Journal of Midwifery and Reproductive Health

Journal of Midwifery and Reproductive Health

Socioeconomic Factors Affecting the Pattern of Using Contraceptives among Women with Two or More Children in Bangladesh

Document Type : Original Research Article

Authors
1 6-Kawran Bazar
2 Government Cllege of Human Science
3 Islamic University Bangladesh
Abstract
Background & aim: Despite Bangladesh's population policy promoting a two-child norm, many families have more than two children. The government provides free domiciliary contraceptive services and counseling to address myths about birth control. Therefore, this study aimed to identify socio-demographic factors influencing the pattern of using contraceptive among women with two or more children in Bangladesh.
Methodology: This study used cross-sectional data (n=10004) extracted from the Bangladesh Demographic and Health Survey 2017-18. The respondent’s contraceptive use status (Yes/No) was considered as the dependent variable, and different socioeconomic characteristics were used as independent variables. Bivariate analysis (Chi-square) was conducted to find the association between the independent variables and then binary logistic regression was performed to identify the factors influencing contraception decisions for mothers of two or more children in Bangladesh. Data analysis was conducted using SPSS version 25.
Result: This study determined socio-demographic factors including son preference, limited decision-making power, and insufficient knowledge about the ovulatory cycle influencing contraceptive use among Bangladeshi women with two or more children. Findings also showed that higher education of husbands reduced contraceptive use (p < 0.0001), while women's education had no significant impact (p=0.246). Contraceptive use by women were found to be increased with their age and the women from Chittagong, Dhaka and Sylhet divisions showed a greater likelihood to use contraceptives than the others.
Conclusion: In this study, the contraceptive prevalence rate (CPR) was higher among women with two or more children, with multiple sociodemographic factors influencing their contraceptive decisions.
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Articles in Press, Accepted Manuscript
Available Online from 05 August 2026