ArticleTherapeutic advances in reproductive health
Prevalence and determinants of current modern contraceptive use among married women aged 15-49 in Lesotho: analysis of 2023-2024 Lesotho Demographic and Health Survey.
Article in Therapeutic advances in reproductive health. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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1 citing paper in PubMed.
- Magnitude of short birth intervals and associated factors among reproductive-age women in sub-Saharan Africa: a multilevel modified Poisson regression analysis of recent DHS data (2021-2024).Contraception and reproductive medicine · 2026Article
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5 authors.
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Abstract
Background: Modern contraceptive use is vital for women's reproductive autonomy and maternal-child health, yet recent nationally representative studies on its determinants among married women in Lesotho are limited. Objective: This study addresses these gaps using the latest Lesotho Demographic and Health Survey to provide updated evidence on prevalence and determinants. Design: A cross-sectional study using nationally representative survey data. Methods: The 2023-2024 Lesotho Demographic and Health Survey data were used for analysis. A weighted sample of 3102 married women of reproductive age from 400 enumeration areas across 10 districts was included in the analysis. A multilevel mixed-effects binary logistic regression model was employed to identify individual- and community-level factors associated with modern contraceptive use. Significant factors were determined using odds ratios with 95% confidence intervals and a Results: Modern contraceptive use was reported by 65.6% of married women. Women aged 35-49 were less likely to use modern contraceptives than younger women (adjusted odds ratio (AOR) = 0.65, 95% CI: 0.43-0.98). Women with primary (AOR = 4.5, 95% CI: 1.9-10.4), secondary (AOR = 5.6, 95% CI: 2.4-13.1), or higher education (AOR = 6.1, 95% CI: 2.3-16.5), as well as those whose husbands had higher education (AOR = 1.8, 95% CI: 1.02-3.2), were more likely to use modern contraceptives. Employed women (AOR = 1.4, 95% CI: 1.07-1.5), joint decision-making with husbands (AOR = 1.45, 95% CI: 1.13-1.7), and knowledge of modern contraceptives (AOR = 1.8, 95% CI: 1.09-3.7) were also associated with higher use. Women with one to two living children (AOR = 9.7, 95% CI: 6.3-14.9) and those with three or more children (AOR = 16.4, 95% CI: 9.0-29.9) were more likely to use modern contraceptives. At the community level, women in all other districts had lower odds of use than those in Butha-Buthe. Conclusion: Current modern contraceptive use among married women was moderately high. Key predictors included women's and husbands' education, employment, parity, joint decision-making, and contraceptive knowledge, while older women and certain districts had lower odds. These findings highlight the need for targeted interventions to enhance education, economic empowerment, spousal communication, and equitable access.
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