The use of various forms of contraception in Ghana gained prominence after the government resorted to investing more in family planning programs when maternal mortality was declared an emergency in the country. In Ghana, the intention to use and actual usage of contraceptives is influenced by many factors, which may lead to non-usage or discontinuation. This quantitative study was conducted to determine risk and protective factors impacting on the intention and usage of contraceptives. Survey data from the Ghana 2014 Demographic and Health Survey (DHS) (n = 9396) was used. A sub-sample of 7661 women in their reproductive age were included in this study, who reported being sexually active within the last year. Logistic regression analyses were conducted to test the association between a broad range of risk and protective factors including religion, early sexual intercourse, frequency of sex, number of lifetime sexual partners with intention to use contraception. We controlled for income, educational attainment, and age. Overall (n = 3661; 47.8%) reported no intention of contraception use. Logistic regression analysis revealed that no formal education (OR = 1.49; 95% CI, 1.29–1.72; p < 0.001), and primary school as highest educational level (OR = 1.19; 95% CI, 1.04–1.25; p < 0.001), Islamic religion (OR = 0.73; 95% CI, 0.59–0.90; p < 0.001), not currently employed (OR = 1.50; 95% CI, 1.34–1.69; p < 0.001), husband opposing contraception use (OR = 2.19; 95% CI, 1.42–3.46; p < 0.001), and currently pregnant (OR = 1.30; 95% CI, 1.09–1.54; p < 0.001) were also positively associated with no intention of use. Engaging religious leaders for advocacy in the community was identified as an approach to address barriers and increase awareness on contraceptive use. Targeted family planning programs should intensify public education on safe sex behaviors.

在加纳宣布采取产妇死亡紧急措施后，政府采取了更多的计划生育计划投资后，在加纳使用各种形式的避孕措施便引起了人们的关注。在加纳，避孕药具的使用意图和实际使用受到许多因素的影响，这可能导致不使用或停药。进行了这项定量研究，以确定影响避孕药具意图和使用的风险和保护因素。加纳2014年人口与健康调查（DHS）的调查数据（n= 9396）。这项研究包括了7661名处于生育年龄的妇女的子样本，这些妇女报告说在过去一年中有性活跃。进行逻辑回归分析以测试各种风险与保护因素之间的关联，这些因素包括宗教信仰，早期性行为，性行为频率，有意使用避孕药的终生性伴侣数量。我们控制了收入，学历和年龄。总体（n = 3661； 47.8％）报告无意使用避孕药具。Logistic回归分析显示，没有正规教育（OR = 1.49； 95％CI，1.29–1.72；p <0.001），而小学是最高的教育水平（OR = 1.19； 95％CI，1.04–1.25；p<0.001），伊斯兰宗教（OR = 0.73; 95％CI，0.59–0.90; p <0.001），目前未雇用（OR = 1.50; 95％CI，1.34-1.69; p <0.001），反对避孕的丈夫使用（ OR = 2.19； 95％CI，1.42–3.46；p <0.001）和当前怀孕（OR = 1.30； 95％CI，1.09–1.54；p <0.001）也与无意使用呈正相关。与宗教领袖进行社区宣传被认为是解决障碍和提高对避孕药具使用意识的一种方法。有针对性的计划生育方案应加强对安全性行为的公众教育。