Factors influencing modern contraceptive use in Kinshasa, Democratic Republic of Congo.

Abstract

Family planning allows individuals and couples to schedule and regulate births at the appropriate time and number. Women who carry unplanned pregnancies are susceptible to postnatal complications, which directly impact their well-being, making them a burden to society. There are 27600 adolescent abortions in the Democratic Republic of the Congo (DRC), accounting for about 19 percent of abortion cases in Kinshasa in 2021 while the reproduction rate remains one of the highest in the world at 5.7 and a low contraceptive prevalence across all methods (28%) in 2022. This study aims to determine the factors that influence modern contraceptive use among women in Kinshasa city in the Democratic Republic of Congo by using data from the PMA 2020 cross-sectional survey to assess the association between predictors and modern contraceptive use through logistic regression analysis (OR and 95% CI). Findings show that older women are more likely to use modern contraceptive than younger (15-22) and their sensitivity diminishes as they age. This likelihood is also high when women do not discuss this topic with their partner. As household size increases, women's use of modern contraceptives is positively affected (OR: 4.993). The same is true for women who have given birth at least compared to those who have never given birth (OR: 2.313). Wanting fewer children makes her more likely to use these contraceptives than when she wants more (OR: 1.244). Male condoms, emergency contraceptives and pills were used more by women aged 15-31 while the most common contraceptive method used only by older women is female sterilization. In a country with rapid population growth such as the DRC, the strategy should focus on raising awareness among young women through school programs, health facilities, community outreach, and other means to achieve optimal use of modern contraceptives based on commonly used methods and involving adult men and women.

Competing Interest Statement

The authors have declared no competing interest.

Clinical Trial

No need clinical trial

Funding Statement

I hereby certify that this publication is fully supported by Professor Whiejong Han in his capacity as senior adviser. He participated in the design of the study and the decision to publish.

Author Declarations

I confirm all relevant ethical guidelines have been followed, and any necessary IRB and/or ethics committee approvals have been obtained.

Yes

The details of the IRB/oversight body that provided approval or exemption for the research described are given below:

The investigation was endorsed by the national ethics committee in the Democratic Republic of Congo, which does not yet have a local IRB certification system.

I confirm that all necessary patient/participant consent has been obtained and the appropriate institutional forms have been archived, and that any patient/participant/sample identifiers included were not known to anyone (e.g., hospital staff, patients or participants themselves) outside the research group so cannot be used to identify individuals.

Yes

I understand that all clinical trials and any other prospective interventional studies must be registered with an ICMJE-approved registry, such as ClinicalTrials.gov. I confirm that any such study reported in the manuscript has been registered and the trial registration ID is provided (note: if posting a prospective study registered retrospectively, please provide a statement in the trial ID field explaining why the study was not registered in advance).

Yes

I have followed all appropriate research reporting guidelines and uploaded the relevant EQUATOR Network research reporting checklist(s) and other pertinent material as supplementary files, if applicable.

Yes

Data Availability

The data used in this research are those of PMA (Programme monitoring for action) after a proper data request procedure. Below is the link that allowed us to download the database in excel format. https://datalab.pmadata.org/dataset/doi%3A1034976x3bk-0w75 https://datalab.pmadata.org/dashboard

https://datalab.pmadata.org/dashboard

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