Socioeconomic Position in Modern Contraceptive Uptake and Fertility Rate among Women of Childbearing Age in 37 Sub-Saharan Countries

Abstract

Women’s socioeconomic position has a significant effect on health services use. With the nature of the socioeconomic empowerment process in relation to improvements in sexual and reproductive health, population-based contraceptive use is key to determining the growth in the human development index of every country. We looked into the effects of women’s socioeconomic position on modern approaches to birth control in sub-Saharan African (SSA) women of childbearing age. A sample of 496,082 respondents was analyzed from 2006–2021 Demographic and Health Surveys data. From the analysis, Southern SSA (46.0%), Eastern SSA (27.0%), Central SSA (16.0%), and Western SSA (15.0%) have decreasing prevalence of any modern methods of contraceptive uptake among all women. Similarly, Southern SSA (57.0%), Eastern SSA (37.0%), Western SSA (16.0%), and Central SSA (14.0%) have decreasing prevalence of married women currently using any modern methods of contraception. Furthermore, Southern SSA (76.0%), Eastern SSA (56.0%), Western SSA (36.0%), and Central SSA (26.0%) have decreasing prevalence of demand for family planning satisfied by modern contraceptives. While Southern SSA reported a total fertility rate of 3.0%, other sub-regions have a pooled rate of 5.0%. Our results indicated that increasing women’s socioeconomic position can increase contraceptive use and, thus, maternal healthcare service utilization.