Partner characteristics, fertility preferences and contraceptive use among married women in Nigeria

Authors

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

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20262080

Keywords:

Contraceptive use, Fertility preferences, Nigeria, Partner influence

Abstract

Background: Contraceptive use remains low in Nigeria, and decisions regarding family planning are often influenced by partner dynamics and fertility preferences. Understanding how these factors shape contraceptive behavior is essential for designing effective interventions.

Methods: This study used data from the 2018 Nigeria Demographic and Health Survey (NDHS), including 27,841 currently married women aged 15-49 years. The outcome variable was current contraceptive use (any method vs non-use). Descriptive statistics summarized respondents’ characteristics. Bivariate analysis assessed associations between partner characteristics, fertility preferences, and contraceptive use. Multivariable logistic regression was used to identify factors independently associated with contraceptive use, adjusting for socio-demographic and household variables.

Results: Contraceptive use among married women was low. Women whose partners had higher levels of education were more likely to use contraceptives. Partner fertility preference was a strong predictor; contraceptive use increased when partners desired fewer children. Women who had achieved their desired family size or had more children than desired had higher odds of contraceptive use. Similarly, the number and sex composition of living children were associated with contraceptive behaviour. Women not living with their partners had lower likelihood of contraceptive use. These associations remained significant after adjusting for confounders.

Conclusions: Partner characteristics and fertility preferences play a critical role in shaping contraceptive use in Nigeria. Interventions aimed at increasing contraceptive uptake should incorporate male involvement and address couple-level decision-making dynamics, alongside improving access to services.

References

National Population Commission (NPC) [Nigeria], ICF. Nigeria Demographic and Health Survey 2018. Abuja, Nigeria, and Rockville, Maryland, USA: NPC and ICF; 2019. Available at: https://dhsprogram.com/pubs/pdf/FR359/FR359.pdf. Accessed 01 January 2026.

World Health Organization. Family planning/contraception, 2023. Available at: https://www.who.int/news-room/fact-sheets/detail/family-planning-contraception. Accessed 01 January 2026.

United Nations. World Family Planning 2022: Meeting the Changing Needs for Family Planning. New York: UN; 2022. Available at: https://desapublications.un.org/publications/world-family-planning-2022-meeting-changing-needs-family-planning-contraceptive-use. Accessed 01 January 2026.

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

Sedgh G, Ashford LS, Hussain R. Unmet Need for Contraception in Developing Countries: Examining Women’s Reasons for Not Using a Method. New York: Guttmacher Institute; 2016. Available at: https://www.guttmacher.org/sites/default/files/report_pdf/unmet-need-for-contraception-in-developing-countries-report.pdf. Accessed 01 January 2026.

Bradley SEK, Croft TN, Fishel JD, Westoff CF. Revising unmet need for family planning. DHS Analytical Studies No. 25. Calverton, Maryland: ICF International; 2012. Available at: https://dhsprogram.com/pubs/pdf/AS25/AS25%5B12June2012%5D.pdf. Accessed 01 January 2026.

Bongaarts J. The causes of unmet need for contraception and the social content of services. Stud Fam Plann. 2014;45(3):269-85.

Westoff CF. Unmet need for modern contraceptive methods. DHS Analytical Studies No. 28. Calverton: ICF; 2012.

Cahill N, Sonneveldt E, Stover J, Weinberger M, Williamson J, Wei C, et al. Modern contraceptive use, unmet need, and demand satisfied among women of reproductive age. Lancet. 2018;391(10123):870-82.

Ezeh AC, Bongaarts J, Mberu B. Global population trends and policy options. Lancet. 2012;380(9837):142-8.

Bankole A, Singh S. Couples’ fertility and contraceptive decision-making in developing countries. Stud Fam Plann. 1998;29(3):223-35.

Becker S. Couples and reproductive health: a review. Stud Fam Plann. 1996:291-306.

Feyisetan B, Bankole A. Fertility preferences and contraceptive use in Nigeria. Stud Fam Plann. 2002;33(3):239-51.

OlaOlorun FM, Hindin MJ. Having a say matters: influence of decision-making power on contraceptive use among Nigerian women ages 35-49 years. PloS one. 2014;9(6):e98702.

Akinyemi JO, Adedini SA, Hounton S. Contraceptive use and unmet need in Nigeria. Afr Popul Stud. 2015;29(2):1563-78.

Adebowale SA, Palamuleni ME. Determinants of unmet need for modern contraception and reasons for non-use among married women in rural areas of Burkina Faso. African Population Studies. 2014;28(1).

Blackstone SR, Nwaozuru U, Iwelunmor J. Factors influencing contraceptive use in sub-Saharan Africa: a systematic review. Int Quart Comm Heal Educat. 2017;37(2):79-91.

Mekonnen W, Worku A. Determinants of contraceptive use in Ethiopia. Afr Health Sci. 2011;11(3):450-9.

Wulifan JK, Mazalale J, Jahn A, Hien H, Ilboudo PC, Meda N, et al. Determinants of unmet need in SSA. BMC Public Health. 2016;16(1):938.

Islam AZ, Mondal MNI, Khatun ML. Prevalence and determinants in Bangladesh. BMC Public Health. 2016;16:682.

Haq I, Sakib S, Talukder A. Sociodemographic factors and contraceptive use. PLoS One. 2017;12(1):e0170143.

Alvergne A, Gurmu E, Gibson MA, Mace R. Social transmission of fertility behavior. Evol Hum Behav. 2011;32(1):65–73.

Link CF. Spousal communication and contraceptive use. Stud Fam Plann. 2011;42(2):71-82.

Do M, Kurimoto N. Women’s empowerment and contraceptive use. Soc Sci Med. 2012;74(5):744-52.

Upadhyay UD, Karasek D. Women’s empowerment and fertility. Stud Fam Plann. 2012;43(4):309–20.

Bongaarts J. Fertility preferences and reproductive behavior. Popul Dev Rev. 2001;27:260–81.

Arnold F. Gender preferences for children. Demography. 1997;34(2):257-73.

Iliyasu Z, Galadanci HS, Abubakar IS, Salihu HM. Postpartum contraception in Nigeria. Ann Afr Med. 2011;10(1):1–6.

Khan S, Mishra V. DHS comparative studies on contraceptive use. Stud Fam Plann. 2008;39(3):193-206.

Gyimah SO, Takyi B, Tenkorang EY. Denominational affiliation and fertility behaviour in an African context: an examination of couple data from Ghana. Journal of biosocial science. 2008;40(3):445-8.

Adedini SA, Babalola S, Ibeawuchi C, Omotoso O, Akiode, A, Odeku M. Role of Religious Leaders in Promoting Contraceptive Use in Nigeria: Evidence From the Nigerian Urban Reproductive Health Initiative. Global Health, Science and Practice. 2018;6(3):500-14.

Kaggwa EB, Diop N, Storey JD. Role of partner approval. Int Fam Plan Perspect. 2008;34(2):56–63.

Fotso JC, Ezeh AC, Essendi H. Maternal health in resource-poor urban settings: how does women's autonomy influence the utilization of obstetric care services?. Reproductive Health. 2009;6:9.

Rutstein SO. Wealth index and health outcomes. DHS Comparative Reports No. 6. Calverton: ORC Macro; 2004. Available at: https://dhsprogram.com/pubs/pdf/cr6/cr6.pdf. Accessed 01 January 2026.

Adebowale AS, Yusuf BO, Fagbamigbe, AF. Survival probability and predictors for woman experience childhood death in Nigeria: "analysis of North-South differentials". BMC Public Health, 2012;12:430.

United Nations. Transforming our world: the 2030 Agenda for Sustainable Development. New York: UN; 2015. Available at: https://sdgs.un.org/2030agenda. Accessed 01 January 2026.

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Published

2026-06-26

How to Cite

Ahmed, Y. A., & Günay, T. (2026). Partner characteristics, fertility preferences and contraceptive use among married women in Nigeria. International Journal of Reproduction, Contraception, Obstetrics and Gynecology, 15(7), 2374–2382. https://doi.org/10.18203/2320-1770.ijrcog20262080

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Section

Original Research Articles