Cote d’Ivoire

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Cote d’Ivoire Contraception within the context of adolescents’

sexual and reproductive lives: Country profile

SOCIO-DEMOGRAPHIC CHARACTERISTICS

BBootthh SSeexxeess FFeemmaallee MMaallee

1100--1199

yyeeaarrss 1100--1144

yyeeaarrss 1155--1199 yyeeaarrss TToottaall ppooppuullaattiioonn ooff aaddoolleesscceennttss ((mmiilllliioonnss))11 ((22002200)) 66..11 11..66 11..55 11..66 11..55

%

% ooff ttoottaall ppooppuullaattiioonn tthhaatt aarree aaddoolleesscceennttss11 ((22002200)) 2233..11 1122..22 1111..11 1122..11 1100..99

%

% ooff aaddoolleesscceennttss tthhaatt lliivvee iinn rruurraall aarreeaass22 ((22001144)) 4400..99 4400..44 3399..22 4444..99 3388..66

%

% ooff ttoottaall rruurraall ppooppuullaattiioonn tthhaatt aarree aaddoolleesscceennttss22 ((22001144)) 2200..33 1100..55 99..33 1111..77 99..22

%

% ooff ttoottaall uurrbbaann ppooppuullaattiioonn tthhaatt aarree aaddoolleesscceennttss22 ((22001144)) 2244..99 1133..44 1122..44 1111..99 1122..11

%

% nnaattiioonnaall mmoonneettaarryy cchhiilldd ppoovveerrttyy33 ((22001177)) NNoo ddaattaa

CCoommpplleettiioonn rraattee ffoorr lloowweerr sseeccoonnddaarryy sscchhooooll44 ((22001166)) FFeemmaallee 2222..11 M

Maallee 3355..99

CCoommpplleettiioonn rraattee ffoorr uuppppeerr sseeccoonnddaarryy sscchhooooll44 ((22001166)) FFeemmaallee 1144..33 M

Maallee 1177..33

OOuutt ooff sscchhooooll rraattee44 ((22001188)) FFeemmaallee 5577..22

M

Maallee 4466..88

CHILD MARRIAGE/UNION STATUS

^{5 (2016)}

FFeemmaallee MMaallee

AAddoolleesscceennttss,, 1155--1199,, wwhhoo aarree m

maarrrriieedd// iinn uunniioonn ((%%)) 1188..44 11..44

%

% mmaarrrriieedd//iinn uunniioonn bbeeffoorree aaggee 1155

((aaggeedd 2200--2244)) 77..00 00..77

%

% mmaarrrriieedd//iinn uunniioonn bbeeffoorree aaggee 1188

((aaggeedd 2200--2244)) 2277..00 33..55

SEXUAL ACTIVITY

6 (2011-12)

^FFeem^maallee

M Maallee 1100--1144

yyeeaarrss 1155--1199 yyeeaarrss

%

% ooff aaddoolleesscceennttss eennggaaggeedd iinn pprree--ccooiittaall pphhyyssiiccaall

bbeehhaavviioorr NNoo ddaattaa NNoo ddaattaa NNoo ddaattaa NNoo ddaattaa

%

% ooff aaddoolleesscceennttss tthhaatt eevveerr--

hhaadd sseexx NNoo ddaattaa 6644..88 NNoo ddaattaa 4422..77

%

% ooff aaddoolleesscceennttss hhaavviinngg

hhaadd sseexx bbyy aaggee 1155 NNoo ddaattaa 2200..88 NNoo ddaattaa 1144..11

%

% ooff aaddoolleesscceennttss sseexxuuaallllyy

aaccttiivvee iinn tthhee llaasstt mmoonntthh NNoo ddaattaa 3333..00 NNoo ddaattaa 1199..66

FEMALE GENITAL MUTILATION

6 (2011-12)

1100--1144

yyeeaarrss 1155--1199 yyeeaarrss55((22001166))

%

% ooff ggiirrllss wwhhoo hhaavvee uunnddeerrggoonnee

ffeemmaallee ggeenniittaall mmuuttiillaattiioonn//ccuuttttiinngg 1177..00 2277..44

GENDER-BASED VIOLENCE

6 (2011-12)

%

% ooff ggiirrllss wwhhoo rreeppoorrtt eexxppeerriieenncciinngg:: 1100--1144

yyeeaarrss 1155--1199 yyeeaarrss PPhhyyssiiccaall vviioolleennccee iinn tthhee llaasstt 1122

m

moonntthhss NNoo ddaattaa 1177..22

SSeexxuuaall vviioolleennccee iinn tthhee llaasstt 1122 mmoonntthhss NNoo ddaattaa 11..11

%

% ooff aaddoolleesscceennttss ((aaggeedd 1155--1199)) wwhhoo tthhiinnkk aa hhuussbbaanndd iiss jjuussttiiffiieedd iinn hhiittttiinngg oorr bbeeaattiinngg hhiiss wwiiffee iinn cceerrttaaiinn

cciirrccuummssttaanncceess55((22001166))

FFeemmaallee MMaallee

4422..99 2299..33

CHILDBEARING

%

% ooff aaddoolleesscceenntt ggiirrllss wwhhoo hhaavvee bbeegguunn cchhiillddbbeeaarriinngg55 ((22001166))

1100--1144 yyeeaarrss NNoo ddaattaa 1155--1199 yyeeaarrss 2266..11

%

% ooff wwoommeenn ((aaggeedd 2200--2244)) wwhhoo ggaavvee bbiirrtthh bbeeffoorree 1188

yyeeaarrss55 ((22001166)) 2255..44

NNuummbbeerr ooff bbiirrtthhss ppeerr 11,,000000 ggiirrllss,, 1155--119977 ((22001199)) 111100..33

%

% ooff aaddoolleesscceenntt ggiirrllss ((aaggeedd 1155--1199)) wwiitthh lliivvee bbiirrtthhss wwhhoo

rreecceeiivveedd aanntteennaattaall ccaarree ((AANNCC44++ vviissiittss))55 ((22001166)) 4466..88

%

% ooff bbiirrtthhss aammoonngg ggiirrllss ((aaggeedd 1155--1199)) aatttteennddeedd bbyy sskkiilllleedd

hheeaalltthh ppeerrssoonnnneell55 ((22001166)) 7755..99

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ABORTION

10-14 years 15-19 years

Abortion rate per 1,000 girls No data No data

FERTILITY INTENTIONS & CONTRACEPTIVE USE

6,8 (2011-12)

% 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) 76.6 35.5

Last pregnancy wanted later (>=2 years) 23.1 62.6

Last pregnancy not wanted at all 0.3 1.9

% of adolescent girls (aged 15-19) with an unmet need for modern methods of

contraception 31.1^{5 (2016)} 57.7*

% of sexually active unmarried adolescent girls (aged 15-19) who currently use at least

one method of modern contraception 28.7

Current use and non-use of contraception, 15-19 years

8 (2011-12)

Contraceptive method mix, 15-19 years

8 (2011-12)

Main reasons for not intending to use contraception, 15-19 years

8 (2011-12)

Main sources of contraception, 15-19 years

8 (2011-12) 89.0

6.9 4.1

70.4

23.5

6.1

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%

Friend/relative/other Shop

Pharmacy Private hospital/clinic

Government ^17.1%

15.0%

9.2%

8.8%

6.5%

Breastfeeding Knows no source Postpartum amenorrheic Not having sex Knows no method

In Union

11.6%

10.5%

10.4%

10.3%

8.6%

Not married Fear of side effects Breastfeeding

Other Infrequent sex

Not in Union 0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

Lactational amenorrhea Other

Periodic abstinence Implants/norplant Injections

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WHO/SRH/20.35 © World Health Organization 2020. Some rights reserved. This work is available under the CC BY-NC-SA 3.0 IGO licence. All reasonable precautions have been taken by the World Health Organization to verify the information contained in this publication. However, the published material is being distributed without warranty of any kind, either expressed or implied. The responsibility for the interpretation and use of the material lies with the reader. In no event shall the World Health Organization be liable for damages arising from its use. 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 HIV^{9 (2020)} 16,000 6,500 9,800 14,000 6,700 6,900

Number of new HIV infections among adolescents per year^{9 (2020)} 900 No data 900 <100 No data <100

% of adolescents with comprehensive knowledge about AIDS6 (2011-12) No data No data 15.0 No data No data 20.9

% prevalence of sexually transmitted infections among adolescents6 (2011-12) No data No data 27.4 No data No data 15.5

% of sexually active adolescents who had an HIV test in the last 12 months

and received the results6 (2011-12) No data No data 13.9 No data No data 10.9

% 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 17^th 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 2^nd November 2019].

5. Ministère du plan et du développement. La situation des femmes et des enfants en Cote d’Ivoire: Enquête à indicateurs multiples 2016 - MICS5. Cote d’Ivoire: l'Institut national de la statistique (INS); 2017.

6. Institut National de la Statistique-INS/Cote d’Ivoire and ICF International. Enquete Demographique et de Sante et a Indicateurs Multiples de Cote d’Ivoire 2011-12. Calverton, Maryland, USA: INS/Cote d’Ivoire 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.

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 30^th October 2019].

8. Institut National de la Statistique-INS/Cote d’Ivoire and ICF International. Enquete Demographique et de Sante et a Indicateurs Multiples de Cote d’Ivoire 2011-12/CIIR62FL.DTA. Calverton, Maryland, USA: INS/Cote d’Ivoire and ICF International; 2012.

9. UNAIDS. Trends of new HIV infections. Available from: http://aidsinfo.unaids.org [Accessed 10^th October 2020].