Examining the Role of Couples’ Characteristics in Contraceptive use in Nigeria and Zambia

Lorretta Favour. C. Ntoimo, Pamela Chirwa-Banda


Relationship-related characteristics influence diverse health and demographic outcomes. This study examined the role of couples‘ characteristics in contraceptive use. Data were obtained from 2013 Nigeria and 2013-14 Zambia Demographic and Health Surveys. The study population consisted of couples in monogamous union (married or living together) who had at least one live birth and the wife was not pregnant at the time of the survey. Prevalence of contraceptive use among couples in Nigeria was 27% and 63% in Zambia. Couples‘ educational attainment, religious affiliation, the frequency of listening to the radio, reported number of children, fertility preference, region of residence and household wealth index were significant predictors of contraceptive use among couples in Nigeria and Zambia. Given the significant role of couples‘ characteristics in the uptake of contraceptives, there is the need to encourage interventions that target couples, particularly those of poor socioeconomic status. (Afr J Reprod Health 2017; 21[4]: 93-101).

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Creanga AA, Gillespie D, Karklins S and Tsui AO. Low use of contraception among poor women in Africa: an equity issue. Bull World Health Organ. 2011;89(4):258-266. doi:10.2471/BLT.10.083329.

United Nations, Department of Economic and Social Affairs, Population Division. Trends in Contraceptive Use Worldwide 2015.; 2015.

Federal Ministry of Health [Nigeria]. National Reproductive Health Working Group Meeting Report. Abuja, Nigeria: Federal Ministry of Health; 2013.

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

Central Statistical Office (CSO) [Zambia], Ministry of Health (MOH) [Zambia], and ICF International. Zambia Demographic and Health Survey 2013-14. Rockville, Maryland, USA: Central Statistical Office, Ministry of Health, and ICF International; 2014.

Sonfield A, Hasstedt K, Kavanaugh ML and Anderson R. The Social and Economic Benefits of Women‘s Ability to Determine Whether and When To Have Children. New York: Guttmacher Institute; 2013. .

World Health Organization. Trends in Maternal Mortality: 1990 to 2015. Estimates by WHO, UNICEF, UNFPA, The World Bank and the United Nations Population Division. Geneva, Switzerland: World Health Organization; 2015.

Mesfin G. The role of men in fertility and family planning program in Tigray Region. Ethiop J Health Dev. 2002;16(3):247-255.

Gyimah SO, Takyi B and Tenkorang EY. Denominational affiliation and fertility behaviour in an African context: An examination of couple data from Ghana. J Biosoc Sci. 2008;40(3):445.

Tsou MW, Liu JT and Hammitt JK. Parental age difference, educationally assortative mating and offspring count: evidence from a contemporary population in Taiwan. Biol Lett. 2011:rsbl20101208.

DeRose LF, Dodoo FNA and Patil V. Fertility desires and perceptions of power in reproductive conflict in Ghana. Gend Soc. 2002;16(1):53-73.

Izugbara CO and Ezeh AC. Women and high fertility in Islamic northern Nigeria. Stud Fam Plann. 2010;41(3):193-204.

Mason KO and Smith HL. Husbands‘ versus wives‘ fertility goals and use of contraception: The influence of gender context in five Asian countries. Demography. 2000;37(3):299-311.

Feyisetan BJ. Spousal communication and contraceptive use among the Yoruba of Nigeria. Popul Res Policy Rev. 2000;19(1):29-45.

Ogunjuyigbe PO, Ojofeitimi EO and Liasu A. Spousal communication, changes in partner attitude, and contraceptive use among the Yorubas of Southwest Nigeria. Indian J Community Med. 2009;34(2):112.

Ibisomi L. Is age difference between partners associated with contraceptive use among married couples in Nigeria? Int Perspect Sex Reprod Health. 2014;40(1):39-45.

Haile A and Enqueselassie F. Influence of women‘s autonomy on couple‘s contraception use in Jimma town, Ethiopia. Ethiop J Health Dev. 2006;20(3).

Irani L, Speizer IS and Fotso JC. Couple characteristics and contraceptive use among women and their partners in urban Kenya. Int Perspect Sex Reprod Health. 2014;40(1):11.

Benefo KD. Are partner and relationship characteristics associated with condom use in Zambian nonmarital relationships? Int Fam Plan Perspect. 2004:118-127.

Odimegwu CO. Family Planning Attitudes and Use in Nigeria: A Factor Analysis. Int Fam Plan Perspect. 1999;25(2):86-91.

Ainsworth M, Beegle K and Nyamete A. The impact of women‘s schooling on fertility and contraceptive use: A study of fourteen sub-Saharan African countries. World Bank Econ Rev. 1996;10(1):85-122.

Stephenson R, Baschieri A, Clements S, Hennink M and Madise N. Contextual influences on modern contraceptive use in sub-Saharan Africa. Am J Public Health. 2007;97(7):1233-1240.

Agadjanian V. Religious denomination, religious involvement, and modern contraceptive use in Southern Mozambique. Stud Fam Plann. 2013;44(3):259-274.

Wusu O. Religious influence on non-use of modern contraceptives among women in Nigeria: a comparative analysis of 1990 and 2008 NDHS. J Biosoc Sci. 2015;47(05):593-612.

Yeatman SE and Trinitapoli J. Beyond denomination: The relationship between religion and family planning in rural Malawi. Demogr Res. 2008;19(55):1851-1882.

Agha S and Van Rossem R. Impact of Mass Media Campaigns on Intentions to Use The Female Condom in Tanzania. Int Fam Plan Perspect. 2002;28(3):151-158.

Van Rossem R and Meekers D. The reach and impact of social marketing and reproductive health communication campaigns in Zambia. BMC Public Health. 2007;7(1):1-12.

Bankole A and Audam S. Fertility preferences and contraceptive use among couples in sub-Saharan Africa. Afr Popul Stud. 2011;25(2):556-586.


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