Modern contraceptive Use and its associated factors among married women in Senegal: Based on the recent National Demographic and Health Survey Data

ObjectiveThis study aimed to assess the prevalence and associated factors of modern contraceptive use among married women in Senegal. MethodThe most recent Demographic and Health Survey (DHS), which was conducted in 2019 in Senegal was used. For this study 5,659 women were included. Multivariable binary Logistic regression analysis was used to identify factors associated with womens contraceptive use. ResultAccording to the study, 25.5% (95%CI (24.4, 26.7)) of married women in Senegal uses modern contraceptive methods. Being currently working (AOR=1.27, 95% CI (1.11, 1.46)), husband educational level (primary educational level (AOR=1.32, 95% CI (1.07,1.61), higher educational levels (AOR= 1.83, 95% CI (1.32, 2.54)), wealth index (middle (AOR=1.37,95% CI (1.15,1.63) and rich (AOR=1.34,95% CI (1.11,1.62)), exposure to family planning messages (AOR=1.29,95% CI (1.13,1.48)), having ANC visits(AOR=2.01, 95% CI(1.13,3.57)) and not wanting a child (AOR=2.35, 95%CI (1.90,2.95)) were positively and significantly with womens contraceptives use. On the other hand, number of children (having no child (AOR=0.03, 95% CI (0.01,0.06)), 1-2 children (AOR=0.47,95% CI(0.38,0.59) and 3-4 children (AOR=0.79, 95% CI(0.67,0.96)), women who thought [≥]5 children are ideal (AOR=0.73,95% CI(0.61,0.88)), and had a desire for more children after 2 years (AOR=2.19, 95% CI(1.82,2.64) were negatively and significantly with womens contraceptives use. Conclusioncontraceptive utilization was low among married women in Senegal. Womens contraceptive use was affected by family planning messages exposure, sociodemographic, and obstetric factors. Thus, a tailored behavior change intervention is required to increase contraceptive utilization among married women in Senegal. O_TEXTBOXStrengths and limitations of this studyO_LIThe inclusion of nationally representative data and a large sample size, which strengthened the generalizability of the findings, was the studys key strength. C_LIO_LISample weighing was employed to compensate unequal sample allocations and non-responses. C_LIO_LIIt may not be possible to establish causal links due to the cross-sectional nature of the data. C_LIO_LIIts possible that crucial factors that influence womens use of modern contraceptives might be neglected because the study relied on secondary data. C_LI C_TEXTBOX