Determinants of contraceptive use in Morocco: stopping behaviour in traditional populations.

ABSTRACT

The determinants of modern contraceptive use in traditional populations are analysed in married women aged 30-44 living in the province of Marrakech (Morocco). Women who have never used contraception have smaller family sizes than those who do the number of live children (or live births) is the variable with maximum predictive power on contraceptive use, while child mortality is the main inhibiting factor. The probability of contraceptive use increases with female age at marriage and decreases with the woman's age, indicating a generational change in reproductive behaviour. The socioeconomic variables education, employment and residence, have no significant independent predictive character on contraceptive use, although the interaction between education and residence does. The paper evaluates the hypothesis that traditional populations in the initial phase of their demographic transition resort to modern contraception in order to stop childbearing, when they have reached a desired number of children, rather than to space births or reduce their fertility.

ABSTRACT

PIP The authors conclude that the determinants of contraceptive use among the rural population in Marrakech province, Morocco, were multiple and interrelated in complex ways. Birth control was a consequence of changes at both the individual and social levels. Findings indicate that women who had never used contraception had smaller family sizes than those women who used contraception. Contraceptive users had a significantly higher number of live births and living children. Child mortality was significantly greater among noncontracepting women. Contraceptive users had a significantly longer reproductive period than nonusers, which was attributed to a longer delay in the last live birth. Logistic models show that significant independent predictors of contraceptive use were the number of live births, the number of children who died before the age of 5, the age of the mother, the type of marriage, and the age at first marriage. The probability of access to contraceptives decreased with under-5 mortality, female age, marriage age, and increases in polygynous unions. This model explained 63.9% of the variance. Although residence and educational level did not significantly increase the fit of the model, the probability of contraceptive use did increase in relation to urban residence and a basic educational level. The number of live children was a predictor of contraceptive use but the best predictor of contraceptive use was family size (65.8%). The probability of contraceptive use increased among women with three or more children. Female education had no independent predictive impact on contraceptive use. Contraceptive use increased among women in polygynous unions, regardless of residence or schooling.