{
  "abstract": "BackgroundModern contraceptive use remains low in many sub-Saharan African countries, including Mozambique, limiting progress towards sexual and reproductive health and Sustainable Development Goals (SDGs). Understanding the prevalence, determinants, and inequalities in modern contraceptive use based on Mozambique-wide national survey is critical to informing effective family planning interventions.\n\nMethodWe analyzed the most recent data from the Mozambique Demographic and Health Survey (DHS), 2022-2023, focusing on a total of 11,783 reproductive-aged women (15-49 years). The outcome variable was current use of modern contraceptives. Several individual, household-related and community determinants of modern contraceptives were examined employing multivariable logistic regression. Adjusted odds ratio with corresponding confidence intervals and p-values were reported. Erreygers Concentration Index (ECI) and concentration curves were used to assess wealth-and empowerment-related inequalities. All analyses were conducted on weighted data.\n\nResultOverall, 27.6% of women reported current use of modern contraceptive methods. Younger age, higher education, being employed, higher parity, greater wealth, and a partner with higher education were positively associated with modern contraceptive use. Significant wealth-related (ECI = 0.32, p < 0.001) and womens empowerment-related (ECI = 0.26, p < 0.001) inequalities were observed, indicating that wealthier and more empowered women had higher use of modern contraceptive methods.\n\nConclusionModern contraceptive use in Mozambique is suboptimal and influenced by a combination of individual, household, and contextual factors, with marked socioeconomic and empowerment-related disparities. Policy interventions should focus on improving access to and encouraging use of contraceptives for economically disadvantaged and women with low-empowerment, promoting womens autonomy, enhancing male involvement, and leveraging media and community-based programs to increase awareness and uptake. Equity-focused strategies are essential to achieving national and global family planning targets.",
  "abstract_shown": true,
  "affiliations": [
    "U of Saskatchewan and Saskatchewan Population Health and Evaluation Research Unit (SPHERU)"
  ],
  "article_type": "PUBLISHAHEADOFPRINT",
  "arxiv": null,
  "author_total": 3,
  "authors": [
    {
      "name": "N. Shakurun"
    },
    {
      "name": "F. Andre"
    },
    {
      "affs": [
        0
      ],
      "name": "N. Muhajarine"
    }
  ],
  "bibtex": "https://research.draconitic.com/paper/5aghztxqrkvp2.bib",
  "cited_by": 0,
  "doi": "10.64898/2026.09.21.26363579",
  "fulltext_url": "https://www.medrxiv.org/content/10.64898/2026.09.21.26363579v1.full",
  "id": "5aghztxqrkvp2",
  "issns": [],
  "landing_url": "https://www.medrxiv.org/content/10.64898/2026.09.21.26363579v1",
  "language": null,
  "licence": "CC-BY",
  "licence_label": "CC BY",
  "licence_source": "article",
  "licence_url": "https://creativecommons.org/licenses/by/4.0/",
  "metadata_licence": null,
  "native_subjects": [
    [
      "medrxiv",
      "public and global health"
    ],
    [
      "openalex",
      "2739|Reproductive Health and Contraception"
    ]
  ],
  "openalex": "W7214125917",
  "pdf_url": "https://www.medrxiv.org/content/10.64898/2026.09.21.26363579v1.full.pdf",
  "pmcid": null,
  "pmid": null,
  "published": "2026-09-21",
  "publisher": null,
  "ris": "https://research.draconitic.com/paper/5aghztxqrkvp2.ris",
  "sources": [
    {
      "first_seen": "2026-10-30T12:19:12Z",
      "native_id": "10.64898/2026.09.21.26363579",
      "source": "medrxiv",
      "url": "https://www.medrxiv.org/content/10.64898/2026.09.21.26363579v1"
    }
  ],
  "subjects": [
    {
      "field": "medicine",
      "origin": "medrxiv:public and global health",
      "subfield": "epidemiology-public-health"
    }
  ],
  "title": "Predictors of modern contraceptive use among reproductive-aged women (15-49 years) in Mozambique: Evidence from Mozambique Demographic and Health Survey.",
  "title_text": "Predictors of modern contraceptive use among reproductive-aged women (15-49 years) in Mozambique: Evidence from Mozambique Demographic and Health Survey.",
  "type": "preprint",
  "updated_at": "2026-10-30T12:19:12Z",
  "url": "https://research.draconitic.com/paper/5aghztxqrkvp2",
  "venue": "medRxiv",
  "versions": []
}