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Despite global commitment and mounting investment aimed at improving access to and use of modern methods of contraception, traditional contraceptive practice persists in sub-Saharan Africa (SSA) but the scope of the drivers of traditional contraceptive practice are not well known. This study systematically reviewed drivers of traditional contraceptive practice in SSA. A total of eighteen (18) studies reporting on determinants of traditional contraception in SSA published between 1990 and 2019 in English was realized from a search conducted in PubMed, Web of Science, Google Scholar and JSTOR. Most of the studies identified age, education, marital status, socio-economic status, place and region of residence, cultural and religious membership, discussions about family planning, decision-making power, desire for fertility and number of children ever-born as drivers of traditional contraceptive practice in SSA …