I wasn't aware of this module until today and even though it appears to have quite a significant number of adopters, it's not quite so many as Menu Per Role → and I am interested to hear of others' views comparing the two.
Active
2.1
Code
Not all content is available!
It's likely this issue predates Contrib.social: some issue and comment data are missing.
As per my understanding, versioning of Drupal core plays a key role here.
Menu Per Role →
doesn't have a stable release for Drupal core versions below 9.4. Additionally, it lacks the ability to inherit the Parent's visibility settings on Child menu items.
So, these seems to be the good reasons to go for
Menu Item Role Access →