Socioeconomic inequalities in modern contraceptive use among women in Bangladesh
1
Institute of Public Health and Clinical Nutrition, University of Eastern Finland, Kuopio, Finland
2
Department of Social Sciences, University of Eastern Finland, Kuopio, Finland
3
Graduate School of Biomedical and Health Sciences, Hiroshima University, Hiroshima, Japan
Popul. Med. 2026;8(Supplement Supplement 1):A1227
ABSTRACT
BACKGROUND:
Ensuring universal access to sexual and reproductive health-care services is a fundamental policy objective in Bangladesh. However, the prevalence of contraceptive use remains poor and evidence for socioeconomic inequalities in modern contraceptive use among women is limited in the country. The aim of the study is to evaluate socio-economic inequalities in contraceptive use among Bangladeshi women.
METHODS:
A cross-sectional analysis was conducted using data from the 2017-2018 Bangladesh demographic and health survey, which included 20376 ever-married women aged 15-49. The Erreygers concentration index was calculated to measure socio-economic inequalities in modern contraceptive use. Socioeconomic status was measured by educational level. The decomposition analysis was applied to explain factors contributing to inequality.
RESULTS:
Results show that the prevalence of modern contraceptive method use among reproductive age women in Bangladesh is 49.12%. Women in urban areas tended to use more contraceptive method than the rural women. The Erreygers concentration indices for modern contraceptive use in urban and rural areas were -0.0294 and -0.0837 (p<0.05), indicating that women from lower income households were more likely to use modern contraceptive methods. The decomposition analysis shows that wealth, education and marital status were the key contributors to the inequality.
CONCLUSIONS:
There is a notable socioeconomic inequality in modern contraceptive use among women in both urban and rural areas in Bangladesh. Interventions to support contraceptive choice and use among high income women is essential to sustain the sustainable development goals and promote and ensure women’s health and rights in Bangladesh.
Ensuring universal access to sexual and reproductive health-care services is a fundamental policy objective in Bangladesh. However, the prevalence of contraceptive use remains poor and evidence for socioeconomic inequalities in modern contraceptive use among women is limited in the country. The aim of the study is to evaluate socio-economic inequalities in contraceptive use among Bangladeshi women.
METHODS:
A cross-sectional analysis was conducted using data from the 2017-2018 Bangladesh demographic and health survey, which included 20376 ever-married women aged 15-49. The Erreygers concentration index was calculated to measure socio-economic inequalities in modern contraceptive use. Socioeconomic status was measured by educational level. The decomposition analysis was applied to explain factors contributing to inequality.
RESULTS:
Results show that the prevalence of modern contraceptive method use among reproductive age women in Bangladesh is 49.12%. Women in urban areas tended to use more contraceptive method than the rural women. The Erreygers concentration indices for modern contraceptive use in urban and rural areas were -0.0294 and -0.0837 (p<0.05), indicating that women from lower income households were more likely to use modern contraceptive methods. The decomposition analysis shows that wealth, education and marital status were the key contributors to the inequality.
CONCLUSIONS:
There is a notable socioeconomic inequality in modern contraceptive use among women in both urban and rural areas in Bangladesh. Interventions to support contraceptive choice and use among high income women is essential to sustain the sustainable development goals and promote and ensure women’s health and rights in Bangladesh.
| eISSN: | 2654-1459 |
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