In Ghana fertility is declining, especially among urban educated women, yet according to the Ghana DHS, use of modern family planning methods fell between 2003 and 2014 in Greater Accra, particularly among better-educated and urban women. Recent studies have shown strong resistance to hormonal methods, reportedly because of fear of side effects. This study aimed to understand fertility regulation strategies among educated women in Accra using a qualitative, exploratory approach. Use of different methods was bound up in women’s modern identities and their attempts to meet the demands of modern urban life (get a good education and a professional, well-paid job) and simultaneously fulfill the requirements for a traditional Ghanaian woman, for whom fertility is extremely important. A key implication of our study is that there is a need for better promotion of effective methods.
Marston, Cicely, Alicia Renedo, Gertrude Nyaaba, Kazuyo Machiyama, and Placide Tapsoba. 2016. "Understanding fertility regulation strategies among educated women in Accra," STEP UP Research Report. London: London School of Hygiene and Tropical Medicine.
Strengthening Evidence for Programming on Unintended Pregnancy (STEP UP)