DOI: 10.11648/j.cajph.20261205.14 ISSN: 2575-5781

Socio-demographic and Cultural Factors Associated with Decision of Married Women on Use Contraceptive Methods in the DRC

Kasangye Aurelie, Avevor Mawupemor, Mutangala Guy
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While the prevalence of using of modern contraceptive is 55% worldwide, the prevalence is barely 22% in Africa, and less than 10% in Central. In sub-Saharan Africa, the use of contraceptives is associated to a number of socio-demographic, economic and cultural factors which affect women’s decision regarding their use of contraceptives. This study aims to explore socio-demographics factors and cultural factors that influence decision of married women to use the different contraceptive methods in Lubumbashi. A descriptive cross-sectional survey was conducted from June to September 2025 in Lubumbashi in the Democratic Republic of Congo (DRC). We interviewed a stratified random sample of 423 of married women in Kassapa I and II health areas. The data were encoded and analyzed using Excel 2016 and SPSS version 23. Both bi-variable and multivariable multivariate logistic regressions were used to determine the associated socio demographics and cultural factors of decision of married women on use of contraceptive methods in sub-Saharan countries. This study reveals that 83% of respondents have decision on use of contraceptive methods; the majority of women, 70.23%, used natural methods, including the calendar. A significant association was found between religion, education level, the spouse attitude toward to the use of contraception and the decision on use of contraceptive methods. The main reason for not using contraceptive methods is the desire for motherhood (81.2% of respondents). Contraceptive use among couples remains much influenced by level of education, religion and the attitude of the spouse.

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