Introduction: Contraception is one of the interventions to reduce unwanted pregnancies, complications related to related abortions, and sometimes maternal deaths. However, in the town of Mwene-Ditu, the use of modern contraceptive methods remains low. Based on this, this study wanted to identify the determinants associated with low use and identify the most used contraceptive method. Methods: A cross-sectional analytical study was conducted in the City of Mwene-Ditu from March to July 2021. The data was collected using a pre-established questionnaire and analyzed using EpiinfoTM. The chi-square test of independence and Fisher’s exact were used to study the associations between the dependent variable and the independent variables. Logistic regression was used on significant variables. The p-value was significant when it was less than 0.05. Results: The women of childbearing age surveyed numbered 422. About 52.6% of them used contraceptive methods. The condom was the most used contraceptive method (71%). After logistic regression, the low use of contraceptive methods was determined by the low level of education (primary and secondary) (p = 0.00); women’s religion, postolo, Jehovah’s Witnesses and other religious beliefs (p = 0.01); ignorance of modern contraceptives (p = 0.00), non-use of health services (p = 0.02) and unfavorable attitude towards modern contraceptives (p = 0.02). Conclusion: The education of women of childbearing age and the intensification of sensitization on contraception by health workers remain crucial axes to increasing the use of contraceptive methods in this town.
Cite this paper
Kazadi, K. T. , Beya, T. B. , Masengu, I. A. , Ilunga, T. D. and Luboya, K. J. (2022). Determinants of Low Use of Contraceptive Methods by Women of Childbearing Age in Mwene Ditu Town, DRC: A Cross-Sectional Study. Open Access Library Journal, 9, e9165. doi: http://dx.doi.org/10.4236/oalib.1109165.
Lince-Deroche, N., Kayembe, P., Nakeisha, B., Williams, P., London, S., Mabika, C., Philbin, J. and Bankole, A. (2019) Unplanned Pregnancy and Abortion in Kinshasa (Democratic Republic of Congo): Challenges and Progress. Guttmacher Institute, New York. https://doi.org/10.1363/2019.30887
Ministère du Plan (2014) Deuxième enquête démographique et de santé en RDC (EDS-RDC II), Kinshasa.
https://reliefweb.int/sites/reliefweb.int/files/resources/FR300_0.pdf
Kwete, D., Binanga, A., Mukaba, T., Nemuandjare, T., Mbadu, M., Kyungu, M., et al. (2018) La planification familiale en République Démocratique du Congo: Un dynamisme encourageant, des défis impressionnants. GHSP Journal, 1, 2-17.
Matungulu, M., Ilunga, K., Ntambue, M., Musau, N., Ilunga, M., Katanga, M., et al. (2015) Determinants of the Use of Contraceptive Methods in the Mumbunda Health Zone in Lubumbashi, Democratic Republic of Congo. The Pan African Medical Journal, 22, Article No. 392.
Mukengeshayi, N.A., Ngalula, T.R., Kaj, M.F., Mpoyi, I.T., Mulumba, K.J., Tshimankinda, K.S., et al. (2017) Use of Modern Contraceptive Methods in the Democratic Republic of the Congo: Prevalence and Barriers in the Health Zone of Dibindi in Mbuji-Mayi. The Pan African Medical Journal, 26, Article No. 199.
WHO (2018) Preventing Teenage Pregnancies and Their Reproductive Health Consequences among Adolescents in Developing Countries: The Facts. WHO, Geneva, 8 p. https://apps.who.int/iris/handle/10665/75466
Janevic, T., Pallas, W.S., Ismayilova, L. and Bradley, H.E. (2012) Individual and Community Level Socioeconomic Inequalities in Contraceptive Use in 10 Newly Independent States: A Multilevel Cross-Sectional Analysis. International Journal for Equity in Health, 11, 61-69. https://doi.org/10.1186/1475-9276-11-69
Hartnett, C.S., Lindley, L.L. and Walsemann, K.M. (2017) Congruence across Sexual Orientation Dimensions and Risk for Unintended Pregnancy among Adult US Women. Women’s Health Issues, 27, 145-151.e2.
https://doi.org/10.1016/j.whi.2016.10.010
Brunie, A., Tolley, E.E., Ngabo, F., Wesson, J. and Chen, M. (2013) Getting to 70 %: Barriers to Modern Contraceptive Use for Women in Rwanda. International Journal of Gynaecology and Obstetrics, 123, e11-e15.
https://doi.org/10.1016/j.ijgo.2013.07.005
Belda, S.S., Haile, M.T., Melku, A.T. and Tololu, A.K. (2017) Modern Contraceptive Utilization and Associated Factors among Married Pastoralist Women in Bale Eco-Region, Bale Zone, South East Ethiopia. BMC Health Services Research, 17, Article No. 194. https://doi.org/10.1186/s12913-017-2115-5
Eshete, A. (2015) Contraceptive Method Mix Utilization and Its Associated Factors among Married Women in Gedeo Zone, Southern Nations, Nationality and People Region-Ethiopia: A Community Based Cross Sectional Study. Epidemiology (Sunnyvale), 5, Article No. 212.
Hailu, D., Gultie, T. and Workineh, Y. (2014) Barriers to Adherence of Optimal Birth Spacing: A Qualitative Study among Mothers and Their Husbands in Arba Minch Zuria District, Ethiopia. American Journal of Health Research, 2, 188-195.
http://article.ajohr.org/pdf/10.11648.j.ajhr.20140204.24.pdf
https://doi.org/10.11648/j.ajhr.20140204.24
Bakyono, R., Tapsoba, L.D.G., Lépine, A., Berthé, A., Ilboudo, P.G., Diallo, C.O., Méda, N. and D’Exelle, B. (2020) Contraceptive Use by Married Women or Concubines Living in Rural Areas in Burkina Faso: A Qualitative Study of Free Voucher Use. The Pan African Medical Journal, 18, 37-72.
https://doi.org/10.11604/pamj.2020.37.72.23786
Mbou Essie, D.E., Kifoueni, G., Niama, A.C., Ndinga, H., Ibara, N. and Ibara, J.-R. (2020) Contraception Moderne: Connaissances et Attitudes des Accouchées du District Sanitaire de Talangaï. Health Sciences and Disease, 21, 100-105.
http://hsd-fmsb.org/index.php/hsd/article/view/1958
Mulongo, M.P., Kingombe, C.Z., Mututa, P.M. and Bisangamo, C.K. (2016) Déterminants de l’utilisation des contraceptifs par les femmes à l’Hôpital Général de Référence de Bagira, en République Démocratique du Congo. International Journal of Innovation and Applied Studies, 16, 63-71.
Bhutta, Z.A., Das, J.K., Bahl, R., Lawn, J.E., Salam, R.A., Paul, V.K., Sankar, M.J., Blencowe, H., Rizvi, A., Chou, V.B., Walker, N., Lancet Newborn Interventions Review Group and Lancet Every Newborn Study Group (2014) Can Available Interventions End Preventable Deaths in Mothers, Newborn Babies, and Stillbirths, and at What Cost? The Lancet (London, England), 384, 347-370.
https://doi.org/10.1016/S0140-6736(14)60792-3
Leye, M.M.M. (2015) Facteurs associés à l’utilisation de la contraception moderne au niveau de la commune d’Aïoun en Mauritanie. Revue Africaine et Malgache de Recherche Scientifique/Sciences de la Santé, 3.
https://publication.lecames.org/index.php/sante/article/view/64/284
Martin, V., Msuya, S., Kapologwe, N., Damian, D., John, B. and Mahande, M. (2019) Prevalence and Determinants of Modern Contraceptive Methods Use among Women of Reproductive Age (15-49 Years) in Rural Setting: A Case of Kishapu District, Shinyanga Region. Advances in Sexual Medicine, 9, 53-66.
https://doi.org/10.4236/asm.2019.94005
Esme, M.L.E., Konan, L.L., Iba, B., Latte, C.K., Dossevi-Diaby, K., Gbane, M., Ake, D.M., et al. (2019) Profil des femmes ayant des besoins non satisfaits en planification familiale en Cote d’Ivoire. African Population Studies, 33, 4598-4610.
https://doi.org/10.11564/33-1-1335