Abstract
BackgroundThe population of Nigeria is estimated at over 190 million and it is projected to increase by 44% between 2015 and 2030. However, less than one-quarter of women within reproductive age in Nigeria uses modern contraceptive methods despite its importance. Hence, this study aims at examining the influence of individual and community level factors on the use of modern contraceptive method.MethodsThe study is a secondary analysis of linked household and Service Delivery Point datasets from a 2018 survey conducted by Performance, Monitoring and Accountability in Nigeria. Data was abstracted for a total of 9126 sexually active women within the ages of 15–49 years across 295 enumeration areas in seven States. A 2-level binary logistic regression was used to examine the association between study variables and the use of modern contraceptives while adjusting for the clustering effect.ResultsThere was significant influence of educational level, marital status, parity, socio-economic status, fertility intention, and awareness of family planning methods on the use of modern contraceptives. Also, women who perceived support from someone in the community on family planning were more likely to use modern contraceptive unlike those without such support. Those who believed that contraceptive methods are used by almost all and some of their friends or relatives were more likely to use modern contraceptive compared to those who think otherwise.ConclusionsThe study shows the need to reduce inequalities between FP utilization across women with different socio-economic status as well as increasing the awareness for modern contraceptive methods.
Highlights
The population of Nigeria is estimated at over 190 million and it is projected to increase by 44% between 2015 and 2030
This study aims at examining how the use of modern contraceptive method is influenced by socio-demographic characteristics, awareness of Family Planning (FP) methods, women perception on being favoured to use FP method by someone in the community, attendance in community event where FP was favoured, awareness of contraceptive use among friends and family, hearing community leaders or spiritual leaders talk in favour of FP, availability of health facility that provide free FP services in the community, average number of days FP supported facilities in the community are opened and number of health facilities providing FP services in the community
Study design The study is a secondary analysis of linked household and Service Delivery Point (SDP) datasets from a survey conducted by Performance, Monitoring and Accountability (PMA2020) in Nigeria
Summary
The population of Nigeria is estimated at over 190 million and it is projected to increase by 44% between 2015 and 2030. Less than one-quarter of women within reproductive age in Nigeria uses modern contraceptive methods despite its importance. This study aims at examining the influence of individual and community level factors on the use of modern contraceptive method. In 2015, the population of the world was estimated at 7.3 billion and projected to increase to 8.5 billion by 2030. This projection’s degree of uncertainty depends majorly on future levels of fertility in countries with high-fertility including Nigeria which as at 2016 had a total fertility rate of 5.53 children per woman. The population of Nigeria is estimated at over 190 million and it is projected to increase by 44% between 2015 and 2030 [1]. The use of contraceptive methods was higher (37%) among sexually active unmarried women with 28% using a modern method [8]
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