Assessment of intention to use modern contraceptives among women of reproductive age in Benin: evidence from a national population-based survey.

ABSTRACT

BACKGROUND: Women's intentions to use any contraceptive method are critical for better understanding their future needs and making them more likely to act on that intention. This study assessed the factors associated with the intention to use modern contraceptives among women of reproductive age in Benin. METHODS: This was a cross-sectional study that used the 2017-2018 Benin Demographic and Health Survey (BDHS). The study analyzed a weighted sample of 13, 582 women of reproductive age who were non-users of contraceptives. The intention to use contraceptives was the outcome variable. Multivariate logistic regression analysis was conducted to determine the factors associated with the intention to use contraceptives among women of reproductive age. The results were estimated using an adjusted odds ratios (aOR) with a 95% confidence interval (CI) and statistical significance set at p < 0.05. RESULTS: Approximately 35.0% of the women had the intention to use modern contraception. We found that women aged between 30 and 34 (aOR = 0.70, 95%CI 0.57, 0.86), 35-39 (aOR = 0.52, 95%CI 0.42, 0.66), 40-44(aOR = 0.30, 95%CI 0.22, 0.39) and 45-49 (aOR = 0.10, 95%CI 0.07, 0.14), Muslim women (aOR = 0.68, 95%CI 0.53, 0.85) and those who perceived the distance to a health facility not to be a big problem (aOR = 0.75, 95%CI 0.67, 0.84) were less likely to have the intention to use modern contraceptives compared with their counterparts. On the other hand, women who attained primary (aOR = 1.21, 95%CI 1.07, 1.36), secondary (aOR = 1.39, 95%CI 1.21, 1.59), and higher education (aOR = 1.60, 95%CI 1.13, 2.26), women who were employed (aOR = 1.39, 95%CI 1.23, 1.57), women with no religion (aOR = 1.32, 95%CI 1.04, 1.69), women whose partners were working (aOR = 1.69, 95%CI 1.16, 2.44), women who heard about family planning in the media (aOR = 1.51, 95%CI 1.16, 2.44), and women in the poorer (aOR = 1.31, 95%CI 1.10, 1.54), middle (aOR = 1.42, 95%CI 1.20, 1.67]), richer (aOR = 1.23, 95%CI 1.03, 1.47), and richest households (aOR = 1.42, 95%CI 1.15, 1.75) were more likely to have the intention to use contraceptives than their counterparts. CONCLUSION: The study provides valuable insights into the intention to use contraceptives among women of reproductive age in Benin. The findings indicate that the proportion of women who have intention to use contraceptives remains low. The findings of this study could inform the development of targeted interventions and policies to increase access to and uptake of contraceptives in Benin, with the ultimate aim of improving the reproductive health and well-being of women and their families.