Unmet needs, knowledge of contraception and self- reported barriers to contraceptive use among women of reproductive age in Osun State, Nigeria

Authors

  • Omotayo T. Adigun Department of Community Medicine, Osun State University, Osogbo, Osun State, Nigeria
  • Ajibola O. Olagunoye Department of Community Medicine, UNIOSUN Teaching Hospital, Osogbo, Osun State, Nigeria
  • Olusegun P. Daramola Department of Community Medicine, UNIOSUN Teaching Hospital, Osogbo, Osun State, Nigeria

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20263018

Keywords:

Barriers, Contraceptives, Knowledge, Nigeria, Unmet needs

Abstract

Background: Unmet need for contraception has been a focus in addressing the high fertility rate, especially in developing countries such as Nigeria. The concept of unmet need implies the gap between women’s reproductive intentions and their contraceptive behaviour for family planning. This study assessed the knowledge and unmet need for contraception, including self-reported barriers to contraceptive use among women of reproductive age in Osun State, Nigeria.

Methods: A community-based cross-sectional study was conducted among 1,218 women of reproductive age. The respondents were recruited using a multistage sampling technique. Quantitative and qualitative data were collected using a semi-structured questionnaire and an FGD guide, respectively, and data were analysed using SPSS version 23.0.

Results: The mean age of respondents was 31 years (S.D 7.24 years). The unmet need for contraception among respondents was 36.2%. About 70% of respondents were able to list 1-2 methods of contraception, and 12.3% were able to describe the fertile period. Overall, 67.6% of respondents had good knowledge of contraception, 93.6% knew the correct use of OCP, 41.0% knew the correct use of injectables, and 35.1% knew the correct use of implants. About a quarter (23%) of respondents reported fear of side effects as a barrier to contraceptive use.

Conclusions: This study found a high level of unmet need for contraception among women of reproductive age in Osun State compared to the national average, even though there was good knowledge of contraceptives among respondents. Policymakers can strengthen family planning programs by understanding and using data on unmet need.

References

Workie DL, Zike DT, Fenta HM, Mekonnen MA. A binary logistic regression model with complex sampling design of unmet need for family planning among all women aged (15-49) in Ethiopia. 2017;17(3):637-46.

Fagbamigbe AF, Afolabi RF, Idemudia ES. Demand and unmet needs of contraception among sexually active in-union women in Nigeria: distribution, associated characteristics, barriers, and program implications. Sage Open. 2018;8(1):2158244017754023.

Juarez F, Gayet C, Mejia-Pailles G. Factors associated with unmet need for contraception in Mexico: evidence from the National Survey of Demographic Dynamics 2014. BMC Public Health. 2018;18(1).

Rakhi J, Sumathi M. Contraceptive methods: needs, options and utilization. J Obstet Gynecol India. 2011;61(6):626-34.

Cleland J, Bernstein S, Ezeh A, Faundes A, Glasier A, Innis J. Family planning: the unfinished agenda. Lancet. 2006;368(9549):1810-27.

Biddlecom A, Kantorová V, Kisambira S, Nahmias P, Rafalimanana H, Division UNP. Trends in contraceptive use worldwide 2015. Department of Economic and Social Affairs. 2015:63.

Machiyama K, Casterline JB, Mumah JN, Huda FA, Obare F, Odwe G, et al. Reasons for unmet need for family planning, with attention to the measurement of fertility preferences: protocol for a multi-site cohort study. Reprod Health. 2017;14(1):23.

Seltzer JR. The origins and evolution of family planning programs in developing countries. Rand Corporation; 2002.

Sserwanja Q, Musaba MW, Mukunya D. Prevalence and factors associated with modern contraceptives utilization among female adolescents in Uganda. BMC Womens Health. 2021;21(1).

WHO recommendations on self-care interventions: self-administration of injectable contraception. World Health Organization. 2022. Available from: https://www.who.int/publications/i/item/WHO-SRH-22.2. Accessed 30 June 2026.

Alkema L, Kantorova V, Menozzi C, Biddlecom A. National, regional, and global rates and trends in contraceptive prevalence and unmet need for family planning between 1990 and 2015: a systematic and comprehensive analysis. Lancet. 2013;381(9878):1642-52.

National Population Commission (NPC) (Nigeria) and ICF. Nigeria Demographic and Health Survey 2018 Key Indicators Report. 2019. Available from: http://ngfrepository.org.ng:8080/jspui/handle/123456789/3145. Accessed on 30 June 2026.

Yadav K, Agarwal M, Shukla M, Singh JV, Singh VK. Unmet need for family planning services among young married women (15-24 years) living in urban slums of India. BMC Womens Health. 2020;20(1).

Ukoji VU, Anele PO, Imo CK. Assessing the relationship between knowledge and the actual use of contraceptives among childbearing women in South-South Nigeria: evidence from the 2018 Nigeria demographic and health survey. BMC Public Health. 2022;22(1).

Wulifan JK, Mazalale J, Kambala C, Angko W, Asante J, Kpinpuo S, et al. Prevalence and determinants of unmet need for family planning among married women in Ghana-a multinomial logistic regression analysis of the GDHS, 2014. Contracept Reprod Med. 2019;4(1).

Tegegne TK, Chojenta C, Forder PM, Getachew T, Smith R, Loxton D. Spatial variations and associated factors of modern contraceptive use in Ethiopia: a spatial and multilevel analysis. BMJ Open. 2020;10(10).

Oluwasanu MM, John-Akinola YO, Desmennu AT, Oladunni O, Adebowale AS. Access to information on family planning and use of modern contraceptives among married Igbo Women in Southeast, Nigeria. Int J Community Health Educ. 2019;39(4):233-43.

Abdel-Salam DM, Albahlol IA, Almusayyab RB, Alruwaili NF, Aljared MY, Alruwaili MS, et al. Prevalence, Correlates, and Barriers of Contraceptive Use among Women Attending Primary Health Centers in Aljouf Region, Saudi Arabia. Int J Environ Res Public Health. 2020;17(10):3552.

Ochako R, Mbondo M, Aloo S, Kaimenyi S, Thompson R, Temmerman M, et al. Barriers to modern contraceptive methods uptake among young women in Kenya: a qualitative study. BMC Public Health. 2015;15(1):118.

Guttmacher Institute. Adding It Up: Investing in Contraception and Maternal and Newborn Health in Nigeria, 2018. Available from: https://www.guttmacher.org/fact-sheet/adding-it-up-contraception-mnh-nigeria. Accessed on 30 June 2026.

George N, Sulekha T, Ramachandran A, Peters A, Kiran PR. The unmet needs for family planning and its associated factors among ever married women in selected villages of Anekal taluk, Karnataka: a community based cross sectional study. Int J Community Med Public Health. 2018;5(5):2048-52.

The US Government and International Family Planning and Reproductive Health Efforts. KFF. https://www.kff.org/global-health-policy/the-u-s-government-and-international-family-planning-reproductive-health-efforts/. Accessed on 30 June 2026.

Meet the Demand for Contraception and Reproductive Health- Women Deliver. Avaialbe from: https://womendeliver.org/publications/meet-demand-contraception-reproductive-health-2/. Accessed on 30 June 2026.

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(1).

NPC. Population and Housing Census of the Federal Republic of Nigeria National and State Population Tables. NPC. 2006. Available from: https://www.scirp.org/reference/referencespapers?referenceid=4224449. Accessed on 30 June 2026.

Westoff C. New Estimates of Unmet Need and the Demand for Family Planning. Available from: https://www.researchgate.net/publication/239774112_New_Estimates_of_Unmet_Need_and_the_Demand_for_Family_Planning. Accessed on 30 June 2026.

Ayo-Bello O, Quinn-Walker N. Factors associated with modern contraceptives use in Nigerian women: a systematic review of quantitative studies. Discover Public Health. 2025;22(1):300.

Olubodun T, Balogun M, Ogunsilu E. Awareness and practice of family planning among women residing in two rural communities in Ogun State, South West Nigeria. Ann Afr Med. 2020;19(4):246-51.

Durowade KA, Omokanye LO, Elegbede OE, Adetokunbo S, Olomofe CO, Ajiboye AD, et al. Barriers to contraceptive uptake among women of reproductive age in a semi-urban community of Ekiti State, Southwest Nigeria. Ethiop J Health Sci. 2017;27(2):121.

Adefalu AA, Ladipo OA, Akinyemi OO, Popoola OA, Latunji OO, Iyanda OF. Awareness and opinions regarding contraception by women of reproductive age in North-West Nigeria. Pan Afr Med J. 2018;30.

Okoli CV, Orobator ET, Chiawah JAS, Joseph S, Micheu N, Enaworu OR. Exploring knowledge, attitudes, and the use of modern contraceptive methods among women of reproductive age in Abuja, Nigeria. Int J Sci Res Arch. 2025;14(1):330-9.

Casey SE, Gallagher MC, Kakesa J, Kalyanpur A, Muselemu JB, Rafanoharana RV, et al. Contraceptive use among adolescent and young women in North and South Kivu, Democratic Republic of the Congo: A cross-sectional population-based survey. PLoS Med. 2020;17(3):e1003086.

Olugbenga-Bello AI, Abodunrin OL, Adeomi AA. Contraceptive practices among women in rural communities in south-western Nigeria. Glob J Med Res. 2011;11(2):1-8.

Ozumba BC, Obi SN, Ijioma NN. Knowledge, attitude and practice of modern contraception among single women in a rural and urban community in southeast Nigeria. J Obstet Gynaecol. 2005;25(3):292-5.

Sedgh G, Hussain R. Reasons for contraceptive nonuse among women having unmet need for contraception in developing countries. Stud Fam Plann. 2014;45(2):151-69.

Durgawale PM, Prasanna K. Epidemiological correlates of unmet need for contraception in slum dwellers in Karad Town Western Maharashtra. InAdvancements in Science and Technology for Healthcare, Agriculture, and Environmental Sustainability. CRC Press; 2024:586-592.

Wemakor A, Garti H, Saeed N, Asumadu O, Anyoka B. Prevalence and determinants of unmet need for contraception in North Gonja District, Ghana. BMC Womens Health. 2020;20(1).

Mohammed A, Envuladu EA, Okoh EO, Osagie IA, Danimoh MA, Zoakah AI. Unmet need for family planning among women of reproductive age in Plateau State Nigeria. Int J Sci Res Manage. 2018;6(06):MP-2018.

Asekun-Olarinmoye EO, Adebimpe WO, Bamidele JO, Odu OO, Asekun-Olarinmoye IO, Ojofeitimi EO. Barriers to use of modern contraceptives among women in an inner city area of Osogbo metropolis, Osun state, Nigeria. Int J Womens Health. 2013;5(1):647-55.

Ankomah A, Anyanti J, Adebayo S, Giwa A. Barriers to contraceptive use among married young adults in Nigeria: a qualitative study. Int J Trop Dis Health. 2013;3(3):267-82.

Downloads

Published

2026-08-27

How to Cite

Adigun, O. T., Olagunoye, A. O., & Daramola, O. P. (2026). Unmet needs, knowledge of contraception and self- reported barriers to contraceptive use among women of reproductive age in Osun State, Nigeria. International Journal of Reproduction, Contraception, Obstetrics and Gynecology, 15(9), 3385–3392. https://doi.org/10.18203/2320-1770.ijrcog20263018

Issue

Section

Original Research Articles