Contraceptive Use and Intent in Guatemala

By Grace, Kathryn | Demographic Research, July-December 2010 | Go to article overview

Contraceptive Use and Intent in Guatemala


Grace, Kathryn, Demographic Research


Abstract

Guatemala is characterized by low contraceptive use rates and one of the highest fertility rates in the Western Hemisphere. These rates are particularly extreme for the poorest segment of the population and for the indigenous population. However, notable increases in contraceptive use have occurred within the past ten years, indicating that Guatemala may be on the precipice of significant demographic change. The purpose of this research is to enhance understanding of the modern contraceptive revolution in Guatemala through identification of the segments of the Guatemalan population at most need for contraceptive and family planning services. Using the most recently available survey data, the 2002 Reproductive Health Survey data set (RHS), classification trees are used to determine the women with greatest need for reproductive health services. The results highlight the persistent marginalization of the poor and the indigenous and provide further insight into the impact of education, place of residence and couple characteristics on contraceptive use and intent.

(ProQuest: ... denotes formula omitted.)

1. Introduction

Much of Latin America has recently experienced a rapid decline in fertility accelerated by an increase in contraceptive use (PRB 2007). An increasing number of countries in both Central and South America are characterized by below replacement total fertility rates (TFR) and contraceptive prevalence rates (CPR) matching those of more developed countries (De Broe and Hinde 2006; PRB 2007; Rosero-Bixby, Martin, and Martin-Garcia 2008). However, a closer look at country and regional family planning behavior in Latin America reveals exceptional subgroups with unusually high TFR and correspondingly low CPR. Once a leader in family planning, and despite recent strides in contraceptive expansion and fertility decline, Guatemala has the highest TFR in Latin America and one of the lowest CPRs in the Western Hemisphere (Santiso-Galvez and Bertrand 2004; De Broe and Hinde 2006; PRB 2007). In a context where maternal and infant mortality rates are high, poverty is rampant, and malnutrition is common, empowering women with the knowledge and resources to plan their own families is vital. However, Guatemala's low CPR and high TFR suggest that the ability of women to freely determine the timing and number of births may be limited.

The goal of this research is to identify the Guatemalan women with the greatest need for contraceptive services using the most recently3 collected data. The results of the analysis aim to provide information helpful to monitoring Guatemala's evolving contraceptive needs and documenting the fertility transition in a contemporary less developed country. Differing from related research, this study incorporates flexible modeling techniques, the most recent data, and includes an alternative approach to ethnic classification. The results of the research therefore contribute to an improved general understanding of contraceptive dynamics in one of the fastest growing and most impoverished countries in Latin America.

2. Contraceptive dynamics in Guatemala

Concern about the reproductive health of poor Guatemalan women motivated the 1964 development of the Asociación ProBienestar de la Familia (Federation of Family Well-being [APROFAM]) (Santiso-Galvez and Bertrand 2004). Supported by the International Planned Parenthood Association, APROFAM began building reproductive health clinics the following year. Shortly after the first clinic was established, Guatemala was identified, in terms of women's health, as one of only a handful of forward-thinking Latin American countries (Hall 1973; Santiso-Galvez and Bertrand 2004). However, the combined impact of the civil war (1960-1996) with other socio-demographic factors caused significant stagnation in the country-wide adoption of family planning. Guatemala's unstable and, at times, violent social and political climate are theorized to be the root causes of the "delayed contraceptive revolution" and have resulted in a limited supply and demand for contraception (Santiso-Galvez and Bertrand 2004; De Broe and Hinde 2006). …

The rest of this article is only available to active members of Questia

Already a member? Log in now.

Notes for this article

Add a new note
If you are trying to select text to create highlights or citations, remember that you must now click or tap on the first word, and then click or tap on the last word.
One moment ...
Default project is now your active project.
Project items

Items saved from this article

This article has been saved
Highlights (0)
Some of your highlights are legacy items.

Highlights saved before July 30, 2012 will not be displayed on their respective source pages.

You can easily re-create the highlights by opening the book page or article, selecting the text, and clicking “Highlight.”

Citations (0)
Some of your citations are legacy items.

Any citation created before July 30, 2012 will labeled as a “Cited page.” New citations will be saved as cited passages, pages or articles.

We also added the ability to view new citations from your projects or the book or article where you created them.

Notes (0)
Bookmarks (0)

You have no saved items from this article

Project items include:
  • Saved book/article
  • Highlights
  • Quotes/citations
  • Notes
  • Bookmarks
Notes
Cite this article

Cited article

Style
Citations are available only to our active members.
Buy instant access to cite pages or passages in MLA, APA and Chicago citation styles.

(Einhorn, 1992, p. 25)

(Einhorn 25)

1. Lois J. Einhorn, Abraham Lincoln, the Orator: Penetrating the Lincoln Legend (Westport, CT: Greenwood Press, 1992), 25, http://www.questia.com/read/27419298.

Cited article

Contraceptive Use and Intent in Guatemala
Settings

Settings

Typeface
Text size Smaller Larger Reset View mode
Search within

Search within this article

Look up

Look up a word

  • Dictionary
  • Thesaurus
Please submit a word or phrase above.
Print this page

Print this page

Why can't I print more than one page at a time?

Help
Full screen

matching results for page

    Questia reader help

    How to highlight and cite specific passages

    1. Click or tap the first word you want to select.
    2. Click or tap the last word you want to select, and you’ll see everything in between get selected.
    3. You’ll then get a menu of options like creating a highlight or a citation from that passage of text.

    OK, got it!

    Cited passage

    Style
    Citations are available only to our active members.
    Buy instant access to cite pages or passages in MLA, APA and Chicago citation styles.

    "Portraying himself as an honest, ordinary person helped Lincoln identify with his audiences." (Einhorn, 1992, p. 25).

    "Portraying himself as an honest, ordinary person helped Lincoln identify with his audiences." (Einhorn 25)

    "Portraying himself as an honest, ordinary person helped Lincoln identify with his audiences."1

    1. Lois J. Einhorn, Abraham Lincoln, the Orator: Penetrating the Lincoln Legend (Westport, CT: Greenwood Press, 1992), 25, http://www.questia.com/read/27419298.

    Cited passage

    Thanks for trying Questia!

    Please continue trying out our research tools, but please note, full functionality is available only to our active members.

    Your work will be lost once you leave this Web page.

    Buy instant access to save your work.

    Already a member? Log in now.

    Author Advanced search

    Oops!

    An unknown error has occurred. Please click the button below to reload the page. If the problem persists, please try again in a little while.