Variations in modern contraceptive uptake and its correlates in South West and North East Nigeria: a comparative analysis

Authors

  • Funmilola F. Oyinlola Department of Demography and Social Statistics, Obafemi Awolowo University Ile-Ife, Nigeria
  • Samson O. Bamiwuye Department of Demography and Social Statistics, Obafemi Awolowo University Ile-Ife, Nigeria
  • Stephen A. Adebowale Department of Epidemiology and Medical Statistics, Faculty of Public Health, College of Medicine, University of Ibadan, Ibadan, Nigeria
  • Opeyemi O. Ekundayo Department of Psychology, Obafemi Awolowo University Ile-Ife, Nigeria
  • Benjamin B. Ilesanmi Department of Demography and Social Statistics, Obafemi Awolowo University Ile-Ife, Nigeria

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20202721

Keywords:

Correlates, Modern contraceptives, Variations

Abstract

Background: Family planning programs are implemented specifically to address the sexual and reproductive health challenges of women of childbearing age but these interventions are yet to address regional differences in modern contraceptive usage in Nigeria. Hence, this study aimed to examine correlates of modern contraceptive uptake in South West and North Eastern, Nigeria.

Methods: A cross-sectional survey data for women aged 15-49 years was extracted from Nigeria demographic and health surveys 2018 (NDHS). Data analyses were based on a weighted sample of 10,907 (North East= 5406 and South West = 5501) women of reproductive age. The outcome variable was modern contraceptive use. The main explanatory variables were age, employment status, religion, Number of living children, education, and marital status. Frequency distribution, Chi-square test, and binary logistic regression were used for data analysis (α=0.05).

Results: The result showed the mean age of women of reproductive age in South West and North East to be 32years and 30 years respectively. More women in South West used modern contraceptive than women in North East. About 91.5% and 75.8% of women in North East and South West respectively did not used any modern method. The result showed that, in the South West, number of living children (OR:4.06, CI: 2.794-5.921), education (OR:1.35, CI: 1.045-1.754) and wealth index (OR:1.77, CI: 1.053-2.973) increased the odds of contraceptive uptake, while maternal age (OR:0.52, CI: 0.282-0.965), religion (OR:0.25, CI: 0.184-0.347) and place of residence (OR:0.68, CI: 0.504-0.916) significantly reduced the odds of modern contraceptive uptake in North East.

Conclusions: This study concludes that there are regional variations in uptake and predictors of modern contraceptives use in Nigeria. Therefore, sexual and reproductive health interventions that considers the study’s significant variables should be put in place to increase uptake.

References

Ameyaw EK, Budu E, Sambah F, Baatiema L, Appiah F, Seidu AA, et al. Prevalence and determinants of unintended pregnancy in sub-Saharan Africa: a multi-country analysis of demographic and health surveys. PLoS One. 2019;14(8):1-16.

WHO family planning/contraception. World Health Organization 2019. Available at: https://www.who.int/news-room/facts-heets/detail/family-planning-contraception. Accessed on 12th March 2020.

Asaolu I, Nunõ VL, Ernst K, Taren D, Ehiri J. Healthcare system indicators associated with modern contraceptive use in Ghana, Kenya, and Nigeria: evidence from the performance monitoring and accountability 2020 data. Reprod Health. 2019;16(1):1-10.

Olugbenga-Bello AI, Abodunrin OL, Adeomi AA. Contraceptive practices among women in rural communities in south-western Nigeria. Global J Med Res. 2011;11(2):1-9.

Wang C, Cao H. Persisting regional disparities in modern contraceptive use and unmet need for contraception among Nigerian Women. Biomed Res Int. 2019;2019:1-9.

Olugbenga-Bello A, OL A, AA A. contraceptive practices among women in rural communities in South-Western Nigeria contraceptive practices among women in rural communities in South-Western Nigeria contraceptive practices among women in rural communities In South-Western Nigeria. Global J Med Res. 2011;11:1-8.

Babalola S, Oyenubi O. Factors explaining the North-South differentials in contraceptive use in Nigeria: a nonlinear decomposition analysis. Demogr Res. 2018;38(1):287-308.

Gajida AU, Takai IU, Haruna IU, Bako KA. Knowledge, attitude and practice of modern contraception among women of reproductive age in urban area of kano, north-western nigeria. J Med Trop. 2019;21(2):67.

NPC, ICF. Nigeria demographic and health survey 2013. Natl Popul Comm. 2014;566. Available at: http://scholar.google.com/scholar?hl=en&btnG=Search&q=intitle:Nigeria+Demographic+and+Health+Survey#0%5Cnhttp://scholar.google.com/scholar?hl=en&btnG=Search&q=intitle:Nigeria+demographic+and+health+survey+1999#0. Accessed on 15th March 2020.

Sageer R, Kongnyuy E, Adebimpe WO, Omosehin O, Ogunsola EA, Sanni B. Causes and contributory factors of maternal mortality: Evidence from maternal and perinatal death surveillance and response in Ogun state, Southwest Nigeria. BMC Preg Childbirth. 2019;19(1):1-8.

National Bureau of Statistics. Demographic Statistics Bulletin Demographic Statistics, Alpacas, Sheep, and Men, (May); 2018:219-228.

Aransiola JO, Akinyemi AI, Fatusi AO. Women’s perceptions and reflections of male partners and couple dynamics in family planning adoption in selected urban slums in Nigeria: A qualitative exploration. BMC Public Health. 2014;14(1):869.

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):11.

Solanke BL. Advanced reproductive age and childbearing choices in Nigeria. Health Care Women Int. 2017;38(6):640-57.

Lesthaeghe R. The fertility transition in sub-Saharan Africa into the 21st century. PSC Research Rep 14-823. 2014. Available at: https://pdfs.semanticscholar.org/d903/a67cfb439ce3eba1ca62d8cb100d92880a92.pdf. Accessed on 9th March 2020.

Régnier-Loilier A, Vignoli D, Dutreuilh C. Fertility Intentions and obstacles to their realization in France and Italy. Popul. 2011;66(2):361.

Feyisetan BJ, Bankole A. Fertility transition in Nigeria: trends and prospect. Popul Bull UN. 2002;48(49):461-78.

Merlo J, Wagner P, Ghith N, Leckie G. An original stepwise multilevel logistic regression analysis of discriminatory accuracy : the case of neighbourhoods and health. PloS One. 2016;(Step 1):1-31.

Philipov D, Berghammer C. Religion and fertility ideals, intentions and behaviour: A comparative study of European countries. Vienna Yearbook Populat Res. 2007:271-305.

Mishra VK, Retherford RD, Nair PS, Feeney G. Reasons for discontinuing and not intending to use contraception in India. Natl Fam Heal Surv Subj Reports Num. 13. 1999. Available at: https://scholarspace.manoa.hawaii.edu/handle/10125/3479. Accessed on 7th March 2020.

Adebowale AS, Asa S, Abe JO, Oyinlola FF. Sex preference, religion and ethnicity roles in fertility among women of childbearing age in Nigeria: examining the links using zero-inflated poisson regression model. Int J Stat Probab. 2019;8(6):91.

Olaolorun F, Seme A, Otupiri E, Ogunjuyigbe P, Tsui A. Women’s fertility desires and contraceptive behavior in three peri-urban communities in sub Saharan Africa. Reprod Health. 2016;13(1):12.

Palamuleni ME. Socio-economic and demographic factors affecting contraceptive use in Malawi. 2013;17(September):91-104.

Choiriyyah I, Becker S. Women’s covert use of contraception in 32 countries. In2017 International Population Conference 2017. IUSSP. Available at: https://iussp.confex.com/iussp/ipc2017/mediafile/Presentation/Paper4889/factorcovertuse.pdf. Accessed on 12th March 2020.

Oladosun M, Akanbi M, Fasina F, Samuel G. Key predictors of modern contraceptive use among women in marital relationship in South-West region of Nigeria. Int J Reprod Contracept Obstet Gynecol. 2019;8(7):2638.

Durowade KA, Omokanye LO, Elegbede OE, Olomofe CO, Ajiboye AD, Makinde A, 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):121-8.

Adebowale SA, Adeoye IA, Palamuleni ME. Contraceptive use among Nigerian women with no fertility intention: Interaction amid potential causative factors. Etude la Popul Africaine. 2013;27(2):127-39.

Adebowale SA, Adedini SA, Ibisomi LD, Palamuleni ME. Differential effect of wealth quintile on modern contraceptive use and fertility: Evidence from Malawian women. BMC Womens Health. 2014;14(1):40.

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.

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Published

2020-06-25

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Original Research Articles