Factors Associated with the Non-Use of Modern Contraception in the Djougou-Copargo-Ouaké Health Zone in 2024

Abstract

Introduction: Family planning remains under-utilized in sub-Saharan Africa, despite its contribution to reducing maternal and infant mortality. This study aimed to identify the factors explaining the low use of modern contraceptive methods in the Djougou-Copargo-Ouaké health zone. Materials and methods: A descriptive and analytical cross-sectional study was conducted from June 17 to 21, 2024, in the Djougou-Copargo-Ouaké health zone. Data were collected prospectively from women aged 15–49 years who had been living in the area for at least six months. A proportional stratified random sampling method was used to select participants, and a structured questionnaire was administered in face-to-face interviews by trained community health workers. Data were analyzed using descriptive statistics and multivariate logistic regression to identify factors associated with the non-use of modern contraceptive methods. Results: The prevalence of modern contraceptive use was 12.01%. Several factors were associated with low use of modern contraceptive methods: desire to have children (OR = 0.039; p = 0.001), low level of knowledge about contraceptive methods (OR = 1.88; p = 0.048), lack of awareness of their benefits (OR = 25.93; p = 0.001), and no experience of unwanted pregnancy (OR = 2.07; p = 0.039). Conclusion: These findings highlight the need to raise awareness of modern contraception and to promote the enrolment and retention of young girls in the education system, in order to improve their access to contraceptive methods and strengthen family planning outcomes.