Factors Associated with Unmet Need for Modern Contraception in Post-Conflict Liberia

Allison P. Pack, Donna R. McCarraher, Mario Chen, Chinelo C. Okigbo, Lisa Marie Albert, Sam Wambugu


We examined the association between intimate partner violence and unmet need for modern contraception in post-conflict Liberia. This is a secondary analysis of data collected using the Priorities for Local AIDS Control Efforts (PLACE) method. Data from 499 sexually experienced young women (aged 14-25) in Montserrado County, Liberia were examined. Intimate partner violence (55.7%), unintended pregnancy (83.2%), and abortion (45.3%) were pervasive in the study population. An estimated 35.9% of respondents had an unmet need for modern contraception. However, multivariate logistic regression results did not reveal an association between intimate partner violence and unmet need (OR 1.11; 95% CI 0.70-1.75). Among covariates examined, only contraceptive use at sexual debut (26.1%) was significantly associated with unmet need (OR 0.27; 95%  CI 0.140.52). Liberian youth need information about and access to modern contraceptive methods besides condoms.  Interventions to identify and treat victims of violence are also needed. Afr J Reprod Health 2014; 18[2]: 58-67).


Key words: Intimate partner violence, unintended pregnancy, abortion, unmet need for contraception, adolescents, Liberia  



Nous avons étudié l'association entre la violence du partenaire intime et le besoin non satisfait de la contraception mo derne au Liberia de post- conflit. Il s'agit d'une analyse secondaire des données recueillies à travers  la méthode des priorités pour les efforts  locaux du contrôle du SIDA (PELCS). Nous avons étudié les données de 499 jeunes femmes (âgées de 14-25)   dans le comté de Montserrado, Libéria, qui étaient sexuellement expérimentées.  La violence du partenaire intime (55,7, les grossesses non désirées (83,2 %)  et l'avortement (45,3 %) étaient très communs dans la population étudiée. On estime que 35,9 % des répondants ont un besoin non satisfait de la contraception moderne. Cependant, les résultats multivariés de la régression logistique n'ont pas révélé une association entre la violence du partenaire intime et les besoins non satisfaits (OR 1,11, IC 95% 0,70 à 1,75). Parmi les co-variables examinées, seule l'utilisation des contraceptifs au premier rapport sexuel (26,1%) était significativement associée à des besoins non satisfaits (OR 0,27, IC 95% 0,14 au 0,52). La jeunesse libérienne a besoin d'informations sur l'accès aux méthodes contraceptives modernes à part les préservatifs. Les interventions qui visent à identifier et à traiter les victimes de violence sont également nécessaires. Afr J Reprod Health 2014; 18[2]: 58-67).


Mots clés: violence conjugale,  grossesses non désirées, avortement,  besoins non satisfaits en matière de la contraception,

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