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Original Research
Modern contraceptive use, associated factors and reasons for non-use among young lactating mothers in the context of free family planning services in the Kaya municipality setting, Burkina Faso
Submitted: 11 September 2025 | Published: 26 May 2026
About the author(s)
Abou Coulibaly, Department of Biomedical and Public Health, Institute of Research in Health Sciences, Ouagadougou, Burkina Faso; and, African Institute of Public Health, Ouagadougou, Burkina FasoAdama Baguiya, Department of Biomedical and Public Health, Institute of Research in Health Sciences, Ouagadougou, Burkina Faso
Jeoffray Diendéré, Department of Biomedical and Public Health, Institute of Research in Health Sciences, Ouagadougou, Burkina Faso
Franck Garanet, Department of Biomedical and Public Health, Institute of Research in Health Sciences, Ouagadougou, Burkina Faso
Halima Tougri, Department of Biomedical and Public Health, Institute of Research in Health Sciences, Ouagadougou, Burkina Faso
Denise Kpebo, Maternal and Child Health Unit, National Public Health Institute, Abidjan, Côte d’Ivoire; and, Department of Public Health, Medical School, University Allassane Ouattara, Abidjan, Côte d'Ivoire
Seni Kouanda, Department of Biomedical and Public Health, Institute of Research in Health Sciences, Ouagadougou, Burkina Faso; and, African Institute of Public Health, Ouagadougou, Burkina Faso
Abstract
Background: Despite all the benefits of family planning (FP), African countries still have low contraceptive use and very high fertility rates.
Aim: To measure modern contraceptive use among young lactating mothers in the context of the free contraceptive policy in the Kaya municipality setting.
Setting: This study was conducted in the Kaya municipality, in the Koulsé region, Burkina Faso.
Methods: This study is a secondary data analysis of the Kaya Demographic and Health Surveillance System data collected in the households between May 2022 and October 2022 (cross-sectional study). The dependent variable was the use of a modern contraceptive method (binary). Modified Poisson regression was used to identify associated factors.
Results: The prevalence of modern contraceptive use among young lactating mothers was 53.9% (n = 536/995), with 41.4% using implants, followed by male condoms (38.2%), injectables (14.6%) and pills (5.4%). Modern contraceptive use was significantly higher among women who discussed FP with their spouses (adjusted prevalence ratios [aPR] = 1.4, 95% confidence interval [CI]: 1.2–1.8, p = 0.001) and among women who had ever used modern contraceptives before the last pregnancy (aPR = 1.9, 95% CI: 1.6–2.4, p < 0.001). Similarly, women in the rich quintile (aPR = 1.5, 95% CI: 1.1–2.0, p = 0.013) and the richest quintile (aPR = 1.5, 95% CI: 1.1–2.1, p = 0.014) were more likely to use modern contraceptives compared to the poorest.
Conclusion: The prevalence of modern contraceptive use among young lactating mothers in Kaya is relatively high, with some modifiable factors that still explain contraceptive use.
Contribution: This study documented evidence on contraceptive use among young lactating mothers under Burkina Faso’s free FP policy, highlighting equity gaps and actionable levers (communication between couples, prior exposure and men’s involvement).
Keywords
Sustainable Development Goal
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