Contraceptive use and distribution of high-risk births in Nigeria: a sub-national analysis

Akinyemi, Akanni Ibukun; Adedini, Sunday A.; Hounton, Sennen; Akinlo, Ambrose; Adedeji, Olanike; Adonri, Osarenti; Frıedman, Howard S.; Shiferaw, Solomon; Maïga, Abdoulaye; Amouzou, Agbessi; Barros, Aluísio J D

doi:10.3402/gha.v8.29745

Cited by 33 publications

(24 citation statements)

References 16 publications

(9 reference statements)

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“…Two, grand multiparity is dominant among women in Nigeria. This finding corroborates evidence in a number of previous studies in Nigeria which found the dominance of high parity among Nigerian women [ 37 – 39 , 49 ]. With increasing evidence that grand multiparity remains an obstetric challenge in Nigeria [ 40 – 44 ], it is important that the consequences of grand multiparity for women’s health be brought to the fore of national population policy strategy for improving women’s health and safe motherhood in the country.…”

Section: Discussionsupporting

confidence: 92%

Maternal grand multiparity and intention to use modern contraceptives in Nigeria

et al. 2018

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BackgroundGrand multiparity and low contraceptive prevalence are dominant among Nigerian women. These elevate the risk of unintended pregnancies, high-risk fertility and adverse maternal and child health outcomes among women in the country, particularly grand multiparous women. Studies have examined predictors of intention to use modern contraceptives among women of reproductive age. However, these studies did not ascertain the extent to which grand multiparity is associated with intention to use modern contraceptives. This study examined association between grand multiparity and intention to use modern contraceptives in Nigeria.MethodsThe study pooled data from 2003 to 2013 Nigeria Demographic and Health Surveys. The weighted sample size analysed was 34,302 women. The outcome variable was intention to use contraceptive. The main explanatory variable was parity with specific attention to grand multiparity. Unadjusted multinomial logistic regression coefficients were used to examine association between specific explanatory or control variables and intention to use contraceptives while the adjusted multinomial logistic regression was applied to further examine associated factors of intention to use contraceptives relative to being uncertain about future contraceptive use. Four multinomial logistic regression models were fitted using Stata 14.ResultsMore than half of respondents do not intend to use contraceptives, while less than one-fifth of respondents intend to use contraceptives in the future. Across the four fitted models, the relative risks of intention to use compared with being uncertain about future contraceptive use were significantly lower among grand multiparous women. Results further revealed pregnancy termination, fertility planning status, exposure to mass media family planning messages, knowledge of modern contraceptives, ideal family size, remarriage, household power relations, and maternal education as other key factors influencing expected risk of intention to use contraceptives relative to being uncertain about future contraceptive use.ConclusionMaternal grand multiparity is significantly associated with intention to use contraceptives among women in Nigeria. The development of a specific population and health programme to target grand multiparous women is imperative in the country. Such programme could be integrated into existing national family planning programme through specific contraceptive education, counselling and information for high parous women.

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Section: Discussionsupporting

confidence: 92%

Maternal grand multiparity and intention to use modern contraceptives in Nigeria

et al. 2018

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“…Most women in this study had ever or were currently using contraceptives as opposed to the existing evidence that contraceptive uptake has been abysmal in Nigeria [11,[13][14][15]. A plausible reason for the high contraceptive use in this study is the increased awareness campaign of contraceptives among people living with HIV and AIDS.…”

Section: Discussionmentioning

confidence: 78%

Contraceptive Use Among Women Living with HIV and AIDS Receiving Care at Secondary and Tertiary Health Care Facilities in Ibadan, Nigeria

Adesola¹

2017

AJCEM

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Abstract:Contraceptive use is a form of family planning and it is one practice among the most important health decisions that many people make and this does not exclude women living with HIV/AIDS. Lack of adequate information on available contraceptive methods and restriction of choices are the major constraints for contraceptive users to obtain a method that suits their need. Consequently, this study was designed to assess contraceptive use among women living with HIV and AIDS receiving care at secondary and tertiary health care facilities in Ibadan, Nigeria. A cross-sectional study using systematic sampling technique was conducted to select 350 consenting women among HIV positive women receiving care in two health facilities in Ibadan, Nigeria. A pre-tested interviewer administered questionnaire was used to obtain information on respondent's socio-demographic characteristics, contraceptive usage and level of satisfaction of modern contraceptive method. Data were analyzed using SPSS version 22. Chi-square statistic was used to test associations between categorical variables at a level of statistical significance of 5%. The mean age of respondents was 37.0±8.5 years and about 87.0% were currently married. The current prevalence of contraceptive was 67.7%. Condom was the most currently preferred contraceptive method (54.0%), followed by injectable (12.2%) and oral pills (11.0%). About 83.1% was satisfied with their current method of contraception. The most cited reason by those who were not satisfied with their current contraceptive method irregular menses (30.0%). The factors that were significantly associated with contraceptive use were maternal age, marital status, type of marriage, level of education and parity decision (P < 0.05). High level of contraceptive uptake and satisfaction was observed in this study. However, irregular menses was a common complaint of those who were not satisfied with their current method. Family planning programme should be incorporated as a component part of care for women living with HIV and AIDS.

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“…Hence, many of them are still sexually active. Thirdly, with high unmet need for family planning in several developing countries including Nigeria, there may be likelihood of unintended pregnancies among women of advanced reproductive age [27]. With only 9% of women aged 30–49 years being menopausal in Nigeria, the susceptibility to pregnancy remain high among women in advanced reproductive age [18].…”

Section: Introductionmentioning

confidence: 99%

Factors influencing contraceptive use and non-use among women of advanced reproductive age in Nigeria

Solanke

2017

J Health Popul Nutr

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BackgroundFactors influencing contraceptive use and non-use among women of advanced reproductive age have been insufficiently researched in Nigeria. This study examines factors influencing contraceptive use and non-use among women of advanced reproductive age in Nigeria.MethodsSecondary data were pooled and extracted from 2008 and 2013 Nigeria Demographic and Health Surveys (NDHS). The weighted sample size was 14,450 women of advanced reproductive age. The dependent variable was current contraceptive use. The explanatory variables were selected socio-demographic characteristics and three control variables. Analyses were performed using Stata version 12. Multinomial logistic regression was applied in four models.ResultsMajority of the respondents are not using any method of contraceptive; the expected risk of using modern contraceptive relative to traditional method reduces by a factor of 0.676 for multiparous women (rrr = 0.676; CI: 0.464–0.985); the expected risk of using modern contraceptive relative to traditional method reduces by a factor of 0.611 for women who want more children (rrr = 0.611; CI: 0.493–0.757); the relative risk for using modern contraceptive relative to traditional method increases by a factor of 1.637 as maternal education reaches secondary education (rrr = 1.637; CI: 1.173–2.285); the relative risk for using modern contraceptive relative to traditional method increases by a factor of 1.726 for women in richest households (rrr = 1.726; CI: 1.038–2.871); and the expected risk of using modern contraceptive relative to traditional method increases by a factor of 1.250 for southern women (rrr = 1.250; CI: 1.200–1.818).ConclusionsSocio-demographic characteristics exert more influence on non-use than modern contraceptive use. The scope, content and coverage of existing BCC messages should be extended to cover the contraceptive needs and challenges of women of advanced reproductive age in the country.

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Contraceptive use and distribution of high-risk births in Nigeria: a sub-national analysis

Cited by 33 publications

References 16 publications

Maternal grand multiparity and intention to use modern contraceptives in Nigeria

Maternal grand multiparity and intention to use modern contraceptives in Nigeria

Contraceptive Use Among Women Living with HIV and AIDS Receiving Care at Secondary and Tertiary Health Care Facilities in Ibadan, Nigeria

Factors influencing contraceptive use and non-use among women of advanced reproductive age in Nigeria

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