ArticleBMJ open2020
Determinants of modern contraceptive use among married women of reproductive age: a cross-sectional study in rural Zambia.
Article in BMJ open, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 65 papers, 2 of them syntheses that pooled it.
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Who cites it
65 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- A Systematic Review and Meta-Analysis on Post-Abortion Contraceptive Utilization and Associated Factors in Ethiopia.Frontiers in public health · 2022Pooled it
- Pooled it
- Supervised machine learning-based prediction of modern contraceptive use among sexually active women in Nepal.PLOS digital health · 2026Article
- Modern contraception methods usage trend among Egyptian females and its determinant factors: results from five national surveys.BMC public health · 2026Article
- Decomposing wealth-based inequality in modern reversible contraceptive utilisation in India: evidence from national family health survey, 2019-21.BMC public health · 2026Article
- Uptake of family planning methods among adults presenting with genital ulcers at community posts and public outpatient health facilities in central Uganda.Contraception and reproductive medicine · 2026Article
- Use of modern contraceptive methods among women of childbearing age attending maternal and child health services in Abidjan and Agboville (Cote d'Ivoire).BMC public health · 2026Article
- Article
- Association between male absence and women's reproductive autonomy in sub-Saharan Africa: A cross-sectional analysis of Demographic and Health Survey Data.PLOS global public health · 2026Article
- Understanding contraceptive use in Pakistan: The role of individual and community contextual factors.PloS one · 2026Article
- Associations between water insecurity and reproductive health outcomes among adolescent girls and young women in Sub-Saharan Africa.PLOS global public health · 2026Article
- Social and socioeconomic determinants of health and contraceptive decision-making among women: a cross-sectional study from southeastern Iran.BMC public health · 2025Article
- Acceptability and utilization of modern contraceptives and associated factors among childbearing-aged women in Northern Ghana: a cross-sectional study.Contraception and reproductive medicine · 2025Article
- Modern contraceptive methods use behaviour among young married women in Urban Ethiopia: a multilevel mixed-effects binary logistic regression analysis.BMC public health · 2025Article
- Individual and community level factors influencing modern contraceptive use among women of reproductive age in South Africa: a multilevel analysis.Contraception and reproductive medicine · 2025Article
- Pooled prevalence of modern contraceptive utilization and its associated factors among reproductive age women in East Africa: derived from demographic and health surveys.Journal of health, population, and nutrition · 2025Article
- Determinants of Modern Contraception Use Among Ever-Married Women in Bangladesh: A Nationwide Cross-Sectional Study.Health science reports · 2025Article
- Spatial variations and determinants of modern contraceptive utilization among sexually active rural women in Ethiopia using mini EDHS 2019 data: spatial and multilevel analysis.BMC public health · 2025Article
- Article
- What drives inequality in modern family planning use among urban women residents? A cross-sectional analysis using the inequality of opportunity framework in Uganda's secondary cities.BMJ public health · 2025Article
5 more citing papers are in PubMed but not listed here.
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8 authors.
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No grant is acknowledged in the PubMed record.
Abstract
objectiveZambia is among the world's top 10 countries with higher fertility rate (5.5 births/woman); unmet family planning need for births spacing (14%) and limiting births (7%). Women in rural Zambia (24%) are reported to have unmet need for family planning than those in urban areas (17%). This study was conducted to ascertain factors associated with modern contraceptive use among rural Zambian women.
designCross-sectional study.
settingRural Zambia.
participantsSecondary data of 4903 married or cohabiting rural women (15-49 years) after filtering out the pregnant, urban based and unmarried women from 2013 to 2014 Zambian Demographic and Health Survey (ZDHS) were analysed using SPSS V.22. Multiple logistic regression, Pearson's χ
resultsFactors that were positively associated with contraceptive use were respondent's education (secondary adjusted ORs (AOR = 1.61, p≤0.002); higher (AOR = 2.39, p≤0.050)), wealth index (middle class, (AOR = 1.35, p≤0.005); rich (AOR = 2.04, p≤0.001) and richest (AOR = 1.95, p≤0.034)), high parity (1-2 (AOR = 5.31, p≤0.001); 3-4 (AOR = 7.06, p≤0.001); 5+ (AOR = 8.02, p≤0.001)), men older than women by <10 years (AOR = 1.50, p≤0.026) and women sensitised about family planning at health facility (AOR = 1.73, p≤0.001). However, old age (40-49 years (AOR = 0.49, p≤0.001)), other religions (Protestants, African traditionalists and Muslims) (AOR = 0.77, p≤0.007), ever had pregnancy miscarried, aborted or stillbirth (AOR = 0.78, p≤0.026) and women without knowledge of number of children husband desires (AOR = 0.71, p≤0.001) were negatively associated with contraceptive use.
conclusionModern contraceptive use in rural Zambia among currently married women of reproductive age group is relatively low (43%). We recommend that appropriate interventions are instituted to increase contraceptive access and use especially among uneducated older rural Zambian women.
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