ArticleBMC health services research2023
Socio-economic and education related inequities in use of modern contraceptive in seven sub-regions in Uganda.
Article in BMC health services research, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.
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Who cites it
20 citing papers in PubMed.
- Unmet Need for Family Planning Among Married Women in Bangladesh: A Decade of Progress and Persisting Disparities.The International journal of health planning and management · 2026Article
- Inequities in contraceptive use among adults in Lebanon: a national study.Journal of global health · 2026Article
- Trends and determinants of utilization of traditional contraceptive methods among women of reproductive age (WRA) (15-49 years) in Uganda.Contraception and reproductive medicine · 2026Article
- Understanding Risk Factors for Unmet Contraceptive Needs Among Married and Cohabiting Women in Sub-Saharan Africa: Evidence from 22 Countries.Rwanda journal of medicine and health sciences · 2026Article
- Wealth-related inequalities in HIV testing and counselling during antenatal care among reproductive age women in Ethiopia: a decomposition analysis.BMJ public health · 2026Article
- Inequalities in the health care system utilization for intrauterine device insertion.Revista latino-americana de enfermagem · 2026Article
- Modern Contraceptive Use Among Young Women in Kampala Slums: Research Findings from the TOPOWA Study.International journal of environmental research and public health · 2025Article
- The effect of a sexual and reproductive health programme on socio-economic and education-related inequities in the use of modern contraceptives in seven sub-regions in Uganda: a case of RISE programme 2019-2023.BMC health services research · 2025Article
- Sociodemographic factors associated with modern contraceptive use in Japan: an analysis of national survey data.Contraception and reproductive medicine · 2025Article
- Using causal loop diagrams to examine the interrelationships between factors influencing family planning utilisation in urban east central Uganda.BMJ global health · 2025Article
- Uptake and correlates of modern contraceptive use among women aged 15-49 years in Botswana; evidence from the Botswana demographic survey 2017.Contraception and reproductive medicine · 2025Article
- Inequalities in contraceptive prevalence among married women of reproductive age in Sierra Leone, 2008-2019.Archives of public health = Archives belges de sante publique · 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
- Access to and uptake of contraceptives among pregnant women with disabilities in the Central Ethiopia Regional State, Ethiopia: community-based cross-sectional study.Contraception and reproductive medicine · 2025Article
- Determinants of family planning services uptake among women within the reproductive age in the Yendi municipality in Northern Ghana.BMC public health · 2025Article
- Medicinal plant species used for contraception and reproductive health care in rural Uganda.Heliyon · 2025Article
- The intervening role of community-based health education in reducing unmet family planning needs among women of reproductive age 15 and 49 years in Siaya County, Kenya.The Pan African medical journal · 2025Article
- Inequality in modern contraceptive use and unmet need for contraception among women of reproductive age in Zambia. A trend and decomposition analysis 2007-2018.Reproductive health · 2024Article
- Prevalence, distribution and factors associated with modern contraceptive use among women of reproductive age in Uganda: evidence from UDHS 2016.Contraception and reproductive medicine · 2024Article
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Abstract
backgroundAdvocacy for equity in health service utilization and access, including Family Planning (FP) continues to be a cornerstone in increasing universal health coverage. Inequities in Family planning are highlighted by the differences in reproductive health outcomes or in the distribution of resources among different population groups. In this study we examine inequities in use of modern contraceptives with respect to Socio-economic and Education dimensions in seven sub-regions in Uganda.
methodsThe data were obtained from a baseline cross-sectional study in seven statistical regions where a program entitled "Reducing High Fertility Rates and Improving Sexual Reproductive Health Outcomes in Uganda, (RISE)" is implemented in Uganda. There was a total of 3,607 respondents, half of whom were women of reproductive age (15-49 years) and the other half men (18-54 years). Equity in family planning utilization was assessed by geography, wealth/economic and social-demographics. The use of modern family planning was measured as; using or not using modern FP. Concentration indices were used to measure the degree of Inequality in the use of modern contraceptives. Prevalence Ratios to compare use of modern FP were computed using modified Poisson regression run in STATA V15.
resultsThree-quarters (75.6%) of the participants in rural areas were married compared to only 63% in the urban. Overall use of modern contraceptives was 34.2% [CI:30.9, 37.6], without significant variation by rural/urban settings. Women in the higher socio-economic status (SES) were more advantaged in use of modern contraceptives compared to lower SES women. The overall Erreygers Concentration Index, as a measure of inequity, was 0.172, p<0.001. Overall, inequity in use of modern contraceptives by education was highest in favor of women with higher education (ECI=0.146, p=0.0001), and the concentration of use of modern contraceptives in women with higher education was significant in the rural but not urban areas
conclusionInequities in the use of modern contraceptives still exist in favor of women with more education or higher socio-economic status, mainly in the rural settings. Focused programmatic interventions in rural settings should be delivered if universal Family Planning uptake is to be improved.
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