Evidence map›Paper›PMID 40390684›Full record

ArticleInternational health2026

Understanding contraception-use intentions among women of reproductive age not currently using contraceptives in sub-Saharan Africa: key insights from Demographic and Health Surveys.

Alex Bawuah, Jacob Oppong Nkansah, Godness Biney, Edward Kwabena Ameyaw, Sanni Yaya

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Article in International health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

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3citing papers in PubMed
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1 · What the graph read from it

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

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3 · Its place in the literature

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3 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Alex BawuahHealth Economics Research Unit, Aberystwyth Business School, Aberystwyth University, Postcode SY23 3DY, Aberystwyth, Wales, UK.ORCID 0000-0003-4603-5789
Jacob Oppong NkansahSchool of Graduate Studies, Lingnan University, 8 Castle Peak Road, Tuen Mun, Hong Kong, Hong Kong, SAR.
Godness BineyDepartment of Biostatistics and Epidemiology, School of Public Health and Health Sciences, University of Massachusetts Amherst, Arnold House, 715 North Pleasant Street, Amherst, MA 01003, USA.
Edward Kwabena AmeyawInstitute of Policy Studies and School of Graduate Studies, Lingnan University, 8 Castle Peak Road, Tuen Mun, Hong Kong, Hong Kong, SAR.
Sanni YayaThe George Institute for Global Health, Imperial College London, London, UK.ORCID 0000-0002-6003-139X

Funding

DHSMEASURE
6 · The paper itself

Abstract

backgroundThis study assesses the prevalence of contraception-use intentions and evaluates the associated factors among non-users in sub-Saharan Africa (SSA).

methodsData from 2014-2023 Demographic and Health Surveys of 30 countries in SSA consisting of 332 986 women aged 15-49 y not already using contraception were used.

resultsThe overall prevalence was 41.18% (95% CI 41.01 to 41.34%). Zimbabwe had the highest prevalence (72.34%; 95% CI 71.11 to 73.57%), whereas Ethiopia had the lowest (15.96%; 95% CI 15.40 to 16.51%). Women aged 25-49 y had lower odds of intending to use contraception compared with those aged 15-19 y, and this was striking among those aged 45-49 y (adjusted OR [AOR]=0.06, 95% CI 0.06 to 0.07). Those with a higher level of education displayed a greater likelihood of intending to use contraception (AOR=1.93, 95% CI 1.82 to 2.05) compared with those with no education. The odds increased with the number of children born, particularly for those with ≥4 children (AOR=1.59, 95% CI 1.52 to 1.67) compared with those with no children.

conclusionsPromoting the use of contraception requires tailored, multi-pronged interventions that account for the diverse sociodemographic, fertility and informational needs of women in this population.

Indexed as

ContraceptionContraception BehaviorHealth Knowledge, Attitudes, PracticeIntentionAdolescentAdultAfrica South of the SaharaEducational StatusFamily Planning ServicesFemaleHealth SurveysHumansMiddle AgedPrevalenceSocioeconomic FactorsYoung Adultcontraceptive usefamily planningglobal healthreproductive healthsub-Saharan Africawomen's health

Identifiers

PMID40390684
PMCPMC12766447

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.