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.

;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;

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;

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:

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.


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.


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.


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.


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-

Odimegwu CO. Family Planning Attitudes and Use in

Nigeria: A Factor Analysis. Int Fam Plan Perspect.


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-

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.


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.


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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