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.
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...
| Publicado en: | Therapeutic Advances in Reproductive Health Vol. 19; pp. 1 - 17 |
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| Autores principales: | , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Sage Publications Inc.
10/23/2025
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=188945325&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 188945325 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 26334941 N9DZ jtl: Therapeutic Advances in Reproductive Health issn: 26334941 maglogo: N pubinfo: dt: 10/23/2025 vid: 19 pid: 344 pub: Sage Publications Inc. place: Thousand Oaks, California artinfo: ui: 188945325 188945325 188945325 10.1177/26334941251385304 188945325 ppf: 1 ppct: 16 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: 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. aug: au: Wondmeneh, Temesgen Gebeyehu Mare, Kusse Urmale Asebe, Hiwot Altaye Kase, Bizuneh Fantahun Shibeshi, Abdu Hailu affil: Conceptualization, Wondmeneh Department of Public Health, College of Medical and Health Science, Samara University, Semera 251, Ethiopia sug: subj: Married Women Psychosocial Factors Contraceptive Agents Therapeutic Use Family Planning Psychosocial Factors Social Determinants of Health Evaluation Reproductive Rights Evaluation Human Male Female Adolescence Adult Middle Age South Africa Prevalence Childbearing Age Survey Research Cross Sectional Studies Logistic Regression Odds Ratio Confidence Intervals Employment Status Decision Making Spouses Psychosocial Factors Educational Status Parity Health Knowledge Residence Characteristics Empowerment Age Factors Economic Status Secondary Analysis Media Exposure Contraceptive Agents, Male Therapeutic Use Culture Multivariate Analysis Health Status Disparities Correlation Coefficient Support, Social Health Education Communication Descriptive Statistics Data Analysis Software Adolescent: 13-18 years Adult: 19-44 years Middle Aged: 45-64 years Male Female ab: 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 p value of <0.05. 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. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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