ArticleContraception and reproductive medicine2024
Modern contraceptive utilization among women of reproductive age in Ghana: a multilevel mixed-effect logistic regression model.
Article in Contraception and reproductive medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed.
- Decomposing wealth-based inequality in modern reversible contraceptive utilisation in India: evidence from national family health survey, 2019-21.BMC public health · 2026Article
- Exploring the socioeconomic and education-based inequalities in modern and traditional contraceptive use among women in Africa.Contraception and reproductive medicine · 2026Article
- Magnitude of Modern Contraceptive Use and Its Determinants Among Sexually Active Adolescent Girls and Young Women in Selected High HIV Prevalence Southern African Countries: A Multilevel Mixed-Effect Analysis.Open access journal of contraception · 2026Article
- Bayesian Spatial Conditional Logistic Regression Modelling of Overweight/Obesity Prevalence and Determinants Among Women in Ghana, Accounting for Contraceptive Use.Global health, epidemiology and genomics · 2026Article
- Why are so many pregnancies still unintended in Ghana? A closer look at factors influencing reproductive autonomy.PLOS global public health · 2026Article
- Exploring service providers' perspectives on facilitators and barriers to contraceptive uptake among women: implications for policy reform in Ghana.Contraception and reproductive medicine · 2025Article
- Sexual activity and contraceptive use among adolescents: A descriptive survey in a Ghanaian municipality.PLOS global public health · 2025Article
- Utilization of modern contraceptive methods among women of reproductive age in Senegal: A multilevel mixed-effects analysis.PloS one · 2025Article
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Abstract
backgroundWorldwide, sexual and reproductive health remains a prominent public health concern for women of reproductive age. Modern contraceptive methods play a crucial role in enabling individuals and families to regulate fertility, thereby reducing unintended pregnancies, abortions, pregnancy-related complications, and mortality. Due to the scarcity of reliable and current data regarding the factors affecting the adoption of modern contraceptives among women of reproductive age at the national level in Ghana, this research aimed to explore the determinants of modern contraceptive usage among reproductive age women.
methodsThe study analyzed data from the 2022 Ghana Demographic and Health Survey, including a weighted sample of 6,839 reproductive-age women. By employing a multilevel logistic regression model, the study sought to determine factors associated with the utilization of modern contraceptives. Associations between explanatory variables and the outcome were evaluated using adjusted odds ratios (AORs) along with 95% confidence intervals (CIs). Statistical significance was established using a p-value threshold of less than 0.05. All statistical analyses were conducted using STATA version 17 software.
resultsThe study found that 26.36% (95% CI: 25.33-27.34%) of women of reproductive age in Ghana used modern contraceptives. Secondary education (AOR = 1.26, 95% CI = 1.03-1.53), poorer household (AOR = 1.30, 95% CI = 1.05-1.61), women's marital status, i.e. married (AOR = 1.46, 95% CI = 1.16-1.83), living with a partner (AOR = 1.65, 95% CI = 1.32-2.06), divorced (AOR = 2.53, 95% CI = 1.48-4.31), and separated (AOR = 1.70, 95% CI = 1.21-2.37), multipara (AOR = 1.39, 95% CI = 1.04-1.87), were the factors that promote modern contraceptive utilization. Women's age in years, i.e. 35-39 (AOR = 0.71, 95% CI = 0.52-0.97), 40-44 (AOR = 0.63, 95% CI = 0.44-0.90), and 45-49 (AOR = 0.45, 95% CI = 0.25-0.79), history of pregnancy loss (AOR = 0.86, 95% CI = 0.76-0.98), region, i.e. Greater Accra (95% CI = 0.42-0.92), Bono East (95% CI = 0.32-0.81), Northern (95% CI = 0.28-0.67), Savannah (95% CI = 0.28-0.81), and North East (95% CI = 0.20-0.63), were all associated with a lower use of modern contraceptives.
conclusionsModern contraceptive utilization was low in this study. Factors such as women's education, socioeconomic status, and marital status were associated with increased modern contraceptive utilization, whereas women's age and regional disparities were linked to lower usage rates. These findings emphasize the need for targeted interventions to address socioeconomic barriers and regional disparities in access to family planning services across Ghana.
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