Longitudinal Analysis of Socio-Demographic Inequalities in the Use of Modern Contraception among Women in Union in Cote d'Ivoire

Tiassigué KONE, University Alassane Ouattara Of Bouake
Koné Kassoum, Institut de formation et de recherche démographique
Yao Kouadio, Université de Québec à Montréal (UQAM)
Ibrahima Koffi, Ministère de l'Économie, du Plan et du Développement

In Côte d'Ivoire, modern contraceptive use faces challenges despite gradual increases, impacting reproductive health and demographic targets. The study draws insights from DHS conducted in 1994, 1998-1999, and 2011-2012. Employing binary logistic regression, dissimilarity indices, and Shapley's decomposition, it uncovers persistent disparities in usage. Urban and educated women exhibit higher adoption rates, influenced notably by household wealth and education. Despite slight narrowing over time, disparities remain significant, with education and wealth improvements driving much of the change. Policy implications call for targeted interventions, particularly for marginalized groups with lower education and household wealth, to enhance contraceptive access and address disparities. Such efforts are essential for improving reproductive health outcomes and aligning with national development goals in Côte d'Ivoire. By addressing these disparities, policymakers can contribute to more equitable access to contraception and ultimately improve the well-being of women and families while advancing broader socio-economic development agendas in the country.