Exploring Adolescents’ (Non‑)Use of Modern Contraceptives in Ghana Through the Lens of the Theory of Gender and Power

Abstract

Despite the benefts of modern contraceptives, its usage is low among adolescents in sub-Saharan Africa. Based on the theory of gender and power, this study explored adolescents’ (non-)use of contraceptives in the context of their sexual and reproductive health. Data were collected from adolescents (15–19 years) through focus group discussions as well as through interviews with fve key informants. The collected data were investigated through thematic analysis. The study revealed that gender and power infuenced adolescents sexual behavior. Both young men and young women engaged in risky sexual behavior, which exposed them to unintended pregnancy. Whereas some young women engaged in risky sexual behaviors due to fnancial reasons, young men engaged in such behaviors for pleasure. Lack of knowledge about the correct use of modern contraceptives, type of sexual relationship, and cultural norms of adolescent girls’ appropriate sexual behavior infuenced the use of contraceptives by adolescent girls. Avoiding pregnancy could be easier for adolescent girls if only they could have easy access to more long-term and reliable contraceptive methods. Education on the need to use condoms during sexual intercourse should be intensifed to create awareness about using condoms to avoid sexually transmitted infections in addi tion to unwanted pregnancy