Publications Summary

Document Type
Working Papers
Publication Topic(s)
Family Planning, Fertility and Fertility Preferences, Gender
Recommended Citation
MacQuarrie, Kerry L.D., Christina Juan, and Alison Gemmill. 2020. Attributes Associated with Women’s Contraceptive Profiles in Burundi: Knowledge, Attitudes, and Interactions with Media and Health Services. DHS Working Paper No. 173. Rockville, Maryland, USA: ICF.
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Publication Date
August 2020
Publication ID

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This study aims to identify patterns in women’s contraceptive and pregnancy experience using retrospective calendar data from the 2016-17 Burundi Demographic and Health Survey (DHS). We apply sequence and cluster analysis of longitudinal data to identify discrete clusters that characterize women’s contraceptive and pregnancy behaviors over the previous 5 years. We further pair clusters with data on knowledge, attitudes, and women’s interactions with media and health services to create composite profiles of women in these clusters. Of six clusters, three are characterized by contraceptive use and three are characterized by the absence of contraceptive use. Media exposure and attitudes regarding sex preference, wife beating, and self-efficacy largely do not explain cluster membership. Contraceptive knowledge is positively associated with two clusters and negatively associated with a third. Clusters also differ in their members’ fertility desires, contraceptive intentions, and interactions with health services. Two “Family Builder” clusters are both characterized by the presence (but not timing) of multiple pregnancies in their calendar histories, but differ in that women with high contraceptive knowledge, intentions to use contraception, and well-articulated family size ideals are characteristic of one cluster (Family Builder 1), and low contraceptive knowledge, no use of contraception, and vague family size preferences are characteristic of the other (Family Builder 2). These results can guide reproductive health programs as they target social and behavioral change and other interventions to the unique subpopulations they seek to serve.


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