Determinants of Modern Contraceptive Uptake among Nigerian Women: Evidence from the National Demographic and Health Survey

Abstract

Family planning is a key strategy in the control of fertility among women. This study sought to determine various factors that influence modern family planning use in Nigeria. The study used data from Nigeria Demographic and Health Survey (NDHS) 2013. Analysis was carried out using Stata version 12.1. Multivariate logistic regression was used to determine association between various factors and use of modern family planning methods. A total of 119,386 women aged 15-49 years participated in the study. The mean age of respondents was 35.9 ± 8.1 years. Overall, contraceptive prevalence rate of modern methods was 10.3%. The highest proportion of use was 26.7% in the South West, while the lowest was 2.7% in the North West. Predictors of modern family planning use were higher education (OR=4.49, 95% CI: 4.10-4.92), richest wealth quintile (OR=3.71 CI: 3.29-4.19), being from South West (OR=3.42, 95% CI: 3.15-3.70), age 25-49 years (OR=1.55, 95% CI: 1.42-1.69) and urban residence (OR=1.08, 95% CI: 1.03-1.13) (p<0.001). The highest predictors of modern contraceptive use were education and wealth index. These indices were poorest in North Western Nigeria. Measures should be taken to improve female literacy and employment as these will most likely improve uptake of modern contraceptives among women in Nigeria. (Afr J Reprod Health 2017; 21[3]: 89-95). Keywords: Modern contraceptive use, determinants, NDHS, Nigeria RésuméLa planification familiale est une stratégie clé dans le contrôle de la fécondité chez les femmes. Cette étude a cherché à déterminer les différents facteurs qui influencent l'utilisation de la planification familiale moderne au Nigeria. L'étude a utilisé des données de l'Enquête sur la démographie et la santé au Nigeria (EDSN) de 2013. L'analyse a été effectuée à l'aide de la version Stata 12.1. La régression logistique multivariée a été utilisée pour déterminer l'association entre les divers facteurs et l'utilisation des méthodes modernes de la planification familiale. Au total, 119 386 femmes âgées de 15 à 49 ans ont participé à l'étude. L'âge moyen des répondants était de 35,9 ± 8,1 ans. En général, le taux de prévalence contraceptive des méthodes modernes était de 10,3%. La proportion la plus élevée d'utilisation était de 26,7% dans le sud-ouest, tandis que la plus faible était de 2,7% dans le nord-ouest. Les indices de l'utilisation moderne de la planification familiale étaient une éducation supérieure (OR = 4,49, IC à 95%: 4,92), le quintile de plus grande richesse (OR = 3,71 IC: 3,29 à 4,19), étant du sud-ouest (OR = 3,42, IC 95% 3,70), âgés de 25 à 49 ans (OR = 1,55,95% IC: 1,42-1,69) et résidence urbaine (OR = 1,08,95% CI: 1,03-1,13) (p <0,001). Les indices les plus élevés de la contraception moderne étaient l'indice de l'éducation et de la richesse. Ces indices étaient les plus pauvres du nord-ouest du Nigeria. Des mesures devraient être prises pour améliorer l'alphabétisation et l'emploi des femmes, car celles-ci amélioreront probablement l'adoption des contraceptifs modernes chez les ...

Examining the Determinants of Contraceptive Use in Northern Nigeria

“…A signi cant segment identi ed as Hausa or Fulani, 50.8% and 10.2% respectively, future studies should examine how Muslim men who are Fulani or Hausa perceive contraceptive use in order to create men centric contraceptive interventions. Similar to other research, this study found a strong association between educational levels, wealth, literacy and both intention to and actual contraception use [3], [5], [10]. Living in rural areas was associated with a decreased likelihood to use contraception.…”

“…Speci cally, framing contraception not as a way to limit the number of children you can have but rather as choosing when to have children. Since Nigeria has one of the one of the highest global burdens of maternal mortality, low contraceptive use, and a high desire for more children, choosing when to have children and proper spacing can help reduce birth complications that lead to death [1], [5].…”

“…In 2013, Nigeria accounted for approximately 14% of the global burden of maternal mortality [1]. Despite high rates of maternal mortality, modern contraceptive use is relatively low [5], while desire for more children is high. An estimated 16% of women report using any contraceptive method, which is far below the global level of 63.3%, and below the African country average of 31% [3].…”

Perceptions on abortion and long-acting contraceptive use among women of reproductive age in selected Nigerian States: a cross-sectional study

“…The women who belonged to households in the highest wealth quintile were less likely to use LARC compared to women who belonged to the lowest wealth quintile. The study contradicts ndings in Nepal, Ethiopia, Iran and Nigeria [18,42,46,47], as these studies found a positive association between LARC use with higher wealth quintile.…”

Non-use of Contraceptive Methods Among Married: Analysis of the 2018 Guinea Demographic and Health Survey

“…In this context, non-use of FP methods remains the main factor that favours unwanted pregnancies [11]. Several studies have reported associations between FP use and sociodemographic characteristics of women such as educational levels and socio-economic status [12][13][14][15][16][17]. Other studies indicated that the reasons for the non-use of FP include male partner disapproval of contraception, misconceptions of contraceptive side effects, di culties in accessing the FP method, and the desire to have a child [11,12,16,18].…”