Hashemite Kingdom of Jordan - adolescent contraceptive use

Publication date: 2016

Adolescent contraceptive use DATA FROM THE JORDAN POPULATION AND FAMILY HEALTH SURVEY (JPFHS), 2012 HASHEMITE KINGDOM OF JORDAN What can be done to support married Jordanian adolescents to prevent unintended pregnancy? Plan for how, when and where different groups of sexually active adolescents (boys and girls, rural and urban) use and do not use contraception. Learn the reasons why married adolescents are not using contraception, and develop policies and programmes to better address their needs. Understand that married adolescents may get contraception from a variety of sources and ensure that each of these sources can provide high quality services for adolescents. Adolescent population: who are they? In the Hashemite Kingdom of Jordan, there over 1.4 million adolescents aged 10–19 years – 18.7% of the country’s total population.i The majority of adolescents live in urban areas, 82.6% of adolescent girls and 82.4% of adolescent boys.i By age 19, the mean number of years of schooling attended by married adolescent girls is 10.2.ii Among married adolescent girls who become parents before age 20, the average age at which they have their first baby is 17.9 years. ii According to data from the JPFHS ii, among married Jordanian adolescent girls, the mean age of the marriage is 17.5 years. i Urban and rural population by age and sex, 1980–2015 [online database]. New York (USA): United Nations Department of Economic and Social Affairs, Population Division; 2014 (https://esa. un.org/unpd/popdev/urpas/urpas2014.aspx, accessed 4 November 2016). ii Department of Statistics [Jordan], ICF International. Jordan Population and Family Health Survey 2012 [Datasets]. JOIR6C.DTA. Calverton (MD): ICF International; 2013 (http://dhsprogram.com/data/dataset/Jordan_Standard-DHS_2012.cfm?flag=0, accessed 4 November 2016 Contraceptive use and non-use among adolescent girls FIGURE 1. Use and non-use of contraception: married adolescent girls, aged 15–19 years (%) LISTED FROM LEAST EFFECTIVE TO MOST EFFECTIVE Married According to JPFHSii analyses, 39.1% of married adolescent girls report not wanting a child in the next two years, yet only 35.2% of them are currently using any method to prevent pregnancy. The main reasons these adolescents report for not using a method include: • breastfeeding (42.9%) • fear of side-effects or health concerns (29.5%) • menses has not returned after giving birth (26.7%) Among all married adolescent girls aged 15–19, 72.5% are not using a method of contraception. Pills and lactational amenorrhea (LAM) are the most common modern methods used (11.4% and 4.1% of these adolescent girls, respectively). Male condoms are used by 1.2% and injectable contraceptives are used by 1.1%. Withdrawal, a traditional method, is used by 4.4% of these adolescent girls (see Figure 1). Source: analysis of JPFHS 2012ii Married adolescents who are using a modern method most often get it from a private facility (38.4%) or a pharmacy (32.2%). Not using Withdrawal Male condom Pill Injectable contraceptives Lactational amenorrhea (LAM) LEARN MORE AT who.int/reproductivehealth/adol-contraceptive-use COMPILED IN 2016 | UPDATED NOVEMBER 2016 1.1 4.16 4.4 1.2 11.4 72.5 Adolescent contraceptive use H A S H E M I T E K I N G D O M O F J O R D A N Use and non-use of contraception married adolescent girls, aged 15-19 1.4 Among married adolescents who become parents before age 20, the average age at first birth is What can be done to support married Jordanian adolescents to prevent unintended pregnancy? Main reasons for not using contraception Report not wanting a child in the next two years Married 39.1% married adolescent girls 38.4% from a private facility Understand that adolescents may get modern contraception from a variety of sources. Learn the reasons why married adolescents are not using contraception. Plan for how, when, and where different groups of adolescents use or don’t use contraception. ANALYSIS OF THE JORDAN POPULATION AND FAMILY HEALTH SURVEY, 2012 COMPILED IN 2016 | UPDATED NOVEMBER 2016 Department of Statistics [Jordan], ICF International. Jordan Population and Family Health Survey 2012 [Datasets]. JOIR6C.DTA. Calverton (MD): ICF International; 2013 (http://dhsprogram.com/data/dataset/Jordan_Standard- DHS_2012.cfm?flag=0, accessed 4 November 2016). 17.9 for adolescent girls LEARN MORE AT who.int/reproductivehealth/adol-contraceptive-use Method Married Not using 72.5% Withdrawal 4.4% Male condom 1.2% Pill 11.4% Injectable contraceptives 1.1% Lactational amenorrhea (LAM 4.1% 32.2% from a pharmacy Married 42.9% breastfeeding 29.5% fear of side- effects or health concerns 26.7% menses has not returned after giving birth million adolescents ages 10-19 REASONS FOR NON-USE: Not married Not having sex Infrequent sex Menses has not returned after birth Breastfeeding Fatalistic (up to god) She is opposed Husband/partner is opposed Religious prohibition Knows no method Knows no source Fear of side effects/health concerns Inconvenient to use Others opposed Lack of access/too far SOURCE OF METHOD: Government facility Private facility Pharmacy Shop Friends or parents Other Community Health Worker Icon Directory METHODS: Not using Withdrawal Periodic abstinence Rhythm/calendar Female condom Male condom Standard days/cycle beads Pill Injectable contraceptives Lactational amenorrhea (LAM) Implants IUD Male sterilization Female sterilization © WHO 2016. Some rights reserved. This work is available under the CC BY-NC-SA 3.0 IGO licence WHO/RHR/16.70 LU_WHO_Template_Text_En-EMRO-Jordan LU_WHO_Template_Infographic_En_AFRO_Jordan

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