{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,22]],"date-time":"2026-09-22T18:49:49Z","timestamp":1790102989471,"version":"4.0.1"},"reference-count":38,"publisher":"BMJ","issue":"9","license":[{"start":{"date-parts":[[2026,9,8]],"date-time":"2026-09-08T00:00:00Z","timestamp":1788825600000},"content-version":"unspecified","delay-in-days":7,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Open"],"accepted":{"date-parts":[[2026,8,27]]},"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>We investigated the magnitude and correlates of modern contraceptive non-use among women of reproductive age (15\u201349 years) in Eswatini (formerly Swaziland).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Secondary analysis of a cross-sectional, nationally representative, population-based, household survey<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>Eswatini<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Participants<\/jats:title>\n                    <jats:p>Women of reproductive age in the Swaziland HIV Incidence Measurement Survey 3 2021 dataset<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Primary outcome measure<\/jats:title>\n                    <jats:p>The primary outcome was non-use of modern contraceptive methods.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Of 3080 reproductive age women whose data were analysed in this study, 53% were aged 20\u201334 years, and the majority were from rural areas (66.8%). The weighted prevalence of non-use of modern contraceptives was 33%. The risk of non-use of modern contraceptives was lower among women: aged 20\u201334 (adjusted risk ratio (ARR)=0.85, 95% CI 0.75 to 0.97); from households of middle wealth quintile (ARR=0.82, 95%\u2009CI 0.68 to 0.97); who had given birth at least once (ARR=0.84, 95%\u2009CI 0.73 to 0.96); who were living with HIV (ARR=0.79, 95%\u2009CI 0.70 to 0.89); and among those who reported being sexually active in the past 12 months (ARR=0.54, 95%\u2009CI 0.48 to 0.61). On the other hand, adolescent girls aged 15\u201319 years (ARR=1.31, 95%\u2009CI 1.04 to 1.67) and women who lived in the Manzini (ARR=1.21, 95%\u2009CI 1.01 to 1.46) and Shiselweni regions (ARR=1.21, 95%\u2009CI 1.00 to 1.45) had a higher risk of not using modern contraceptives.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Given that a third of women in Eswatini did not use modern contraceptive methods, there is a need to promote modern contraceptive methods in Eswatini, particularly long-acting methods. The Eswatini Sexual and Reproductive Health Program should strengthen initiatives aimed at promoting modern contraceptive use among adolescent girls and those living in the Manzini and Shiselweni regions, who showed a higher risk of not using modern contraceptives.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1136\/bmjopen-2026-118337","type":"journal-article","created":{"date-parts":[[2026,9,8]],"date-time":"2026-09-08T12:00:30Z","timestamp":1788868830000},"page":"e118337","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":1,"title":["Magnitude and correlates of modern contraceptive non-use among women of reproductive age in Eswatini: a secondary analysis of data from a population-based cross-sectional survey"],"prefix":"10.1136","volume":"16","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7460-4817","authenticated-orcid":false,"given":"Lindelwa Portia","family":"Dlamini","sequence":"first","affiliation":[{"name":"Department of Nursing Science, Southern Africa Nazarene University, Manzini, Eswatini"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3249-3626","authenticated-orcid":false,"given":"Nondumiso Satiso","family":"Dlamini","sequence":"additional","affiliation":[{"name":"Department of Emergency Medical Rescue, Emergency Medical Rescue College, Mbabane, Eswatini"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7358-1016","authenticated-orcid":false,"given":"Mduduzi Colani","family":"Shongwe","sequence":"additional","affiliation":[{"name":"Department of Midwifery Science, University of Eswatini, Mbabane, Eswatini"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2026,9,8]]},"reference":[{"key":"2026090805001521000_16.9.e118337.1","unstructured":"Contraception: evidence brief (World Health Organization). 2019."},{"key":"2026090805001521000_16.9.e118337.2","unstructured":"World Health Organization . Meeting to develop a global consensus on preconception care to reduce maternal and childhood mortality and morbidity: World Health Organization Headquarters, Geneva, 6\u20137 February 2012: meeting report. World Health Organization; 2013."},{"key":"2026090805001521000_16.9.e118337.3","doi-asserted-by":"crossref","first-page":"777","DOI":"10.1093\/humrep\/dey089","article-title":"Why after 50 years of effective contraception do we still have unintended pregnancy? 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World Health Organization, 2015."},{"key":"2026090805001521000_16.9.e118337.8","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(12)60609-6"},{"key":"2026090805001521000_16.9.e118337.9","doi-asserted-by":"crossref","first-page":"420","DOI":"10.1016\/j.contraception.2015.08.008","article-title":"A definition of modern contraceptive methods","volume":"92","author":"Hubacher","year":"2015","journal-title":"Contraception"},{"key":"2026090805001521000_16.9.e118337.10","unstructured":"Gribble JN . Unmet need for family planning. World population data sheet. 2012."},{"key":"2026090805001521000_16.9.e118337.11","doi-asserted-by":"crossref","first-page":"53","DOI":"10.2147\/OAJC.S252970","article-title":"Modern Contraceptive Method Utilization and Associated Factors Among Women of Reproductive Age in Gondar City, Northwest Ethiopia","volume":"11","author":"Oumer","year":"2020","journal-title":"Open Access J Contracept"},{"key":"2026090805001521000_16.9.e118337.12","doi-asserted-by":"crossref","DOI":"10.1186\/s12905-015-0208-z","article-title":"Predictors of modern contraceptive methods use among married women of reproductive age groups in Western Ethiopia: a community based cross-sectional study","volume":"15","author":"Tekelab","year":"2015","journal-title":"BMC Womens Health"},{"key":"2026090805001521000_16.9.e118337.13","doi-asserted-by":"crossref","first-page":"7","DOI":"10.1186\/s40834-018-0060-2","article-title":"Prevalence and factors influencing modern contraceptive use among HIV-positive women in Kilimanjaro region, northern Tanzania","volume":"3","author":"Damian","year":"2018","journal-title":"Contracept Reprod Med"},{"key":"2026090805001521000_16.9.e118337.14","unstructured":"Swaziland multiple indicator cluster survey 2014. 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