Objective: To contribute to the improvement of the rate of use of artificial contraceptive methods in order to reduce the frequency of voluntary interruptions in pregnancies and, consequently, maternal mortality in Kasai Oriental Methodology: This is a cross-sectional analytical descriptive study carried out in Mbuji-Mayi, Kasaï-Oriental province in the Democratic Republic of Congo. It was carried out from June 29, 2016 to March 5, 2017 or nine months in couples with women at the childbearing age. The study involved 226 women. Results: Utilization rate of artificial contraceptive methods in East Kasai is 20.8% and non-use 79.2%. The majority was 25 to 29 years old 32.3%, multipares 35.4%, monogamous 66.8%, wishing 5 children or more in 43.8% and Catholic religion 33.2%. The determinants of non-use are: the desire to have other children ORa = 11.6⦋2.3-40.8⦌, the desire to have ≥5 children ORa = 7.2 ⦋2.2 - 23.8⦌, lack of employment or profitable activity ORa = 3.7 ⦋1.2 - 12.0⦌, lack of education and ORa = 12.9 ⦋2.7 - 63.5⦌, the lack of dialogue with partner ORa = 9,6 ⦋2,2 - 42,5⦌, the disapproval by the spouse ORa = 9,7⦋2,9 - 32,8⦌, the standard of living low ORa = 27 , 1 ⦋4.5 - 162⦌ and average ORa = 9; 3 ⦋2.8 - 39.9⦌. Conclusion: The non-acceptability and non-use of artificial contraceptives remain very common. The explanatory factors in light of our investigations in Kasaï-Oriental are now known.
