ArticlePloS one2020
Individual- and country-level correlates of female permanent contraception use in sub-Saharan Africa.
Article in PloS one, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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11 citing papers in PubMed, 15 citations in OpenAlex.
- Article
- 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 · 2025Article
- Ethnoracial and rural-urban differences in female sterilization in Bolivia, Colombia, Guatemala, and Peru.Frontiers in global women's health · 2025Article
- Willingness to use female permanent contraception among married women and male partners´ support in Benue, Nigeria.The Pan African medical journal · 2025Article
- Spousal age differences and women's contraceptive use in sub-Saharan Africa.Contraception and reproductive medicine · 2024Article
- Contraceptive Utilization and Its Associated Factors Among Married Women in West African Countries: A Population-Based Survey Using Multinomial Logistic Regression.Open access journal of contraception · 2024Article
- Social context of contraceptive use transition among sexually active women in Zambia (1992-2018): A decomposition analysis.PloS one · 2024Article
- Geospatial variations and determinants of contraceptive utilization among married reproductive age women in Ethiopia: spatial and multilevel analysis of Ethiopian Demographic and Health Survey, 2019.Frontiers in global women's health · 2023Article
- Associations between Contraceptive Decision-Making and Marital Contraceptive Communication and use in Rural Maharashtra, India.Studies in family planning · 2022Article
- Four in ten married women demands satisfied by modern contraceptives in high fertility sub-Saharan Africa countries: a multilevel analysis of demographic and health surveys.BMC public health · 2022Article
- Spatial variations in family planning demand to limit childbearing and the demand satisfied with modern methods in sub-Saharan Africa.Reproductive health · 2022Article
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Authors and funding
5 authors at 1 institution in 2 countries.
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No grant is acknowledged in the PubMed record.
Abstract
backgroundFemale permanent contraception is a cost-effective contraceptive method that can help clients with the desire to limit childbearing achieve their reproductive intention. However, despite its benefits, the use of FPC remains low in sub-Saharan Africa (SSA), and limited studies have examined the correlates of its uptake. In this study, we assessed the individual- and country-level factors associated with the use of FPC among married or in-union women using modern contraceptive methods to limit childbearing in SSA.
methodsThis study was a secondary data analysis of individual- and country-level data obtained from the Demographic and Health Surveys (DHS) Program and three open data repositories. The study included 29,777 married or in-union women aged 15-49 years using modern contraceptive methods to limit childbearing from DHS conducted in 33 sub-Sahara African countries between 2010 and 2018. We performed descriptive statistics and fitted multilevel logistic regression models to determine the predisposing, enabling, and need factors associated with the use of FPC.
resultsApproximately 13% of the women used FPC. About 20% of the variance in the odds of using FPC was attributable to between-country differences. In the full model, the significant individual-level factors associated with the use of FPC compared with other modern contraceptive methods were: age (odds ratio [OR] = 1.10; 95%CI = 1.08-1.12), living children (OR = 1.11, 95%CI = 1.04-1.16), high household wealth (OR = 1.39, 95%CI = 1.18-1.64), rural residence (OR = 0.83, 95% CI = 0.71-0.97), joint contraceptive decision with partner (OR = 1.68, 95% = 1.43-1.99), contraceptive decision by partner and others (OR = 2.46, 95% = 1.97-3.07), and the number of living children less than the ideal number of children (OR = 1.40, 95%CI = 1.21-1.62). The significantly associated country-level factors were births attended by skilled health providers (OR = 1.03, 95%CI = 1.00-1.05) and density of medical doctors (OR = 1.37, 95%CI = 1.01-1.85).
conclusionsOur results suggest that both individual- and country-level factors affect uptake of FPC in SSA. Increasing geographic, economic, and psychosocial access to FPC may improve its uptake in SSA.
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