Demand for modern contraceptives and use among women of reproductive age in north central Nigeria

Authors

  • Okehi O. Akpoti Clinton Health Access Initiative, Abuja, Nigeria
  • Abiodun J. Kareem Clinton Health Access Initiative, Abuja, Nigeria https://orcid.org/0000-0002-2565-0881
  • Adesola O. Kareem Department of Community Medicine, Federal Medical Centre, Owo, Ondo State, Nigeria
  • Ayodele Y. Ogunromo Welfare Scheme, Association of Resident Doctor, Federal Medical Centre, Owo, Ondo State, Nigeria
  • Oluwatosin T. Owoeye-Lawal Department of Community Medicine, Federal Medical Centre, Owo, Ondo State, Nigeria
  • Liasu A. Ahmed Department of Family Medicine, Federal Medical Centre, Owo, Ondo State, Nigeria
  • Akintunde O. Akinyugha Department of Family Medicine, Federal Medical Centre, Owo, Ondo State, Nigeria
  • Temitayo O. Bewaji Department of Paediatrics, Federal Medical Centre, Owo, Ondo State, Nigeria
  • Emmanuel O. Babalola Department of Paediatrics, Federal Medical Centre, Owo, Ondo State, Nigeria
  • Eloho J. Orji Department of Family Medicine, Federal Medical Centre, Owo, Ondo State, Nigeria
  • Charles O. Atimoh Department of Family Medicine, Federal Medical Centre, Owo, Ondo State, Nigeria
  • Ogechukwu C. Ibekwe Institute of Human Virology, Abuja, Nigeria

DOI:

https://doi.org/10.18203/2394-6040.ijcmph20230607

Keywords:

Contraceptives, Needs, Nigeria, North-Central, Women

Abstract

Background: The maternal mortality rate in north central Nigeria remained unacceptably high and the use of modern contraceptives among women of reproductive age in north central Nigeria may be a way of reducing maternal death. The study aimed to determine the contraceptive uptake among women of reproductive age in north central Nigeria and the factors that influence the use of contraceptives.

Methods: The study was a secondary analysis of 2018 national demographic and household survey data. Data were abstracted for women of reproductive age 15-49 years across seven states in Nigeria.

Results: The level of awareness of modern contraceptives was 91.6% while the modern contraceptive prevalence rate was 38.8% and current contraceptive prevalence use was 53.4%. The main source of information was radio 298 (22.4%) and the most common contraceptive used was implants 81 (29.3%) followed by hormonal contraceptive injections 77 (27.4%). The factors associated with the use of contraceptives include the age of the women, religion, level of education, number of children ever born, and partners’ opinion (p=0.001). The proportion of women who oppose contraceptive use was significantly higher (χ2=4.732, p=0.030). Similarly, the proportion of women whose husbands/partners opposed contraceptive use was significantly higher (χ2=8.589, p=0.003, OR=3.2).

Conclusions: The prevalence of contraceptive use is low in north-central Nigeria despite the high level of awareness. There is a need to involve the women’s partner to increase the uptake of contraceptive use.

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References

National Population Commission and ICF International. Nigeria demographic and health survey (NDHS). edited by National Population Commission. Abuja-Nigeria, Rockville, Maryland USA National Population Commission and ICF International. 2014. Available from: https://dhsprogram.com/pubs/pdf/fr293/fr293.pdf. Accessed on 15 October 2021.

Gizachew AB. Demand for long-acting and permanent contraceptives methods and associated factors among married women of reproductive age group in Debre Markos town, North West Ethiopia. Women’s Health. 2004;14:1-12.

World Health Organization. Medical Eligibility Criteria for Contraceptive Use. 2016. Available from: https://www.who.int/reproductivehealth/ publications/family_planning/Ex-Summ-MEC-5/en/. Accessed on 11 October 2020.

Trends in Contraceptive Use Worldwide. United Nations, Department of Economic and Social Affairs, Population Division. United Nations. New York, 2015. Available from: https://www.un.org/development/desa/pd/sites/www.un.org.development.desa.pd/files/undesa_pd_report_2015_trends_contraceptive_use.pdf. Accessed on 11 October 2021.

World Health Organization. Trends in maternal mortality: 1990 to 2013: estimates by WHO, UNICEF, UNFPA. the World Bank and the United Nations Population Division. 2014. Available from: https://www.unfpa.org/publications/trends-maternal-mortality-1990-2013. Accessed on 11 October 2021.

Ross J, Stover J. Use of modern contraception increases when more methods become available: Analysis of evidence from 1982-2009. Glob Health Sci Pract. 2013;1(2):203-12.

Babalola S, Oyenubi O. Factors explaining the North–South differentials in contraceptive use in Nigeria: A nonlinear decomposition analysis. Demograph Res. 2018;38:287-308.

Sinai I, Nyenwa J, Oguntunde O. Programmatic implications of unmet need for contraception among men and young married women in Northern Nigeria. Open Access J Contracept. 2018;9:81-90.

Duze MC, Mohammed IZ. Male knowledge, attitude and family planning practices in northern Nigeria. Afr J Reprod Health. 2006;10:53-65.

Doctor HV, Findley SE, Afenyadu GY, Uzondu C, Ashir GM. Awareness, use, and unmet need for family planning in rural northern Nigeria. Afr J Reprod Health. 2013;17:107-17.

Solanke BL, Oyinlola FF, Oyeleye OJ, Ilesanmi BB. Maternal and community factors associated with unmet contraceptive need among childbearing women in Northern Nigeria. Contracept Reprod Med. 2019;4:11-8.

Wang C, Cao H. Persisting regional disparities in modern contraceptive use and unmet need for contraception among Nigerian women. BioMed Res Int. 2019;9:2019-28.

Price B, Hawkins K. Researching sexual and reproductive behaviour: a peer ethnographic approach. Soc Sci Med. 2012;55(8):1325-36.

Adefalu AA, Oladapo AL, Oluwaseun OA, Oluwafemi AP, Olajimi OL, Omowunmi I. Awareness and opinions regarding contraception by women of reproductive age in North-West Nigeria. Pan Afr Med J. 2018;30:65.

Babalola S, Folda L, Babayaro H. The effect of a communication program on contraceptive ideation and use among young women in Northern Nigeria. Stud Fam Plann. 2014;39(3):211-20.

Blackstone SR, Iwelunmor J. Determinants of contraceptive use among Nigerian couples: evidence from the 2013 Demographic and Health Survey. Contracept Reprod Med. 2017;2:9.

Alo OD, Daini BO, Omisile OK, Ubah EJ, Adelusi OE, Idoko-Asuelimhen O. Factors influencing the use of modern contraceptive in Nigeria: a multilevel logistic analysis using linked data from performance monitoring and accountability 2020. BMC Women’s Health. 2020;20:191.

Idowu A, Ukandu GC, Mattu J, Olawuyi D, Abiodun A, Adegboye P, et al. Modern contraception: uptake and correlates among women of reproductive age-group in a rural community of Osun State, Nigeria. Ethiop J Health Sci. 2020:30(4):531-40.

Agbo HA, Ogbonna C, Okeahialam BN. Factors related to the uptake of contraceptive in a rural community in Plateau State Nigeria: a cross-sectional community study. J Med Trop. 2013;15:107-12.

Utoo BT, Mutihir TJ, Utoo PM. Knowledge, attitude and practice of family planning methods among women attending antenatal clinic in Jos, North-central Nigeria. Niger J Med. 2020;19(2):214-8.

Demographic statistics bulletin 2017. Available from: https://africaopendata.org/dataset/ demographic-statistics-bulletin-nigeria-2017. Accessed on 15 October 2021.

National population commission of Nigeria National bureau of statistics. 2020. Available from: www.citypopulation.de/php/nigeria-admin.php. Accessed on 2 February 2022.

National Population Commission- NPC/Nigeria and ICF. Nigeria Demographic and Health Survey 2018. Abuja, Nigeria, and Rockville, Maryland, USA: NPC and ICF. 2019. Available from: https://www.dhsprogram.com/pubs/pdf/FR359/FR359.pdf. Accessed on 15 October 2021.

Simona V. Life expectancy at birth in Nigeria 2021, by gender. Statista. 2021. Available from: https://www.statista.com/topics/6477/demographics-of-nigeria/. Accessed on 15 October 2021.

Galadanci HS, Ejembi CL, Iliyasu Z. Maternal health in Northern Nigeria-a far cry from ideal. BJOG Int J Obstet Gynaecol. 2007;114(4):448-52.

Ekholuenetale M, Olorunju S, Fowobaje KR, Onikan A, Tudeme G, Barrow A. When do Nigerian women of reproductive age initiate and what factors influence their contraceptive use? A contextual analysis. Open Access J Contracept. 2021;12:133-47.

Adeyemi AS, Olugbenga-Bello AI, Adeoye OA, Salawu MO, Aderinoye AA, Agbaje MA. Contraceptive prevalence and determinants among women of reproductive age group in Ogbomoso, Oyo State, Nigeria. Open access J Contracept. 2016;7:33-41.

Bani S, Hosseini K, Hasanpour S, Valizadeh S, Abedi P. Awareness, attitude and participation rate of men in family planning programs in Iran. Int J Women’s Health Reprod Sci. 2014;2(1):17-25.

Abiodun OM, Balogun OR. Sexual activity and contraceptive use among young female students of tertiary educational institution in Ilorin, Nigeria. Contraception. 2014;79:146-9.

Oye-Adeniran BA, Adewole IF, Odeyemi KA, Ekanem EE, Umoh AV. Contraceptive prevalence among young women in Nigeria. J Obstet Gynaecol. 2013;25:182-5.

Abasiattai AM, Bassey EA, Udoma EJ. Profile of intrauterine contraceptive device acceptors at the University of Uyo Teaching Hospital, Uyo, Nigeria. Ann Afr Med. 2013;1:1-5.

Monjok E, Smesny A, Ekabua JE, Essien JE. Contraceptive practices in Nigeria: literature review and recommendation for future policy directions. Open Access J Contracept. 2010;(1):9-22.

Bankole A, Adewole IF, Hussain R, Awolude O, Singh S, Akinyemi JO. The incidence of abortion in Nigeria. Int Perspect Sex Reprod Health. 2015;41(4):170-81.

Falase EA, Otolorin EO, Ladipo OA. Experience with the use of depo-medroxyprogesterone acetate in a Nigerian Population. Afr J Med Med Sci. 2010;17(4):209-13.

Ladipo OA, Akinso SA. Contraceptive implants. Afr J Reprod Health. 2015;9(1):16-23

Ezegwui HU, Oguanuo T, Nwogu-Ikojo EE. Prolonged use of Norplant contraceptive subdermal implants. Int J Gynaecol Obstet. 2015;88(2):162-3

National Population Commission. Nigeria Demographic and Health Survey 2003. Calverton, MD: National Population Commission and ORC Marco. 2004. Available from: https://www. dhsprogram.com/pubs/pdf/FR148/FR148.pdf. Accessed on 15 October 2021.

Mitkari KK, Haralkar S, Sancheti P, Gokhale R. Study of contraceptive use in married women of reproductive age group in urban slum area of western Maharashtra. Int J Community Med Public Health. 2019;6(10):4499.

Ejembi CL, Alti-Muazu MO, Chirdan HO, Ezeh S, Sheidu T, Dahiru T. Utilization of maternal health services by rural Hausa women in Zaria environs, Northern Nigeria: has primary health care made a difference. J Community Med Prim Health Care. 2004;16(2):47-54.

Mohsena M, Kamal N. Determinants of Contraceptive Use in Bangladesh. Ibrahim Med Coll J. 2016;8(2):34-40.

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Published

2023-02-28

How to Cite

Akpoti, O. O., Kareem, A. J., Kareem, A. O., Ogunromo, A. Y., Owoeye-Lawal, O. T., Ahmed, L. A., Akinyugha, A. O., Bewaji, T. O., Babalola, E. O., Orji, E. J., Atimoh, C. O., & Ibekwe, O. C. (2023). Demand for modern contraceptives and use among women of reproductive age in north central Nigeria. International Journal Of Community Medicine And Public Health, 10(3), 958–967. https://doi.org/10.18203/2394-6040.ijcmph20230607

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Original Research Articles