Contraception within the context of adolescents’ sexual and reproductive lives: country profile: Democratic Republic of the Congo

Democratic Republic of the Congo Contraception within the context of adolescents’ sexual and reproductive lives: Country profile SOCIO-DEMOGRAPHIC CHARACTERISTICS Both Sexes Female Male 10-19 years 10-14 years 15-19 years 10-14 years 15-19 years Total population of adolescents (millions)1 (2020) 21.0 5.7 4.7 5.8 4.8 % of total population that are adolescents1 (2020) 23.4 12.8 10.5 13.0 10.6 % of adolescents that live in rural areas2 (2014) 50.5 51.9 50.9 50.8 48.1 % of total rural population that are adolescents2 (2014) 20.6 11.0 9.3 11.5 9.4 % of total urban population that are adolescents2 (2014) 27.3 14.7 12.8 14.2 12.9 % national monetary child poverty3 (2017) No data Completion rate for lower secondary school4 (2013) Female 48.8 Male 58.4 Completion rate for upper secondary school4 (2013) Female 21.3 Male 30.4 Out of school rate Female No data Male No data CHILD MARRIAGE/UNION STATUS5 (2017-18) Female Male Adolescents, 15-19, who are married/ in union (%) 18.0 2.2 % married/in union before age 15 (aged 20-24) 8.4 1.6 % married/in union before age 18 (aged 20-24) 29.1 5.6 SEXUAL ACTIVITY6 (2013-14) Female Male 10-14 years 15-19 years 10-14 years 15-19 years % of adolescents engaged in pre-coital physical behavior No data No data No data No data % of adolescents that ever- had sex No data 52.3 No data 46.6 % of adolescents having had sex by age 15 No data 18.9 No data 20.0 % of adolescents sexually active in the last month3 No data 26.7 No data 19.2 FEMALE GENITAL MUTILATION 10-14 years 15-19 years % of girls who have undergone female genital mutilation/cutting No data No data CHILDBEARING % of adolescent girls who have begun childbearing5 (2017-18) 10-14 years No data 15-19 years 23.4 % of women (aged 20-24) who gave birth before 18 years5 (2017-18) 24.5 Number of births per 1,000 girls, 15-197 (2019) 116.1 % of adolescent girls (aged 15-19) with live births who received antenatal care (ANC4+ visits)5 (2017-18) 45.6 % of births among girls (aged 15-19) attended by skilled health personnel5 (2017-18) 86.9 GENDER-BASED VIOLENCE6 (2013-14) % of girls who report experiencing: 10-14 years 15-19 years Physical violence in the last 12 months No data 18.7 Sexual violence in the last 12 months No data 9.4 % of adolescents (aged 15-19) who think a husband is justified in hitting or beating his wife in certain circumstances5 (2018) Female Male 59.6 51.6 ABORTION 10-14 years 15-19 years Abortion rate per 1,000 girls No data No data FERTILITY INTENTIONS & CONTRACEPTIVE USE6,8 (2013-14) % of most recent pregnancies experienced by adolescent girls aged 15-19 in the 5 years preceding the survey, including current pregnancies, by planning status Married/ In union Unmarried/ not in union Last pregnancy wanted (<2 years) 68.0 23.0 Last pregnancy wanted later (>=2 years) 31.5 71.5 Last pregnancy not wanted at all 0.5 5.5 % of adolescent girls (aged 15-19) with an unmet need for modern methods of contraception 30.8 48.2* % of sexually active unmarried adolescent girls (aged 15-19) who currently use at least one method of modern contraception 19.5 Current use and non-use of contraception, 15-19 years 8 (2013-14) Contraceptive method mix, 15-19 years 8(2013-14) Main reasons for not intending to use contraception, 15-19 years 8 (2013-14) Main sources of contraception, 15-19 years8 (2013-14) 87.5 5.5 7.1 71.6 12.4 16.0 0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% Not using Modern method Traditional In Union Not in Union 0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% In Union Not in Union Other Periodic abstinence Withdrawal Injections Condoms Pill 0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% In Union Not in Union Religious institutions/other Shop/parents/friends NGO/mobile nurse/private fieldworker Pharmacy 31.8% 10.9% 8.6% 6.1% 5.5% Breastfeeding Knows no source Postpartum amenorrheic Fear of side effects Respondent opposed In Union 15.2% 13.6% 9.9% 9.7% 7.8% Infrequent sex Not having sex Knows no source Not married Knows no method Not in Union WHO/SRH/20.36 © World Health Organization 2020. 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For more information, please contact: Department of Sexual and Reproductive Health and Research; E-mail: srhavp@who.int Website: www.who.int/health- topics/adolescent-health/ HIV/AIDS, SEXUALLY TRANSMITTED INFECTIONS (STIs) AND HUMAN PAPILLOMA VIRUS (HPV) Female Male 10-19 years 10-14 years 15-19 years 10-19 years 10-14 years 15-19 years Number of adolescents living with HIV9 (2020) 27,000 10,000 17,000 20,000 11,000 9,600 Number of new HIV infections among adolescents per year9 (2020) 2,700 No data 2,700 <500 No data <500 % of adolescents with comprehensive knowledge about AIDS5 (2017-18) No data No data 18.1 No data No data 22.8 % prevalence of sexually transmitted infections among adolescents6 (2013-14) No data No data 19.3 No data No data 11.6 % of sexually active adolescents who had an HIV test in the last 12 months and received the results5(2017-18) No data No data 65.7 No data No data 56.7 % of girls, 15 or older, who have completed the full three dose vaccination schedule for HPV No data No data No data No data No data No data MENSTRUAL HEALTH 10-14 years 15-19 years % of adolescent girls who were aware of menstruation before the onset of their first menstruation No data No data % of adolescent girls who did not participate in social activities, school, or work due to their last menstruation in the last 12 months No data 16.6 DATA SOURCES 1. World Population Prospects, 2019 Revision. Population data. United Nations Department of Economic and Social Affairs, Population Division. Available from: https://esa.un.org/unpd/wpp/Download/Standard/Population/ [Accessed 17th October, 2019]. 2. United Nations. World Urbanization Prospects, the 2014 Revision. New York: United Nations; Department of Economic and Social Affairs, Population Division; 2014. 3. Keeley B, Little C. The State of the World’s Children 2017: Children in a Digital World. UNICEF: New York; 2017. 4. UNESCO Institute of Statistics. UIS Statistics. Available from: http://data.uis.unesco.org [Accessed 2nd November 2019]. 5. INS. Enquete par grappes a indiicateurs multiples, 2017-18, raport de resultats de l’emquete. Kinshasa, Republique Democratique du Congo; 2019. 6. Ministère du Plan et Suivi de la Mise en œuvre de la Révolution de la Modernité - MPSMRM/Congo, Ministère de la Santé Publique - MSP/Congo and ICF International. Enquête Démographique et de Santé en République Démocratique du Congo 2013-2014. Rockville, Maryland, USA: MPSMRM, MSP, and ICF International; 2014. *Unmet need for modern methods of contraception for girls not married/in union is for the proportion that are sexually active in the last month. 7. United Nations Department of Economic and Social Affairs, Population Division. World Population Prospects. Fertility data- 2020-2025. Available from: https://population.un.org/wpp/Download/Standard/Fertility/ [Accessed 30th October 2019]. 8. Ministère du Plan et Suivi de la Mise en œuvre de la Révolution de la Modernité - MPSMRM/Congo, Ministère de la Santé Publique - MSP/Congo and ICF International. Enquête Démographique et de Santé en République Démocratique du Congo 2013-2014/CDIR61FL.DTA. Rockville, Maryland, USA: MPSMRM, MSP, and ICF International; 2014. 9. UNAIDS. Trends of new HIV infections. Available from: http://aidsinfo.unaids.org [Accessed 10th October 2020].