Factors associated with contraceptive use among married women in Nigeria: evidence from the Nigeria demographic and health survey

Yasmin A. Ahmed; Türkan Günay

doi:10.18203/2394-6040.ijcmph20261747

Authors

Yasmin A. Ahmed Department of Public Health, Dokuz Eylul University, Izmir, Turkiye
Türkan Günay Department of Public Health, Dokuz Eylul University, Izmir, Turkiye

DOI:

https://doi.org/10.18203/2394-6040.ijcmph20261747

Keywords:

Contraceptive use, Family planning, Nigeria, Reproductive health

Abstract

Background: Contraceptive use is a key component of reproductive health, reducing unintended pregnancies and improving maternal and child health outcomes. However, uptake remains low in Nigeria. This study examined factors associated with contraceptive use among married women in Nigeria.

Methods: This study analyzed secondary data from the Nigeria Demographic and Health Survey (NDHS). A total of 27,841 currently married women aged 15-49 years were included. The outcome variable was current contraceptive use (any method vs non-use). Descriptive statistics summarized respondents’ characteristics. Bivariate analyses assessed associations, while multivariable logistic regression identified individual, reproductive, partner and household-level variables associated with contraceptive use.

Results: Overall, 15.4% of married women reported current contraceptive use. Higher education was strongly associated with contraceptive use (aOR=2.30, 95% CI: 1.99-2.66). Women practicing Christianity/other religions (aOR=1.70, 95% CI: 1.51-1.91) had higher odds of use compared to their Muslim counterparts. Fertility preference and gender of living children were also significant. Partner’s education and urban residence increased likelihood of contraceptive use. Women from rich households had higher likelihood of use (aOR=1.92, 95% CI: 1.69-2.19), while those in the South-South region (aOR=0.60, 95% CI: 0.52-0.69) had lower odds.

Conclusions: Contraceptive use among married women in Nigeria remains low and is associated with socio-demographic, reproductive, partner-related and household factors. Targeted interventions addressing female education, promoting male involvement and inequities in access may improve contraceptive uptake and reproductive health outcomes.

References

Hounton S, Barros AJ, Amouzou A, Shiferaw S, Maiga A, Akinyemi A, et al. Patterns and trends of contraceptive use among sexually active adolescents in Burkina Faso, Ethiopia, and Nigeria: evidence from cross-sectional studies. Glob Health Action. 2015;8:29737.

World Health Organization. Family planning/contraception fact sheet. Available at https://www.who.int/news-room/fact-sheets/detail/family-planning-contraception. Accessed on 1 March 2026.

Haddad LB, Townsend JW, Sitruk-Ware R. Contraceptive technologies: looking ahead to new approaches to increase options for family planning. Clin Obstet Gynecol 2021;64(3):435-48.

Gafar A, Suza DE, Efendi F, Has EM, Pramono AP, Susanti IA. Determinants of contraceptive use among married women in Indonesia. F1000Research. 2020;9:193.

Akinyemi JO, Adebowale AS, Bamgboye EA. Decomposing the gap in missed opportunities for vaccination between poor and non-poor in sub-Saharan Africa: a multicountry analysis. Hum Vaccin Immunother 2020;16(1):201-9.

World Bank. Population, Nigeria. Available at: https://data.worldbank.org/indicator/SP.POP.TOTL.FE.ZS?locations=NG. Accessed on 12 March 2026.

United Nations Department of Economic and Social Affairs. World population prospects 2022: summary of results. New York: United Nations. 2022. Available at: https://www.un.org/development/desa/pd/sites/www.un.org.development.desa.pd/files/wpp2022_summary_of_results.pdf. Accessed on 1 March 2026.

National Population Commission. National policy on population for sustainable development report. Abuja, Nigeria: National Population Commission. 2021.

United Nations. World Population Prospects 2024: Summary of Results. New York: United Nations; 2024. Available at: https://population.un.org/wpp/assets/Files/WPP2024_Summary-of-Results.pdf. Accessed on 1 March 2026.

National Population Commission (NPC), ICF. Nigeria demographic and health survey 2018. Abuja, Nigeria and Rockville, Maryland: NPC and ICF. 2019.

World Bank. World development indicators. Available at: https://data.worldbank.org/. Accessed on 12 March 2026.

Adefalu AA, Ladipo OA, Akinyemi OO, Popoola OA, Latunji OO, Iyanda O. Qualitative exploration of factors affecting uptake and demand for contraception and other family planning services in North-West Nigeria. Afr J Reprod Health. 2019;23(4):63-74.

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.

Hackett C, Connor P, Stonawski M, Skirbekk V, Potancokova M, Abel G. The future of world religions: population growth projections, 2010-2050. Washington DC: Pew Research Center. 2015.

Viswan SP, Ravindran T, Kandala NB, Petzold MG, Fonn S. Sexual autonomy and contraceptive use among women in Nigeria: findings from demographic and health survey data. Int J Womens Health. 2017;9:581-90.

Blackstone SR, Iwelunmor J, Gyamfi J. Women’s autonomy and contraceptive use in Nigeria. BMC Womens Health. 2017;17:32.

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.

Sinai I, Omoluabi E, Jimoh A, Jurczynska K. Unmet need for family planning and barriers to contraceptive use in Kaduna, Nigeria: culture, myths and perceptions. Cult Health Sex. 2020;22(11):1253-68.

Kabagenyi A, Jennings L, Reid A, Nalwadda G, Ntozi J, Atuyambe L. Barriers to male involvement in contraceptive uptake. Reprod Health. 2014;11(1):21.

Mercer LD, Lu F, Proctor JL. Subnational levels and trends in contraceptive prevalence, unmet need, and demand for family planning in Nigeria. BMC Public Health. 2019;19(1):1752.

Ope B. Reducing maternal mortality in Nigeria: addressing maternal health services’ perception and experience. J Glob Health Rep. 2020;4:e2020028.

Babalola S, John N, Ajao B, Speizer I. Ideation and intention to use contraceptives in Nigeria. Int Perspect Sex Reprod Health. 2015;41:67-75.

Eliason S, Baiden F, Yankey BA, Awusabo-Asare K. Determinants of modern contraceptive use among women of reproductive age. Reprod Health. 2014;11:65.

Adeloye D, David RA, Olaogun AA, Auta A, Adesokan A, Gadanya M, et al. Health system challenges affecting the implementation of isoniazid preventive therapy in people living with HIV in Nigeria. PLoS One. 2021;16(1):e0241811.

Ahmed S, Li Q, Liu L, Tsui AO. Maternal deaths averted by contraceptive use: an analysis of 172 countries. Lancet. 2012;380:111-25.

Cleland J, Conde-Agudelo A, Peterson H, Ross J, Tsui A. Contraception and health. Lancet. 2012;380(9837):149-56.