Multinomial multilevel analysis of factors affecting the use of modern contraceptives in sub-Saharan Africa: evidence from 2015 to 2023 Demographic Health Survey
Abstract The use of modern contraceptives both, short-acting and long-acting in most African countries has been low. This study aimed to determine factors affecting the use of modern contraceptive methods among women of reproductive age in 23 sub-Saharan Africa countries. The most recent 2015–2023 D...
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2025-05-01
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| author | Kaleb Assegid Demissie Melak Jejaw Getachew Teshale Misganaw Guadie Tiruneh Tesfahun Zemene Tafere Asebe Hagos |
| author_facet | Kaleb Assegid Demissie Melak Jejaw Getachew Teshale Misganaw Guadie Tiruneh Tesfahun Zemene Tafere Asebe Hagos |
| author_sort | Kaleb Assegid Demissie |
| collection | DOAJ |
| description | Abstract The use of modern contraceptives both, short-acting and long-acting in most African countries has been low. This study aimed to determine factors affecting the use of modern contraceptive methods among women of reproductive age in 23 sub-Saharan Africa countries. The most recent 2015–2023 DHS data set of 23 SSA countries was used. A total of 230,387 women who completed the survey were included in the study. In the multivariable analysis variables with p-value less than ≤ 0.05 were considered to be factors associated with the use of both short-acting and long-acting modern contraceptive methods. The overall prevalence of use of both short-acting and long-acting contraceptive methods was 28.4%. The prevalence of short-acting contraceptive use was 18.7% and prevalence of use of long-acting contraceptive method was 9.6%. from individual level variables; parity, maternal educational status, partners educational status, maternal age, media exposure, wealth index, work status, age at first cohabitation, and head of household head were factors associated with both short-acting and long-acting contraceptive method. And from community level variables community level media exposure and country of region were associated with use of both short-acting and long-acting contraceptive methods. While current breast-feeding status, community level education and community level wealth status were associated with only the use of long-acting contraceptive methods. Therefore, reproductive health and family planning initiatives in SSA should target high risk groups in order to increase utilization of modern contraceptive methods. |
| format | Article |
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| institution | DOAJ |
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| language | English |
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| spelling | doaj-art-9f2714a322c7452cbf4ed5cc88f290052025-08-20T03:10:18ZengNature PortfolioScientific Reports2045-23222025-05-0115111410.1038/s41598-025-01622-xMultinomial multilevel analysis of factors affecting the use of modern contraceptives in sub-Saharan Africa: evidence from 2015 to 2023 Demographic Health SurveyKaleb Assegid Demissie0Melak Jejaw1Getachew Teshale2Misganaw Guadie Tiruneh3Tesfahun Zemene Tafere4Asebe Hagos5Department of Health Systems and Policy, Institute of Public Health, College of Medicine and Health Sciences, University of GondarDepartment of Health Systems and Policy, Institute of Public Health, College of Medicine and Health Sciences, University of GondarDepartment of Health Systems and Policy, Institute of Public Health, College of Medicine and Health Sciences, University of GondarDepartment of Health Systems and Policy, Institute of Public Health, College of Medicine and Health Sciences, University of GondarDepartment of Health Systems and Policy, Institute of Public Health, College of Medicine and Health Sciences, University of GondarDepartment of Health Systems and Policy, Institute of Public Health, College of Medicine and Health Sciences, University of GondarAbstract The use of modern contraceptives both, short-acting and long-acting in most African countries has been low. This study aimed to determine factors affecting the use of modern contraceptive methods among women of reproductive age in 23 sub-Saharan Africa countries. The most recent 2015–2023 DHS data set of 23 SSA countries was used. A total of 230,387 women who completed the survey were included in the study. In the multivariable analysis variables with p-value less than ≤ 0.05 were considered to be factors associated with the use of both short-acting and long-acting modern contraceptive methods. The overall prevalence of use of both short-acting and long-acting contraceptive methods was 28.4%. The prevalence of short-acting contraceptive use was 18.7% and prevalence of use of long-acting contraceptive method was 9.6%. from individual level variables; parity, maternal educational status, partners educational status, maternal age, media exposure, wealth index, work status, age at first cohabitation, and head of household head were factors associated with both short-acting and long-acting contraceptive method. And from community level variables community level media exposure and country of region were associated with use of both short-acting and long-acting contraceptive methods. While current breast-feeding status, community level education and community level wealth status were associated with only the use of long-acting contraceptive methods. Therefore, reproductive health and family planning initiatives in SSA should target high risk groups in order to increase utilization of modern contraceptive methods.https://doi.org/10.1038/s41598-025-01622-xModern contraceptiveSSAMultinomialMultilevelDHS |
| spellingShingle | Kaleb Assegid Demissie Melak Jejaw Getachew Teshale Misganaw Guadie Tiruneh Tesfahun Zemene Tafere Asebe Hagos Multinomial multilevel analysis of factors affecting the use of modern contraceptives in sub-Saharan Africa: evidence from 2015 to 2023 Demographic Health Survey Scientific Reports Modern contraceptive SSA Multinomial Multilevel DHS |
| title | Multinomial multilevel analysis of factors affecting the use of modern contraceptives in sub-Saharan Africa: evidence from 2015 to 2023 Demographic Health Survey |
| title_full | Multinomial multilevel analysis of factors affecting the use of modern contraceptives in sub-Saharan Africa: evidence from 2015 to 2023 Demographic Health Survey |
| title_fullStr | Multinomial multilevel analysis of factors affecting the use of modern contraceptives in sub-Saharan Africa: evidence from 2015 to 2023 Demographic Health Survey |
| title_full_unstemmed | Multinomial multilevel analysis of factors affecting the use of modern contraceptives in sub-Saharan Africa: evidence from 2015 to 2023 Demographic Health Survey |
| title_short | Multinomial multilevel analysis of factors affecting the use of modern contraceptives in sub-Saharan Africa: evidence from 2015 to 2023 Demographic Health Survey |
| title_sort | multinomial multilevel analysis of factors affecting the use of modern contraceptives in sub saharan africa evidence from 2015 to 2023 demographic health survey |
| topic | Modern contraceptive SSA Multinomial Multilevel DHS |
| url | https://doi.org/10.1038/s41598-025-01622-x |
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