Contraception within the context of adolescents’ sexual and reproductive lives: country profile: Burkina Faso

Burkina Faso 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) 5.0 1.3 1.1 1.4 1.2 % of total population that are adolescents1 (2020) 24.1 12.8 10.8 13.3 11.3 % of adolescents that live in rural areas2 (2014) 68.7 68.5 68.2 70.3 67.4 % of total rural population that are adolescents2 (2014) 23.4 12.2 10.4 13.3 10.9 % of total urban population that are adolescents2 (2014) 25.1 13.6 11.7 12.9 12.0 % national monetary child poverty3 (2017) No data Completion rate for lower secondary school Female No data Male No data Completion rate for upper secondary school Female No data Male No data Out of school rate4 (2018) Female 51.9 Male 53.7 CHILD MARRIAGE/UNION STATUS5 (2010) Female Male Adolescents, 15-19, who are married/ in union (%) 31.5 1.6 % married/in union before age 15 (aged 20-24) 10.2 0.0 % married/in union before age 18 (aged 20-24) 51.6 3.9 SEXUAL ACTIVITY5 (2010) 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 44.1 No data 19.3 % of adolescents having had sex by age 15 No data 7.7 No data 1.6 % of adolescents sexually active in the last month No data 24.9 No data 4.9 FEMALE GENITAL MUTILATION5 (2010) 10-14 years 15-19 years % of girls who have undergone female genital mutilation/cutting No data 57.7 GENDER-BASED VIOLENCE5 (2010) % of girls who report experiencing: 10-14 years 15-19 years Physical violence in the last 12 months No data 9.2 Sexual violence in the last 12 months No data 0.1 % of adolescents (aged 15-19) who think a husband is justified in hitting or beating his wife in certain circumstances Female Male 38.8 40.2 CHILDBEARING % of adolescent girls who have begun childbearing5 (2010) 10-14 years No data 15-19 years 23.6 % of women (aged 20-24) who gave birth before 18 years5 (2010) 28.2 Number of births per 1,000 girls, 15-196 (2019) 93.0 % of adolescent girls (aged 15-19) with live births who received antenatal care (ANC4+ visits)5 (2010) 31.9 % of births among girls (aged 15-19) attended by skilled health personnel5 (2010) 23.1 ABORTION7(2008) 10-14 years 15-19 years Abortion rate per 1,000 girls No data 30 FERTILITY INTENTIONS & CONTRACEPTIVE USE5,8(2010) % 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) 92.0 38.6 Last pregnancy wanted later (>=2 years) 8.1 61.5 Last pregnancy not wanted at all 0.0 0.0 % of adolescent girls (aged 15-19) with an unmet need for modern methods of contraception 21.7 46.3* % of sexually active unmarried adolescent girls (aged 15-19) who currently use at least one method of modern contraception 48.8 Current use and non-use of contraception, 15-19 years 8 (2010) Contraceptive method mix, 15-19 years 8 (2010) Main reasons for not intending to use contraception, 15-19 years (%)8 (2010) Main sources of contraception, 15-19 years (%)8 (2010) 93.4 6.2 0.4 66.8 31.3 1.9 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 Implants/norplant Injections Condoms Pill 0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% In Union Not in Union Friends/relatives/other Shop Pharmacy Mobile clinic/community distributor Private hospital/clinic Government 54.1% 26.3% 4.3% 4.3% 2.9% Not having sex Not married Infrequent sex Other Fatalistic Not in Union 25.6% 16.8% 9.6% 7.5% 7.5% Breastfeeding Postpartum amenorrheic Partner opposed Costs too much Not having sex In Union WHO/SRH/20.30 © 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) 5,000 2,100 2,900 4,500 2,200 2,300 Number of new HIV infections among adolescents per year9 (2020) <500 No data <500 <200 No data <200 % of adolescents with comprehensive knowledge about AIDS5 (2010) No data No data 29.0 No data 30.8 No data % prevalence of sexually transmitted infections among adolescents5 (2010) No data No data 10.9 No data 2.4 No data % of sexually active adolescents who had an HIV test in the last 12 months and received the results5 (2010) No data No data 13.7 No data 9.2 No data % 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 No data 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. Institut National de la Statistique et de la Démographie - INSD/Burkina Faso and ICF International. Enquête Démographique et de Santé et à Indicateurs Multiples du Burkina Faso 2010. Calverton, Maryland, USA: INSD and ICF International; 2012. *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. 6. 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]. 7. Sedgh, G., Finer, B.L., Bankole, A., Eilers, A.M & Singh, S. Adolescent pregnancy, Birth and Abortion Rates Across Countries: Levels and Recent Trends. Journal of Adolescent Health. 2015; 56: 223-230. 8. Institut National de la Statistique et de la Démographie - INSD/Burkina Faso and ICF International. Enquête Démographique et de Santé et à Indicateurs Multiples du Burkina Faso 2010/BFIR62FL.DTA. Calverton, Maryland, USA: INSD and ICF International; 2012. 9. UNAIDS. Trends of new HIV infections. Available from: http://aidsinfo.unaids.org [Accessed 10th October 2020).