Progress in reducing socioeconomic inequalities in the use of modern contraceptives in 48 focus countries as part of the FP2030 initiative between 1990 and 2020: a population-based analysis
2025

Reducing Inequalities in Contraceptive Use in 48 Countries

Sample size: 48 publication 10 minutes Evidence: high

Author Information

Author(s): Cardona Carolina, Rusatira Jean Christophe, Salmeron Carolina, Martinez-Baack Michelle, Rimon Jose, Anglewicz Philip, Ahmed Saifuddin

Primary Institution: Johns Hopkins University

Hypothesis

This study aimed to measure progress in reducing socioeconomic inequalities in modern contraceptive prevalence and demand satisfaction in 48 countries from 1990 to 2020.

Conclusion

The study found that all countries reduced socioeconomic-related inequalities in modern contraceptive use among women of reproductive age over the past 30 years.

Supporting Evidence

  • All countries reduced socioeconomic-related inequalities in modern contraceptive use among in-union women of reproductive age during the observed period.
  • On average, modern contraceptive prevalence rate increased at an annual rate of 2.1%.
  • The poorest women experienced a higher rate of increase in contraceptive use compared to the richest women.

Takeaway

This study shows that poorer women are using modern contraceptives more than before, helping to close the gap with richer women.

Methodology

The study analyzed two rounds of Demographic and Health Survey data per country and used Poisson regression models to measure changes in contraceptive use across wealth quintiles.

Potential Biases

The study may not account for all factors influencing contraceptive use, as it relies on survey data that may have inherent biases.

Limitations

The analysis was limited to women who are married or in-union, and the use of household-level wealth as a proxy for individual income may not accurately reflect women's economic status.

Participant Demographics

The study focused on in-union women of reproductive age (15-49 years) across 48 countries.

Statistical Information

P-Value

p<0.05

Confidence Interval

95% CI 2.1–2.2

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1016/S2214-109X(24)00424-8

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