{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,6]],"date-time":"2026-11-06T01:46:53Z","timestamp":1793929613318,"version":"4.8.0"},"reference-count":44,"publisher":"Public Library of Science (PLoS)","issue":"1","license":[{"start":{"date-parts":[[2024,1,19]],"date-time":"2024-01-19T00:00:00Z","timestamp":1705622400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["www.plosone.org"],"crossmark-restriction":false},"short-container-title":["PLoS ONE"],"abstract":"\nBackground<\/jats:title>\nThe use of modern contraceptives has been low in most Sub-Saharan African countries despite high population growth and a sluggish economy. This study aimed to identify the prevalence and determinants of modern contraceptive use among married reproductive-age women in East Africa.<\/jats:p>\n<\/jats:sec>\n\nMethods<\/jats:title>\nFor this study, the Demographic and health survey (DHS) data from nine countries in East Africa were analyzed, yielding a weighted sample of 32,925 married women. A multilevel mixed-effect logistic regression model was used to identify characteristics associated with the utilization of modern contraceptives at a p-value less than 0.05. For model comparison, we used the Akaike and Bayesian Information Criteria (AIC and BIC). For assessing variation (random effects), we used community-level variance with standard deviation and intra-cluster correlation coefficient (ICC).<\/jats:p>\n<\/jats:sec>\n\nResults<\/jats:title>\nThe overall prevalence of modern contraceptive use was 45.68%, 95% CI (45.15, 46.21). Women\u2019s age, maternal education level, husband education level, media exposure, wealth status, occupation, religion, the total number of children ever born, distance to health facilities, history of termination of pregnancy, couple\u2019s desire for children, women\u2019s participation in decision making, living country and place of residence were significantly associated with modern contraceptive use in Eastern Africa.<\/jats:p>\n<\/jats:sec>\n\nConclusions<\/jats:title>\nConferring to this study, utilization of modern contraceptives is low in East Africa. Interventions to improve the use of modern contraceptives should encompass disseminating awareness through mass media, enrolment of males in family planning, giving maternal education, building health facilities in remote areas, and encouraging family planning programs in rural areas.<\/jats:p>\n<\/jats:sec>","DOI":"10.1371\/journal.pone.0297018","type":"journal-article","created":{"date-parts":[[2024,1,19]],"date-time":"2024-01-19T18:57:53Z","timestamp":1705690673000},"page":"e0297018","update-policy":"https:\/\/doi.org\/10.1371\/journal.pone.corrections_policy","source":"Crossref","is-referenced-by-count":20,"title":["Modern contraceptive utilization and its associated factors in East Africa: Findings from multi-country demographic and health surveys"],"prefix":"10.1371","volume":"19","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3542-3746","authenticated-orcid":true,"given":"Henok","family":"Demeke","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1997-1272","authenticated-orcid":true,"given":"Nanati","family":"Legese","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shambel","family":"Nigussie","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"340","published-online":{"date-parts":[[2024,1,19]]},"reference":[{"issue":"9549","key":"pone.0297018.ref001","doi-asserted-by":"crossref","first-page":"1810","DOI":"10.1016\/S0140-6736(06)69480-4","article-title":"Family planning: the unfinished agenda","volume":"368","author":"J. 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Kamal","year":"2010","journal-title":"Asia Pac J Public Health"}],"container-title":["PLOS ONE"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/dx.plos.org\/10.1371\/journal.pone.0297018","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,1,19]],"date-time":"2024-01-19T18:58:08Z","timestamp":1705690688000},"score":1,"resource":{"primary":{"URL":"https:\/\/dx.plos.org\/10.1371\/journal.pone.0297018"}},"subtitle":[],"editor":[{"given":"Kahsu","family":"Gebrekidan","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"editor"}]}],"short-title":[],"issued":{"date-parts":[[2024,1,19]]},"references-count":44,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2024,1,19]]}},"URL":"https:\/\/doi.org\/10.1371\/journal.pone.0297018","relation":{},"ISSN":["1932-6203"],"issn-type":[{"value":"1932-6203","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,1,19]]}}}