation and associated factors among adolescents in the Sunyani West Municipality of Ghana.

Methods: This was a community-based cross-sectional study that recruited 366 adolescents between the ages of 10-19 years. The communities within the municipality were grouped into five clusters where each cluster represent a set of communities. By lottery method a community was selected randomly, yielding five communities for the study. A purposive sampling was employed to select the household with an adolescent (s) and a simple random sampling was employed to recruit the eligible respondents with the aid of a structured questionnaire which was administered face to face with respondents. Data on respondent’s sociodemographic factors, knowledge and attitudes towards modern contraception obtained from the study were analysed descriptively and inferentially with the application of Statistical Package for Social Sciences version 26, USA (SPSS 26). Findings were presented using tables and graphs. A probability value less than 0.05 was considered significant statistically.

Results: The study found that 53.6% of adolescents used modern contraception with 57.8% of the respondents having adequate knowledge and 51.2% demonstrated poor attitudes towards contraception usage. A significant association was found between adolescents' level of income and contraceptive usage (X2 =7.3, p= 0.029).

Conclusion and Recommendations: Adolescents in this study had an average utilisation of modern contraceptives due to their good knowledge however, their attitude towards contraception was poor. The increase in contraception utilisation in addition to their knowledge on contraception promotes adolescents' reproductive health, thereby reducing their chances of unplanned pregnancies and decreasing susceptibility to sexually transmitted diseases. Promoting and intensifying public education through awareness creation on local radio stations and social gatherings by health authorities, non-governmental bodies and religious authorities would empower adolescents to utilise modern contraception, hence averting associated repercussions of its non-use.

Keywords: Adolescents, contraception, modern, municipality, sunyani

How to Cite

Nyanta, Naomi, Maxwell Owusu Peprah, John Ndebugri Alem, John-Mark Amponsah, Canon Charles Osei-Poku, and Raphael Adu Amponsah. 2023. “Modern Contraceptive Utilisation and Associated Factors Among Adolescents in Selected Communities of Sunyani West Municipality, Ghana: A Cross Sectional Survey”. International Journal of Research and Reports in Gynaecology 6 (1):24-36.


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Usinger KM, Gola SB, Salas M, Smaldone A, Decat P, Meyer S De, et al. Determinants of adolescent pregnancy in sub-Saharan Africa : a systematic review. Cult Health Sex [Internet]. 2018;99(1):1–17.


Sedlander E, HP, Rimal RN, Ph D. Beyond Individual-Level Theorizing in Social Norms Research : How Collective Norms and Media Access Affect Adolescents ' Use of Contraception. J Adolesc Heal [Internet]. 2019;64(4):S31–6.


Sserwanja Q, Sepenu AS, Mwamba D, Mukunya D. Access to mass media and teenage pregnancy among adolescents in Zambia : sectional survey a national cross- ­10.1136/BMJ.Open. 2022;1–9.

Kokanalı D, Kokanalı MK, Ayhan S, Cengaver N, Özakşit G, Engin-üstün Y. Contraceptive choices of adolescents before and after the voluntary termination of pregnancy. J Obstetric & Gynaecology (Lahore) [Internet]. 2019;0(0):1–5. Available:

Mbachu CO, Agu IC, Obayi C, Eze I, Ezumah N. Beliefs and misconceptions about contraception and condom use among adolescents in south-east Nigeria. Reproductive Health [Internet]. 2021;1–8.


Silumbwe A, Nkole T, Munakampe MN, Cordero JP, Milford C, Zulu JM, et al. Facilitating community participation in family planning and contraceptive services provision and uptake : community and health provider perspectives. Reproductive Health. 2020;1–11.

Allotey J, Stallings E, Bonet M, Yap M, Chatterjee S, Kew T, et al. Clinical manifestations, risk factors, and maternal and perinatal outcomes of coronavirus disease in pregnancy : Living Systematic Review and Meta-analysis; 2019.

Available: 10.1136/BMJ.M 3320 2020

Aventin Á, Gordon S, Laurenzi C, Rabie S, Tomlinson M, Lohan M, et al. Adolescent condom use in Southern Africa : a narrative systematic review and conceptual model of multilevel barriers and facilitators. BMC Public Health. 2021;1–22.

Ouedraogo L, Habonimana D, Nkurunziza T, Chilanga A, Hayfa E. Towards achieving the family planning targets in the African region : a rapid review of task sharing policies. Reproductive Health [Internet]. 2021;1–12.


Makwinja AK, Maida ZM, Linda A, Mipando N. Delivery strategies for optimizing uptake of contraceptives among adolescents aged 15 – 19 years in Nsanje District, Malawi. Reproductive Health [Internet]. 2021;1–9.


Slaymaker E, Scott RH, Palmer MJ, Palla L, Marston M, Gonsalves L, et al. Trends in sexual activity and demand for and use of modern contraceptive methods in 74 countries: a retrospective analysis of nationally representative surveys. Lancet Global Health. 2020;8(4): e567–79.

Kokanalı D, Kuntay Kokanalı M, Ayhan S, Cengaver N, Özakşit G, Engin-Üstün Y. Contraceptive choices of adolescents before and after the voluntary termination of pregnancy. J Obstetric Gynaecology (Lahore). 2019;39(6):822–6.

Wulifan JK, Brenner S, Jahn A, Allegri M De. A scoping review on determinants of unmet need for family planning among women of reproductive age in low and middle-income countries. BMC Womens Health [Internet]; 2016.


Loll D, Fleming PJ, Stephenson R, King EJ, Morhe E, Manu A, et al. Factors associated with reproductive autonomy in Ghana. Journal of Cultural Health&Sex. 2021;23(3):349–66.

Karamouzian M, Sadeghirad B, Sharifi H, Sedaghat A, Haghdoost AA, Mirzazadeh A. Consistent Condom Use with Paying and Nonpaying Partners among Female Sex Workers in Iran : Findings of a National Biobehavioral Survey, SAGE. 2017;16(6):572–8.

Vondee PA. Factors affecting female adolescent modern contraceptive use in James town, greater Accra Region-Ghana [Internet]; 2018. Available:

Ahinkorah BO, Hagan JE, Seidu A-A, Hormenu T, Otoo JE, Budu E, et al. Linking Female Adolescents’ Knowledge, Attitudes and Use of Contraceptives to Adolescent Pregnancy in Ghana: A Baseline Data for Developing Sexuality Education Programmes. BMC Public Health; 2021. Available:

Oppong FB, Logo DD, Agbedra SY, Adomah AA, Amenyaglo S, Arhin- K, et al. Determinants of contraceptive use among sexually active unmarried adolescent girls and young women aged 15 – 24 years in Ghana : a nationally representative cross- sectional study., BMJ Open. 2021;1–10.

Appiah F, Seidu A, Opoku B, Baatiema L, Kwabena E. SSM - Population Health Trends and determinants of contraceptive use among female adolescents in Ghana : Analysis of 2003–2014 Demographic and Health Surveys, Contraception & Reproductive Health. 2020;10.

Ahinkorah BO, Hagan JE, Id J, Id AS, Sambah F, Adoboi F, et al. Female adolescents ’ reproductive health decision-making capacity and contraceptive use in sub-Saharan Africa : What does the future hold ? 2020;1–20.


Sserwanja Q, Musaba MW, Mukunya D. Prevalence and factors associated with modern contraceptives utilization among female adolescents in Uganda. BMC Womens Health [Internet]. 2021; 1–7.


Bakesiima R, Cleeve A, Larsson E, Tumwine JK, Ndeezi G, Danielsson KG, et al. Modern contraceptive use among female refugee adolescents in northern Uganda : prevalence and associated factors. Reproductive Health. 2020;1–9.

Mwaisaka J, Gonsalves L, Thiongo M, Waithaka M, Sidha H, Agwanda A, et al. Exploring contraception myths and misconceptions among young men and women in Kwale County, Kenya. BMC Public Health. 2020;20(1).

Crawford EE, Atchison CJ, Ajayi YP, Doyle AM. Modern contraceptive use among unmarried girls aged 15 – 19 years in South Western Nigeria : results from a cross-sectional baseline survey for the Adolescent 360 (A360) impact evaluation. Reproductive Health [Internet]. 2021;1–13. Available:

Ahinkorah BO, Kwabena E, Id A, Id AS, Agbaglo E, Id EB, et al. Sexual violence and unmet need for contraception among married and cohabiting women in sub-Saharan Africa : Evidence from Demographic and Health Surveys. 2020;1–19. Available:

Karao D. Women s socioeconomic status and choice of birth control method : an investigation for the case of Turkey. BMC Reproductive Health. 2020; 1–20.

Kuo Y, Patel PR. Reasons Why Young Women in the United States Choose Their Contraceptive Method.Culture, Health and Sexuality. 2020;00(00):1–9.

Munakampe MN, Zulu JM, Michelo C. Contraception and abortion knowledge, attitudes and practices among adolescents from low and middle-income countries : a systematic review BMC Reproductive Health Services. 2018;5: 1–13.

Sharma A, Mccabe E, Jani S, Gonzalez A, Demissie S, Lee A. Knowledge and attitudes towards contraceptives among adolescents and young adults Contaceptive and Reproduction. 2021;3: 1–6.

Nyarko SH. Prevalence and correlates of contraceptive use among female adolescents in Ghana. Reproductive Health. 2015;4–9.

Ahinkorah BO, Seidu A-A, Appiah F, Budu E, Adu C, Aderoju YBG, et al. Individual and community-level factors associated with modern contraceptive use among adolescent girls and young women in Mali: a mixed-effects multilevel analysis of the 2018 Mali demographic and health survey. Contraceptive & Reproductive Medicine. 2020;5(1).

Panciera R, Khan A, Jafar S, Rizvi R, Ahmed S, Ahmed T, et al. The influence of travel time on emergency obstetric care seeking behaviour in the urban poor of Bangladesh : a GIS study. BMC Pregnancy Childbirth [Internet]. 2016;1–13. Available: