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  • Title: [Women and contraception in Mali. Individual will to practice in conflict with a pronatalist environment].
    Author: Ignegongba K.
    Journal: Pop Sahel; 1989 May; (9):15-7. PubMed ID: 12282449.
    Abstract:
    The 1987 demographic and health survey (DHS) of Mali indicated that 29% of women aged 15-49 knew of a modern contraceptive method and 36% knew of a traditional method. Urban women as expected had higher rates of knowledge. 16.5% of women reported they wanted no more children, 33% wanted a child in less than 2 years, 32.4% wanted to wait at least 2 years, and 9.3% wanted a child at some undetermined future date. Women not wanting more children were as numerous in rural as in urban areas and were evenly distributed in all regions of Mali. Ethnic differences were found in the desire to terminate childbearing. Illiterate women wanted fewer children than those with primary educations, but those with secondary or higher educations wanted much smaller families. Although around 16% of women in rural as well as urban areas wanted no more children, only 4% of urban and 2% of rural women wanting no more children stated they intended to use contraception. 58-65% of women in various regions expressed a need for contraception for spacing births, but very low percentages actually intended to use a method. Social pressures from a profoundly pronatalist society appear to hinder actual use of contraception. 2.3% of rural women and 11.6% of urban women use modern contraception. The contraceptive user in Mali tends to be an educated urban woman who wishes to space births that are already numerous.
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