Investigation on Determinants and Choice of Contraceptive Usage among Nigeria Women of Reproductive Age
CONTRACEPTIVE USAGE AMONG NIGERIA WOMEN
-
Alabi Waheed Banjoko
,
Waheed Babatunde Yahya
,
Mohammed Kabir Garba
,
Razaq Bayo Afolayan
,
Kazeem Adesina Dauda
,
Dorcas Damilola Adewara
Abstract
Background: Contraception is the intentional prevention of conception and Sexually Transmitted Diseases using devices. This study investigates the prevalence, use and choice of different contraceptive methods among Nigeria women of reproductive age (15 – 49 years).
Materials and Methods: This study utilized the most current dataset from the National Demographic and Health Survey (NDHS). Chi-squares tests of Homogeneity of proportion was utilized to validate the equality of proportions for the different groups of contraception methods. Also, Multinomial Logistic Regression was employed to model the determinants of contraceptive choice among some selected factors.
Results: As reveal in this study, 83.86% of Nigeria women within the reproductive age do no use any method of contraceptives while only 16.14% use one form of contraceptives. Although, all the factors selected contributed significantly (p-value < 0.05) to the choice of contraceptive usage in this study, certain level(s) of some factors such as women from the South-West region, women with more desire for children and women within the age bracket 20 – 24 and 45 – 49 are not significant to the usage of contraception among Nigeria women. The significant factors observed in this study indicated either an increased or decreased risk in the usage of contraceptive methods.
Conclusion: The choice of contraceptive methods used by Nigerian women is influenced by most of the selected maternal and social-demographic factors used in this study. However, enlightenment on the important and use of contraceptives are needed to be put on media to increase the usage of contraceptives among Nigerian women.
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[2] National Population Commission - NPC, ICF. Nigeria Demographic and Health Survey 2018 - Final Report. Abuja, Nigeria: NPC and ICF; 2019.
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[4] Ezugwu EC, Nkwo PO, Agu PU, Ugwu EO, Asogwa AO. Contraceptive use among HIV-positive women in Enugu, southeast Nigeria. International Journal of Gynecology & Obstetrics. 2014;126(1):14-7.
[5] Oladokun A, Morhason-Bello IO, Enakpene CA, Owonikoko KM, Akinyemi JO, Obisesan KA. Sexual Behaviour and Contraceptive Usage of Secondary School Adolescents in Ibadan, Nigeria. Journal of Reproduction and Contraception. 2007;18(4):279-88.
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[7] Jentsch VL, Pötzl L, Wolf OT, Merz CJ. Hormonal contraceptive usage influences stress hormone effects on cognition and emotion. Frontiers in Neuroendocrinology. 2022;67:101012.
[8] Abusal F, Aladwan M, Alomari Y, Obeidat S, Abuwardeh S, AlDahdouh H, et al. Oral contraceptives and colorectal cancer risk - A meta-analysis and systematic review. Annals of Medicine and Surgery. 2022;83:104254.
[9] Haddad LB, Polis CB, Sheth AN, Brown J, Kourtis AP, King C, et al. Contraceptive methods and risk of HIV acquisition or female-to-male transmission. Current HIV/AIDS reports. 2014;11(4):447-58.
[10] Kantorová V, Wheldon MC, Ueffing P, Dasgupta ANZ. Estimating progress towards meeting women’s contraceptive needs in 185 countries: A Bayesian hierarchical modelling study. PLOS Medicine. 2020;17(2):e1003026.
[11] Perehudoff K, Kibira D, Wuyts E, Pericas C, Omwoha J, van den Ham HA, et al. A comparative human rights analysis of laws and policies for adolescent contraception in Uganda and Kenya. Reproductive Health. 2022;19(1):37.
[12] Asekun-Olarinmoye E, Adebimpe W, Bamidele J, Odu O, Asekun-Olarinmoye I, Ojofeitimi E. Barriers to use of modern contraceptives among women in an inner city area of Osogbo metropolis, Osun state, Nigeria. International journal of women's health. 2013;5:647-55.
[13] Enyindah CE, Enaohwo BO. Contraceptive Prevalence and Pattern among HIV Positive Women in Port Harcourt, South-South Nigeria. Journal of Reproduction and Contraception. 2012;23(3):186-92.
[14] Edafiogho P, Otuyelu E, Gergo S, Ferenc V, Muhammad A, Okey A, et al. The determinants of knowledge and use of modern contraceptive methods (MCMS) in nigeria women accessing anti-natal care. Fertility and Sterility. 2014;102(3, Supplement):e13-e4.
[15] Ajayi AI, Adeniyi OV, Akpan W. Use of traditional and modern contraceptives among childbearing women: findings from a mixed methods study in two southwestern Nigerian states. BMC Public Health. 2018;18(1):604.
[16] Mairiga AG, Kullima AA, Bako B, Kolo MA. Sociocultural factors influencing decision-making related to fertility among the Kanuri tribe of north-eastern Nigeria. Afr J Prim Health Care Fam Med. 2010;2(1):094.
[17] Rabiu A, Rufa'i AA. The role of traditional contraceptive methods in family planning among women attending primary health care centers in Kano. Ann Afr Med. 2018;17(4):189-95.
[18] Debebe S, Andualem Limenih M, Biadgo B. Modern contraceptive methods utilization and associated factors among reproductive aged women in rural Dembia District, northwest Ethiopia: Community based cross-sectional study. Int J Reprod Biomed. 2017;15(6):367-74.
[19] Sedgh G, Ashford LS, Hussain R. Unmet need for contraception in developing countries: examining women’s reasons for not using a method. 2016.
[20] Afriyie P, Tarkang EE. Factors influencing use of modern contraception among married women in Ho West district, Ghana: descriptive cross-sectional study. Pan Afr Med J. 2019;33:15.
[21] Alvarez JL, Gil R, Hernández V, Gil A. Factors associated with maternal mortality in Sub-Saharan Africa: an ecological study. BMC Public Health. 2009;9(1):462.
[22] Moronkola OA, Ojediran MM, Amosu A. Reproductive health knowledge, beliefs and determinants of contraceptives use among women attending family planning clinics in Ibadan, Nigeria. African health sciences. 2006;6(3):155-9.
[23] Abiodun OM, Balogun OR. Sexual activity and contraceptive use among young female students of tertiary educational institutions in Ilorin, Nigeria. Contraception. 2009;79(2):146-9.
[24] Rai RK, Singh PK, Singh L. Utilization of Maternal Health Care Services among Married Adolescent Women: Insights from the Nigeria Demographic and Health Survey, 2008. Women's Health Issues. 2012;22(4):e407-e14.
[25] Ejembi CL, Dahiru T, Aliyu AA. Contextual factors influencing modern contraceptive use in Nigeria. Rockville, Maryland, USA: ICF International; 2015.
[26] Chukwuonye I, Ogah O, Anyabolu EN, Ohagwu K, Nwabuko O, Onwuchekwa U, et al. Prevalence of chronic kidney disease in Nigeria: Systematic review of population-based studies. International Journal of Nephrology and Renovascular Disease. 2018;Volume 11.
[27] Banjoko AW, Garba MK, Afolayan RB, Gatta NF. Modelling determinants of antenatal care services utilization in Nigeria. Kabale University Interdisciplinary Research Journal. 2022;1(4):4-13.
[28] Baltas G, Doyle P. Random utility models in marketing research: a survey. Journal of Business Research. 2001;51(2):115-25.
[29] El-Habil A. An Application on Multinomial Logistic Regression Model. Pakjstatoperres. 2012;8.
[30] Chatterjee SHAS. Regression Analysis by Example. 2006.
[31] Akpor O, Thupayagale-Tshweneagae G. Teenage pregnancy in Nigeria: professional nurses and educators? perspectives [version 1; peer review: 2 approved]. F1000Research. 2019;8(31).
[32] Harris ML, Egan N, Forder PM, Coombe J, Loxton D. Contraceptive use among women through their later reproductive years: Findings from an Australian prospective cohort study. PLoS One. 2021;16(8):e0255913.
[33] Duminy J, Cleland J, Harpham T, Montgomery MR, Parnell S, Speizer IS. Urban Family Planning in Low- and Middle-Income Countries: A Critical Scoping Review. Frontiers in Global Women's Health. 2021;2.
[2] National Population Commission - NPC, ICF. Nigeria Demographic and Health Survey 2018 - Final Report. Abuja, Nigeria: NPC and ICF; 2019.
[3] Jain R, Muralidhar S. Contraceptive methods: needs, options and utilization. J Obstet Gynaecol India. 2011;61(6):626-34.
[4] Ezugwu EC, Nkwo PO, Agu PU, Ugwu EO, Asogwa AO. Contraceptive use among HIV-positive women in Enugu, southeast Nigeria. International Journal of Gynecology & Obstetrics. 2014;126(1):14-7.
[5] Oladokun A, Morhason-Bello IO, Enakpene CA, Owonikoko KM, Akinyemi JO, Obisesan KA. Sexual Behaviour and Contraceptive Usage of Secondary School Adolescents in Ibadan, Nigeria. Journal of Reproduction and Contraception. 2007;18(4):279-88.
[6] Lee JK, Gutin SA, Getahun M, Okiring J, Neilands TB, Akullian A, et al. Condom, modern contraceptive, and dual method use are associated with HIV status and relationship concurrency in a context of high mobility: A cross-sectional study of women of reproductive age in rural Kenya and Uganda, 2016. Contraception. 2023;117:13-21.
[7] Jentsch VL, Pötzl L, Wolf OT, Merz CJ. Hormonal contraceptive usage influences stress hormone effects on cognition and emotion. Frontiers in Neuroendocrinology. 2022;67:101012.
[8] Abusal F, Aladwan M, Alomari Y, Obeidat S, Abuwardeh S, AlDahdouh H, et al. Oral contraceptives and colorectal cancer risk - A meta-analysis and systematic review. Annals of Medicine and Surgery. 2022;83:104254.
[9] Haddad LB, Polis CB, Sheth AN, Brown J, Kourtis AP, King C, et al. Contraceptive methods and risk of HIV acquisition or female-to-male transmission. Current HIV/AIDS reports. 2014;11(4):447-58.
[10] Kantorová V, Wheldon MC, Ueffing P, Dasgupta ANZ. Estimating progress towards meeting women’s contraceptive needs in 185 countries: A Bayesian hierarchical modelling study. PLOS Medicine. 2020;17(2):e1003026.
[11] Perehudoff K, Kibira D, Wuyts E, Pericas C, Omwoha J, van den Ham HA, et al. A comparative human rights analysis of laws and policies for adolescent contraception in Uganda and Kenya. Reproductive Health. 2022;19(1):37.
[12] Asekun-Olarinmoye E, Adebimpe W, Bamidele J, Odu O, Asekun-Olarinmoye I, Ojofeitimi E. Barriers to use of modern contraceptives among women in an inner city area of Osogbo metropolis, Osun state, Nigeria. International journal of women's health. 2013;5:647-55.
[13] Enyindah CE, Enaohwo BO. Contraceptive Prevalence and Pattern among HIV Positive Women in Port Harcourt, South-South Nigeria. Journal of Reproduction and Contraception. 2012;23(3):186-92.
[14] Edafiogho P, Otuyelu E, Gergo S, Ferenc V, Muhammad A, Okey A, et al. The determinants of knowledge and use of modern contraceptive methods (MCMS) in nigeria women accessing anti-natal care. Fertility and Sterility. 2014;102(3, Supplement):e13-e4.
[15] Ajayi AI, Adeniyi OV, Akpan W. Use of traditional and modern contraceptives among childbearing women: findings from a mixed methods study in two southwestern Nigerian states. BMC Public Health. 2018;18(1):604.
[16] Mairiga AG, Kullima AA, Bako B, Kolo MA. Sociocultural factors influencing decision-making related to fertility among the Kanuri tribe of north-eastern Nigeria. Afr J Prim Health Care Fam Med. 2010;2(1):094.
[17] Rabiu A, Rufa'i AA. The role of traditional contraceptive methods in family planning among women attending primary health care centers in Kano. Ann Afr Med. 2018;17(4):189-95.
[18] Debebe S, Andualem Limenih M, Biadgo B. Modern contraceptive methods utilization and associated factors among reproductive aged women in rural Dembia District, northwest Ethiopia: Community based cross-sectional study. Int J Reprod Biomed. 2017;15(6):367-74.
[19] Sedgh G, Ashford LS, Hussain R. Unmet need for contraception in developing countries: examining women’s reasons for not using a method. 2016.
[20] Afriyie P, Tarkang EE. Factors influencing use of modern contraception among married women in Ho West district, Ghana: descriptive cross-sectional study. Pan Afr Med J. 2019;33:15.
[21] Alvarez JL, Gil R, Hernández V, Gil A. Factors associated with maternal mortality in Sub-Saharan Africa: an ecological study. BMC Public Health. 2009;9(1):462.
[22] Moronkola OA, Ojediran MM, Amosu A. Reproductive health knowledge, beliefs and determinants of contraceptives use among women attending family planning clinics in Ibadan, Nigeria. African health sciences. 2006;6(3):155-9.
[23] Abiodun OM, Balogun OR. Sexual activity and contraceptive use among young female students of tertiary educational institutions in Ilorin, Nigeria. Contraception. 2009;79(2):146-9.
[24] Rai RK, Singh PK, Singh L. Utilization of Maternal Health Care Services among Married Adolescent Women: Insights from the Nigeria Demographic and Health Survey, 2008. Women's Health Issues. 2012;22(4):e407-e14.
[25] Ejembi CL, Dahiru T, Aliyu AA. Contextual factors influencing modern contraceptive use in Nigeria. Rockville, Maryland, USA: ICF International; 2015.
[26] Chukwuonye I, Ogah O, Anyabolu EN, Ohagwu K, Nwabuko O, Onwuchekwa U, et al. Prevalence of chronic kidney disease in Nigeria: Systematic review of population-based studies. International Journal of Nephrology and Renovascular Disease. 2018;Volume 11.
[27] Banjoko AW, Garba MK, Afolayan RB, Gatta NF. Modelling determinants of antenatal care services utilization in Nigeria. Kabale University Interdisciplinary Research Journal. 2022;1(4):4-13.
[28] Baltas G, Doyle P. Random utility models in marketing research: a survey. Journal of Business Research. 2001;51(2):115-25.
[29] El-Habil A. An Application on Multinomial Logistic Regression Model. Pakjstatoperres. 2012;8.
[30] Chatterjee SHAS. Regression Analysis by Example. 2006.
[31] Akpor O, Thupayagale-Tshweneagae G. Teenage pregnancy in Nigeria: professional nurses and educators? perspectives [version 1; peer review: 2 approved]. F1000Research. 2019;8(31).
[32] Harris ML, Egan N, Forder PM, Coombe J, Loxton D. Contraceptive use among women through their later reproductive years: Findings from an Australian prospective cohort study. PLoS One. 2021;16(8):e0255913.
[33] Duminy J, Cleland J, Harpham T, Montgomery MR, Parnell S, Speizer IS. Urban Family Planning in Low- and Middle-Income Countries: A Critical Scoping Review. Frontiers in Global Women's Health. 2021;2.
| Files | ||
| Issue | Vol 9 No 1 (2023) | |
| Section | Original Article(s) | |
| DOI | https://doi.org/10.18502/jbe.v9i1.13975 | |
| Keywords | ||
| Contraceptives NDHS Chi-Squared test Multinomial Logistic Regression | ||
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How to Cite
1.
Banjoko A, Yahya W, Garba M, Afolayan R, Dauda K, Adewara D. Investigation on Determinants and Choice of Contraceptive Usage among Nigeria Women of Reproductive Age. JBE. 2023;9(1):35-50.
