Factors influencing contraceptive use in sub-saharan Africa: A systematic review

Sarah R. Blackstone, Ucheoma Nwaozuru, Juliet Iwelunmor

Research output: Contribution to journalReview articlepeer-review


The purpose of this study was to systematically review the literature regarding factors influencing contraceptive use in sub-Saharan Africa between 2005 and 2015. A total of 58 studies from twelve Sub-Saharan African countries were reviewed. Keywords were grouped using the PEN-3 cultural model. Negative factors prohibiting or reducing contraceptive use were women’s misconceptions of contraceptive side–effects, male partner disapproval, and social/cultural norms surrounding fertility. Positive factors included education, employment, and communication with male partner. Increasing modern contraceptive use in Sub-Saharan Africa is a multi-faceted problem that will require community and systems wide interventions that aim to counteract negative perceptions and misinformation.

Original languageEnglish (US)
Pages (from-to)79-91
Number of pages13
JournalInternational Quarterly of Community Health Education
Issue number2
StatePublished - 2017


  • Contraception
  • PEN-3 cultural model
  • Sub-Saharan Africa

ASJC Scopus subject areas

  • Health(social science)
  • Education
  • Public Health, Environmental and Occupational Health


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