A Multilevel Analysis of Predictors of Modern Contraceptive Use among Reproductive Age Women in Sierra Leone: Insight from Demographic and Health Surveys.

Abstract

Background: Variations in the effect of predictors of Sierra Leone women’s use of modern contraceptive from one community to another is unknown. The identified gap was addressed using multilevel logistic regression models.Methods: Pooled 2008 and 2013 Sierra Leone Demographic and Health Surveys datasets were used. Single level logistic regression analyses were conducted on 24,032 women, and multilevel logistic regression models were performed on 23,329 women. Statistical significance was pegged at p≤0.01 and p≤0.05.Results: About 22.1% of the reproductive age women ever used a modern contraceptive. The best-fitted model indicated that the effects of individual, household, and geo-residential level factors on the use of modern contraceptives among Sierra Leone Women vary from one community to another. The woman’s age, marital status, educational qualification, listening to the radio, recent sexual activity, household wealth, place of residence, and region of residence were the statistically significant predictors of modern contraceptive use among reproductive-age Sierra Leone women.Conclusion: The study provided in-depth insight into the significant factors that account for the variability in women use of contraceptives in Sierra Leone. The study underscored the need for community-based intervention programs to address the low use of modern contraceptives among Sierra Leone women.

Predictors of modern contraceptive usage among sexually active rural women in Ethiopia: A multi-level analysis

“…This study revealed that an increasing educational level of respondents; whose husbands were more likely to use a modern contraceptive method. This result was consistent with previous studies [14,[21][22][23][24][25]. This could be explained by the fact that educated women have better access to health care information, have greater autonomy to make decisions, and have a greater ability to use quality health care services.…”

“…In the last full model with both individual and community-level factors accounted for, about 86.69% of the variation was observed for the use of modern contraceptive methods. It was in agreement with studies in Ethiopia [14,21], and Nigeria [22].…”

“…Women exposed to the media were more likely to use the modern method of contraception than women who were not exposed to the media. The finding is in line with [14,21,24,29,31]. This is because mass media exposure could be an important means of improving awareness and motivating women to practice some sort of modern contraceptives.…”

“…The independent was selected by reviews of previous literature [10][11][12][13][14][15][16][17][18][19][20][21]. The independent variables included in the study were the wealth index, educational level of the mother, educational level of husband, age of women, occupation of women, religion, age at first birth, contraceptive use, number of living children, birth in the last three years, marital status, occupation of husband, terminated pregnancy, the region they live in, and access to mass-media.…”

“…The variation in the determinants of modern contraceptive use might be due to heterogeneity in the enumeration area of the study. To address this, we proposed a multilevel logistic regression model for modern contraceptive use data [21,22]. Therefore, this study aimed to address individual and community-level predictors of modern contraceptive use among sexually active rural women in Ethiopia.…”