Modern contraceptive use after sexual debut among Ghanaian adolescent girls (15–19 years): a secondary analysis of the 2022 Demographic and Health Survey

Approximately one in four Ghanaian adolescent girls aged 15-19 years used modern contraceptives after their sexual debut. We found that belonging to a richer household wealth quintile and exposure to family planning information through social media and health facilities were significantly associated with modern contraceptive use. These findings suggest the need for targeted interventions to enhance modern contraceptive use among adolescent girls from poorer households. Additionally, the findings highlight the need to continue promoting family planning information through social media and support the integration of family planning services into routine facility-based care within the primary health care system.