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April 18, 2026Discover Public Health2 citationsOpen Access

Beyond sterilization for family planning: exploring contraceptive dynamics in India using multinomial logistic regression analysis

PDPuja DasARAvijit RoyTGTanmoy Ghosh

Key Points

  • The study aims to examine the use of reversible contraceptive methods among married Indian women and the factors influencing their choices.
  • Analyzed data from 190,010 currently married women based on National Family Health Survey (2019-21)
  • Utilized bivariate chi-square tests and multinomial logistic regression to assess contraceptive usage patterns
  • Calculated Wagstaff concentration index for socio-economic analysis
  • 24.18% of women did not use any contraception
  • 47.76% used modern reversible methods, with male condoms being the most prevalent (25.87%)
  • Higher use of modern methods observed in women aged 30-34, with secondary education, and wealthier regions
  • Lower usage noted among rural dwellers, those with more than two children, and SC/ST populations

Abstract

Despite long-standing family planning strategies, the use of reversible methods still remains uneven across socio-economic backgrounds. Therefore, the study aims to explore the profile of reversible method mix (modern reversible and traditional methods) and its underlying factors among currently married Indian women. The study included 190,010 currently married women from the latest round of the National Family Health Survey (2019-21). Bivariate chi-square tests, Wagstaff concentration index, and multinomial logistic regression models were used to address the study objectives. Nearly a quarter of women (24.18%) did not use any form of contraception. However, modern reversible methods (47.76%) followed by traditional methods (28.06%) dominate the profile of reversible method use, amongst which the male condom (25.87%) is the most prevalent method. The odds of using modern reversible methods were higher among those who aged 30–34 (RRR: 2.05; 1.90–2.20), had daughter only (RRR: 1.28; 1.22–1.35), completed secondary education (RRR: 1.14; 1.10–1.19), richest (RRR: 1.43; 1.36–1.51), Muslims (RRR: 1.08; 1.04–1.12), resided in north region (RRR: 3.78; 3.60–3.97) conversely lower among those who were rural dwellers (RRR: 0.84; 0.81–0.86), had more than 2 children (RRR: 0.79; 0.76–0.81), were SC/ST (RRR: 0.95; 0.91–0.98) and had no media exposure (RRR: 0.75; 0.71–0.79). However, women aged 35 or above (RRR: 3.13; 2.88–3.41) and those residing in the east region (RRR: 5.78; 5.43–6.15) had a greater likelihood of using traditional methods. The study’s findings stress the need for a targeted approach for groups that rely on traditional methods, particularly older women, as well as area-specific programmes in regions with a high prevalence of traditional users.

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Cite This Study

Das et al. (2026) studied this question.

synapsesocial.com/papers/69e31fcb40886becb653eec5https://doi.org/10.1186/s12982-026-01714-7
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