Background: The Solomon Island’s (SI) is an archipelago nation in the Pacific. Although contraception is one of the most cost-effective interventions for sustainable development, around 57% of pregnancies ending in birth in the SI are unintended and 11% of women in a union have an unmet need for contraception. This study aimed to determine the sociodemographic factors associated with modern contraceptive knowledge amongst women attending antenatal clinic.
Methods: This was a cross sectional study from January 2014 to April 2015 of women who attended for antenatal care at the National Referral Hospital and surrounding clinics. The questionnaire captured demographic information, contraceptive knowledge and measured pregnancy intention.
Results: Among 1441 women, 241 (16.9%) were not able to recognise any types of modern contraception even with visual and verbal explanations. In univariate analysis not recognising any method of contraception was significantly associated with being young (p=0.001), being illiterate (p<0.001), having no or low education level (p<0.001), unintended pregnancy (p<0.001).or belonging to a strict religious denomination (p=0.018). In multivariable analysis all these factors, apart from religion, remained significant.
Conclusion: One in six pregnant women had no knowledge about modern contraceptive methods and ever use of modern methods of contraception was low. This is a huge barrier to improving the reproductive choices of women in the SI and in the era of the Sustainable Development Goals, sexual and reproductive health education should be a national priority.