When Do Nigerian Women of Reproductive Age Initiate and What Factors Influence Their Contraceptive Use? A Contextual Analysis

Ekholuenetale, Michael; Olorunju, Samson Bamidele; Fowobaje, Kayode Raphael; Onikan, Adeyinka; Tudeme, Godson; Barrow, Amadou

doi:10.2147/oajc.s316009

Cited by 12 publications

(19 citation statements)

References 27 publications

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“…Women's place of residence and their community early marriage status were predicted time interval-to-contraceptive use after childbirth when other variables were controlled for. As in other studies ( 56 , 57 ), rural women took a long time to adopt modern methods postpartum than their counterparts. Our findings contrast somewhat with several prior studies ( 35 , 37 ) that have identified no difference in time to modern contraceptive use among rural and urban residents.…”

Section: Discussionsupporting

confidence: 62%

Perinatal intimate partner violence and postpartum contraception timing among currently married women in Southern Ethiopia: A multilevel Weibull regression modeling

Abota¹,

Gashe²,

Deyessa³

2022

Front. Public Health

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BackgroundAdopting contraception on time is a critical intervention for postpartum women, but violence exposure around pregnancy may interfere with postpartum contraceptive use behaviors. Hence, this study aimed to investigate the time duration of the first modern contraceptive adoption and its individual-and community-level predictors among postpartum women in the Wolaita zone, South Ethiopia.MethodsA community-based prospective follow-up study was conducted among 1,292 postpartum women nested in 38 “Kebles” (clusters) using multistage-clustered sampling techniques. A multilevel Weibull regression model was employed to investigate predictors of time-to-method initiation after childbirth using STATA Version 14. Kaplan-Meier curve and Wilcoxon log-rank test were used to estimate time-to-modern contraceptive use across different variables. All variables with p-values <0.05 were considered for multivariate analysis. Adjusted time ratios (ATR) with 95 % CI were computed using Weibull accelerated failure time models.ResultsOf the respondents, 62% (95% CI: 59.1–64.5) had started the first modern contraception within a year after childbirth. The restricted mean survival time-to-postpartum modern contraceptive use was 6.28 months. Being a rural dweller (aTR: 1.44; 95% CI: 1.06–1.99) and living in the middle household wealth quintiles (aTR: 1.10; 95% CI: 1.02–1.19) predicted longer time duration to adopt first modern contraception by 44 and 10%, respectively. The women from the community with a high early marriage (aTR: 1.14; 95% CI: 1.01–1.28) took longer time to initiate modern postpartum methods. Furthermore, women who had no history of perinatal abuse took less time than those who had a history of abuse to start postpartum contraception (aTR: 0.71; 95% CI: 0.66–0.78).ConclusionRural residence, poor household wealth status, history of perinatal abuse, and a high rate of early marriage in the community are predicted to lengthen the time duration to start modern postpartum contraception. Thus, community-level women's empowerment, particularly among rural women and integration of intimate partner violence screening into family planning counseling throughout the continuum of care will likely to improve postpartum contraception timing.

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Section: Discussionsupporting

confidence: 62%

Perinatal intimate partner violence and postpartum contraception timing among currently married women in Southern Ethiopia: A multilevel Weibull regression modeling

Abota¹,

Gashe²,

Deyessa³

2022

Front. Public Health

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“…The survey focused on urban centers with a high population of adolescents in three Nigerian states namely Kaduna in the Northwest region, and Lagos and Oyo in the Southwest. These States were selected based on their relatively high records of mCPR ( 23 ) and high burdens of urban slums.…”

Section: Methodsmentioning

confidence: 99%

“…Existing studies have examined factors associated with low mCPR which include poverty, low level of education, rural residence, socioeconomic status, and awareness of family planning methods ( 22 , 23 ). Most of the studies have focused on all women, irrespective of their place of residence, with no consideration for adolescents, especially those in the slums, who are of varied socioeconomic class, largely unmarried, but engaging in high sexual activity and at risk of unwanted pregnancy.…”

Section: Introductionmentioning

confidence: 99%

Socioeconomic inequalities and family planning utilization among female adolescents in urban slums in Nigeria

Akinyemi

Ikuteyijo

Mobolaji

et al. 2022

Front. Glob. Womens Health

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Background/statement of problemFamily planning (FP) utilization is important for preventing unwanted pregnancy and achieving optimal reproductive health. However, the modern contraceptive prevalence rate (mCPR) among women of childbearing age is still low in many low- and middle-income countries (LMIC), particularly in Nigeria, despite interventions to increase access and utilization. The low mCPR has been associated with a high prevalence of unwanted pregnancy, unsafe abortion, sexually transmitted infections such as HIV/AIDS, and high maternal and infant mortality in LMIC. Despite existing studies associating high family planning utilization to urban settings relative to the rural areas, the socioeconomic inequality in urban settings, especially among adolescents in urban slums has been given less research attention. This study examines the role of socioeconomic inequality on family planning utilization among female adolescents of various ethnic backgrounds in urban slums in Nigeria.MethodsThe study utilized data from the Adolescent Childbearing Survey (2019). A total sample of 2,035 female adolescents of ages 14–19 years who were not pregnant at the time of the study and were resident in selected slums. Associations between socioeconomic inequalities—measured by wealth index, social status, and education—and modern contraceptive use were examined using relative and slope inequality indices, and logistic regression models.ResultsThe results show that only 15% of the female adolescents in the North, and 19% in the South reported modern contraceptive use. While wealth index and education were important predictors of FP use among adolescents in southern urban slums, only education was important in the North. However, the relative and slope inequality indices further indicate that adolescents with no education and those in the lowest social status group use much fewer contraceptives compared to their counterparts with higher wealth and social statuses. Those with secondary/higher education and the highest social status group, respectively, were more disadvantaged in terms of FP utilization (Education: RII = 1.86, p < 0.05; 95% C.I. = 1.02–2.71; Social Status: RII = 1.97, p < 0.05; 95% C.I. = 1.26–2.68) with results showing a more marked level of disparity when disaggregated by North and South.ConclusionThe persistent socioeconomic inequalities among female adolescents in Nigeria, especially those in the urban slums, have continued to limit their utilization. Policy measure in education, communication and subsidized contraceptives should be intensified for vulnerable female adolescents in the slums.

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“…In Nigeria, the prevalence of modern contraceptive use was 14.2%. 6 According to Nigeria Demographic and Health Survey (NDHS), the use of modern contraceptive method was higher among sexually active unmarried women (28%) than among married women (12%). Among currently married women, the prevalence of contraception, regardless of method, was 17%.…”

Section: Introductionmentioning

confidence: 99%

Resilient and Accelerated Scale-Up of Subcutaneously Administered Depot–Medroxyprogesterone Acetate in Nigeria (RASuDiN): A Mid-Line Study in COVID-19 Era

Osinowo¹,

Sambo-Donga²,

Ojomo³

et al. 2021

OAJC

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Background Injectable contraceptives are fast becoming the method of choice among women in sub-Saharan Africa (SSA). Specifically, the subcutaneously administered depot–medroxyprogesterone acetate (DMPA-SC) is gaining traction as a convenient, private and effective method to address unmet need for family planning (FP). The objective of this study was to determine the trend in DMPA-SC use in Nigeria. Methods Data was extracted from the National Health Management Information System (NHMIS) FP register on DMPA-SC uptake in public health facilities and through community-oriented resource providers (CORPS) in 10 Nigerian states. The linear trend model was adopted in data analysis based on lowest measure of dispersion and/or highest adjusted coefficient of determination (R 2 ). The statistical significance was determined at 5%. Results There was an upward trend in the use of DMPA-SC among clients who received the service through health providers, CORPS and self-injection in the 10 project states over a period of 12 months (August 2019–July 2020). In addition, the linear trend model showed that for every unit increase in months, the average number of women expected to use DMPA-SC through health providers, CORPS and self-injection will increase by 1308.3 (Yt = 3799.7 +1308.3*t), 756.73 (Yt = −1030.8 +756.73*t) and 77.864 (Yt = −159.7 +77.864*t) respectively. In all models, the adjusted coefficient of determination was 99.9% which showed good model fitness. The results also showed that the number of DMPA-SC clients varied across the project states with Niger (32,988) and Oyo (31,511) states reporting the highest number of clients over the period of 12 months. Conclusion There was an increasing use of DMPA-SC and self–injection among clients over time. Health facility and community-based FP programs should be strengthened to ensure improved access to FP services.

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When Do Nigerian Women of Reproductive Age Initiate and What Factors Influence Their Contraceptive Use? A Contextual Analysis

Cited by 12 publications

References 27 publications

Perinatal intimate partner violence and postpartum contraception timing among currently married women in Southern Ethiopia: A multilevel Weibull regression modeling

Perinatal intimate partner violence and postpartum contraception timing among currently married women in Southern Ethiopia: A multilevel Weibull regression modeling

Socioeconomic inequalities and family planning utilization among female adolescents in urban slums in Nigeria

Resilient and Accelerated Scale-Up of Subcutaneously Administered Depot–Medroxyprogesterone Acetate in Nigeria (RASuDiN): A Mid-Line Study in COVID-19 Era

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