1. Home
  2. Vol 21, No 3 (2017)
  3. Johnson

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

Ofonime E. Johnson(1),


(1) Department of Community Health, University of Uyo Teaching Hospital/University of Uyo, Akwa Ibom State,
Corresponding Author

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).

References


National Population Commission (NPC) [Nigeria] and

ICF International. 2014. Nigeria Demographic and Health Survey 2013. Abuja, Nigeria, and Rockville, Maryland, USA: NPC and ICF International.

Stover J and Ross J. How increased contraceptive use

has reduced maternal mortality. Matern Child Health J. 2010; 14 (5):687-95.

Okech TC, Wawire NW and Mburu TK. Contraceptive

use among women of reproductive age in Kenya‘s city slums. Int J Bus Soc Sci. 2011; 2: 22-43.

Bogale B, Wondafrash M, Tilahun T and Girma E.

Married women‘s decision making power on modern contraceptive use in urban and rural southern Ethiopia. Biomed Central Public Health. 2011; 11:342.

Oye-Adeniran BA, Adewole IF, Odeyemi KA, Ekanem

EE and Umoh AV. Contraceptive prevalence among young women in Nigeria. Journal of Obstetrics and Gynaecology. 2005;25:182-185.

Creanga AA, Gillspie D, Karklins S and Tsui AO. Low

use of contraception among poor women in Africa: an equity issue. Bull World Health Organ. 2011; 89:258-266.

Envuladu EA, Agbo HA, Mohammed A, Chia L, Kigbu

JH and Zoakah AI. Utilization of modern contraceptives among female traders in Jos South LGA of Plateau State, Nigeria. Int J Med Biomed Res. 2012; 1:224-231.

Chola M and Michelo C. Proximate determinants of

fertility in Zambia: Analysis of the 2007 Zambia Demographic and Health Survey. Int J Popul Res.2016; 2016:1-7.

Bbaale E and Mpuga P. Female education, contraceptive

use and fertility: evidence from Uganda. Consilience J Sustain Develop. 2011; 6(1):20-47.

Do M and Kurimoto N. Women‘s empowerment and

choice of contraceptive methods in selected African countries. Int Perspect Sex Reprod H. 2012; 38 (1):23-33.

Adebowale SA, Adedini SA, Ibisomi LD and Palamuleni

ME. Differential effect of wealth quintile on modern contraceptive use and fertility: evidence from Malawian women. BMC Women‘s Health. 2014; 14:40.

Hosseinpoor AR, Victora CG, Bergen N, Barros AJD

and Boerma JT. Towards universal health coverage: The role of within-country wealth-related inequality in 28 countries in sub-Saharan Africa. Bull World Health Org. 2011; 89:881-890.

Gwatkin D , Rutstein S , Johnson K , Suliman E,

Wagstaff A and Amouzou A . Socioeconomic Differences in Health, Nutrition and Population, 2nd ed. Washington: World Bank. 2005.

Adebowale AS, Gbadebo B and Afolabi FR. Wealth

index, empowerment and modern contraceptive use among married women in Nigeria: are they interrelated? J Public Health. 2016;24:415.

Odusina E, Ugai D and Olaposi O. Socio-economic

status, contraceptive knowledge and use among rural women in Ikeji Arakeji, Osun State, Nigeria. Afro Asian J Soc Sci. 2012;3:1-10.

Eliason S, Awoonor-Williams JK, Eliason C, Novignon

J, Nonvignon J and Aikins M. Determinants of modern family planning use among women of reproductive age in Nkwanta district of Ghana: a case-control study. Reprod Health. 2014; 11(1):65.

Mubita-Ngoma C and Kadantu MC. Knowledge and use

of modern family planning methods by rural women in Zambia. Curationis. 2010;33(1):17-21.

Ene-Obong HN, Enugu GI and Uwaegbute AC.

Determinants of Health and Nutritional Status of Rural Nigerian Women. J Health PopulNutr. 2001;19 :320-330.

Mekonnen W and Worka A. Determinants of low family

planning use and high unmet need in Butajira district, South Central Ethiopia. Reprod Health. 2011;8:37. doi:10.1186/1742-4755-8-37.

Tafa M, Haidar J and Fekadu H. Modern family planning

use and its relationship with the nutritional status of women of child bearing age at Tena district, Arsi zone Oromia regional state, Ethiopia 2013: A community based case control study. Gynaecol Obstet(Sunnyvale). 2015;5:282.

Tunau K, Awosan KJ , Adamu H, Mohammad U,

Hassan M, Nasir S, Raji MO, Oche MO, Nwobodo EI and Baba TM. Comparative assessment of modern contraceptives‘ knowledge and utilization among women in urban and rural communities of Sokoto State, Nigeria. J Med Med Sci. 2016;7 (1):6-14

National Population Commission of Nigeria, 2006.

Igbodekwe FC, Oladimeji O, Oladimeji KO, Adeoye IA,

Akpa OM and Lawson L. Utilization of modern contraceptive among women of child bearing age in resource constraint setting: Evidence from 2008 National Demographic and Health Survey in Nigeria. Journal of Health Science. 2014; 4(3):72-78.

Sharma V, Mohan U, Das V and Awasthi S. Socio

demographic determinants and knowledge, attitude, practice: Survey of family planning. J Fam Med Primary Care. 2012; 1:43-47.

Chingles M, Banwat M , Lar L and Zoakah A.

Contraceptive Uptake among Women of Reproductive Age in a Semi Urban Area in Jos South Local Government Area of Plateau State, North Central Nigeria. The Nigerian health Journal. 2013;13(2):69-74

Tolman D. Female adolescent sexuality: an argument for

a developmental perspective on the new view of women's sexual problems. Women & Therapy. 2002; 42 (1–2): 195–209.

Olugbenga-Bello AI, Abodunrin OL and Adeomi AA.

Contraceptive practices among women in rural communities in south western Nigeria. Global J Med Res. 2011;11(2):1-9.

Johnson OE and Ekong IE. Knowledge, Attitude and

Practice of Family Planning among Women in a Rural Community in Southern Nigeria. Br J Med Med Res. 2016;12(2):1-8

Nketiah-Amponsah E, Arthur E and Abuosi A.

Correlates of contraceptive use among Ghanaian women of reproductive age (15-49 years). Afr J Reprod Health. 2012;16 (3):154.

Currie J. Healthy, wealthy and wise: socio economic

status, poor health in childhood and human capital development. J Econ Lit. 2009; 47(1):87-122.


Full Text: PDF

Article Metrics

Abstract View : 3200 times
PDF Download : 1303 times

Refbacks

  • There are currently no refbacks.