Spousal communication, power, and contraceptive use in Burkina Faso, West Africa

Document Type

Article

Publication Date

12-7-2006

Abstract

In most developing countries, despite increased knowledge and approval of family planning, contraceptive use is still low. Lack of spousal communication was identified as an important explanatory factor in the low level contraceptive use by spouses. This study describes the pathways of influence between spousal communication, power, and contraceptive use in Burkina Faso, West Africa-a high fertility country with low prevalence of contraceptive use. The Burkina Faso society is patriarchal in which husbands have control over sexual and fertility matters and they extend authority over their wives on these issues and, therefore, the power dimension of the spousal communication model needs clarification. The data source for this paper was the 2003 Burkina Faso Demographic and Health Survey. From the individual recode file, married respondents were selected for inclusion in the sample (n = 9,537) and for analysis. The independent variables were spousal communication and relative power. The dependent variables were contraceptive use and the effects of age, education, number of living children, wealth, and marriage types were adjusted for. Results show that education, wealth, place of residence, and religion are some of the correlates of inter-spousal communication about contraceptive use. Additionally, the data have revealed that spousal communication andmarital powerwere important and significant predictors of contraceptive use, with relative marital power being the stronger predictor of the two. © 2006 by The Haworth Press, Inc. All rights reserved.

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