Awareness and opinions regarding contraception by women of reproductive age in North-West Nigeria

Adefalu, Adewole Adebola; Ladipo, O. A.; Akinyemi, Oluwaseun; Popoola, Oluwafemi; Latunji, Olajimi; Iyanda, Omowunmi Folake

doi:10.11604/pamj.2018.30.65.12975

Cited by 21 publications

(28 citation statements)

References 13 publications

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“…Over the years, Nigeria has emerged as one of the countries with the fastest-growing population globally due to the low utilization of contraceptives [ 1 ]. It is estimated that Nigeria’s population exceeds 170 million, and more than 400,000 Nigerian women’s lives are lost to childbirth and associated intricacies from unintended pregnancies every year [ 2 , 3 ]. Research indicates that in countries with high fertility and fecundity rate, such as Nigeria, the promotion of modern contraceptive use prevents approximately 32% and 10% of maternal and child mortality, respectively [ 4 ].…”

Section: Introductionmentioning

confidence: 99%

Spatial distribution and factors associated with modern contraceptive use among women of reproductive age in Nigeria: A multilevel analysis

et al. 2021

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Background Evidence suggests that in countries with high fertility and fecundity rates, such as Nigeria, the promotion of modern contraceptive use prevents approximately 32% and 10% of maternal and child mortality, respectively. Therefore, this study aimed to assess the spatial distribution of modern contraceptive use and its predictors among women of reproductive age in Nigeria. Methods The study employed a cross-sectional analysis of population-based data involving 24,281 women of reproductive age in Nigeria. The study adopted both multilevel and spatial analyses to identify the predictors of modern contraceptive use and its spatial clustering among women in Nigeria. Results Modern contraceptive use among the study population in Nigeria ranged from 0% to 75%, with regional variations. The spatial analysis showed that areas with a low proportion of modern contraceptive use were Sokoto, Yobe, Borno, Katsina, Zamfara, Kebbi, Niger, Taraba and Delta. Areas with a high proportion of modern contraceptive use were Lagos, Oyo, Osun, Ekiti, Federal capital territory, Plateau, Adamawa, Imo, and Bayelsa. The multilevel analysis revealed that at the individual level, women with secondary/higher education, women from the Yoruba ethnic group, those who had four children and above, and those exposed to mass media had higher odds of using modern contraceptives. On the other hand, women who were 35 years and above, those who were married, and women who were practicing Islam were less likely to use modern contraceptives. At the household/community level, women from the richest households, those residing in communities with medium knowledge of modern contraceptive methods, and women residing in communities with a high literacy level were more likely to use modern contraceptives. Conclusion There were major variations in the use of modern contraception across various regions in Nigeria. As a result, areas with low contraceptive rates should be given the most deserving attention by promoting contraceptive education and use as well as considering significant factors at the individual and household/community levels.

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Section: Introductionmentioning

confidence: 99%

Spatial distribution and factors associated with modern contraceptive use among women of reproductive age in Nigeria: A multilevel analysis

et al. 2021

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“…In the past decades, Nigeria has become one of the fastest growing population in the world due to low contraceptive use [1]. The estimated population is over 170 million while more than 40,000 women in Nigeria die annually from childbirth and related complications from unplanned pregnancies [2,3]. Globally, family planning is the major approach to population growth control and enhance the economic dividends of the country.…”

Section: Introductionmentioning

confidence: 99%

“…These views and ideas reflect individuals' knowledge, opinions, ideas and views. Notably, mass media and social interaction channels contribute to shaping people's views and ideas about family planning [2,11,13,14]. There has been different assertion suggesting that ideational changes in the way people think as a key factor in fertility decline, changing moral values and decision making.…”

Section: Introductionmentioning

confidence: 99%

Patterns of triggers, ideation and motivational factors of contraceptive utilization among women and gate-keepers in Nigeria: a scoping study on the resilient and accelerated scale up of DMPA-SC in Nigeria (RASUDIN)

Osinowo

Ekholuenetale

Ojomo

et al. 2020

Contracept Reprod Med

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Background Women have unfair share in the burden of unintended pregnancy outcome and unhealthy interpregnancy intervals. An understanding of the triggers, ideation and motivational factors influencing utilization of modern contraceptives is relevant for efforts aimed at increasing utilization among the general public, specifically sexually active women. The objective of this study is to explore the triggers, ideation and motivational factors influencing the use of modern family planning methods including depot-medroxyprogesterone acetate subcutaneous (DMPA-SC). Methods Qualitative methods which include; Focus Group Discussions (FGDs) and In-depth Interviews (IDIs) were used to elicit information from women of reproductive age and gate-keepers in selected Nigerian states; Rivers, Ogun, Kwara, Niger, Anambra, Delta, Lagos, Enugu and Oyo. The categories of respondents include; unmarried women aged 18-25 years, women in union aged 18-24 years using modern family planning (FP), women in union aged 25-49 years using modern FP, women in union aged 26-49 years non-users of modern FP, community leaders, health facility focal person, husbands of current users of modern FP, husbands of non-users of modern FP, religious leaders, state FP coordinators and women aged 18-49 years who currently use DMPA-SC. Maximum variation sampling techniques was used to enlist participants to participate in both FGDs and IDIs. Results Respondents reported being motivated to use FP for reasons such as benefits of the method, economic situation, suitability of the methods, fear of unwanted pregnancy and its convenience. Further analysis showed that the unmarried respondents discussed more about fear of unwanted pregnancy and accessibility and affordability as a key motivator; while women in union discussed more on economic situations, encouragement from partners and benefits of FP when compared with the unmarried. In addition, respondents reported that their partners, health workers and friends influenced their decisions to use FP. Partners’ encouragement, personal experience, accessibility and availability, awareness of FP and its benefits; willingness to space children and costs were notable enablers of FP use. The triggers for FP use were; appointment cards, phone calls from health workers, reminders (text messages, phone alarms and partners’ support). Conclusion Increasing utilization therefore requires a well-planned horizontal approach that considers all enabling factors influencing utilization including women’s empowerment. Family planning programmes that are client centered, address socio-cultural and gender norms and ensure access to contraceptive mix methods are recommended to improve utilization rate. This study recommends improved care-seeking behaviour through community-based awareness creation to address myths and misconceptions of family planning use, establishment of contraceptive delivery teams to prevent challenges of availability and accessibility, value clarification and tasks shifting among others to deal with the issue of inadequate family planning utilization.

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“…They reported that 55.7% of Saudi women agreed that using contraceptive methods can cause health problems. At last the previously mentioned one (Adefalu et al, 2018).They reported that 69.2% of the Nigerian women agreed that using contraceptives can cause health problems. According to the HBM, if no benefits regarding contraceptive uptake are perceived by women, no behavioural change can take place.…”

Section: Overall Health Beliefs Among Contraceptive Usersmentioning

confidence: 99%

“…They revealed that 47% of Ghanaian women agreed that contraceptives prevent unwanted pregnancies. Fifthly, (Adefalu et al, 2018)who had studied awareness and opinions regarding contraception by women of reproductive age in North-West Nigeria. They reported that 63.4% of the Nigerian women agree that contraceptives used to prevent unwanted pregnancy.…”

Section: Overall Health Beliefs Among Contraceptive Usersmentioning

confidence: 99%

Perception of women towards contraceptive methods: using health belief model

Mahmoud

Ghaly

Ahmad

2020

IJANS

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Introduction: The Health Belief Model (HBM) is one of the major conceptual frameworks guiding current research as well as practice in the health sciences. It takes into account the multiple factors present in a person’s decisions to live a healthy life, seek help when needed, and maintain periodic check-ups and screening. Aim of the study is to identify perception of women towards contraceptive methods using the health belief model. Research design: A descriptive research design was utilized in this study. Setting: This study was conducted at four family planning clinics affiliated to four maternity hospitals namely: EL- Shatby Maternity University hospital affiliated to Alexandria University, Dar-Ismail Maternity hospital affiliated to Ministry of Health, Faisal hospital affiliated to Health Insurance and Dar ALWelada hospital affiliated to Medical Health Association. Subjects: A convenience sample of 320 women who were seeking family planning services. Tools; Tool I: Contraceptive users' basic data structured interview schedule; Tool II: Contraceptive users' Health Belief scale. Results: Approximately an equal percent (56.56% & 43.44%) of the contraceptive users perceived themselves either highly susceptible or moderately susceptible for threat of getting pregnant, respectively. More than three-fourths (76.25%) of them had moderate perceived severity to the problems associated with contraceptive use compared to only 23.75% of them who had high level of perception. As much as 84.37% of them highly perceived the benefits of contraception uptake. Meanwhile, almost all (93.44%) of them moderately perceived barriers associated with contraception utilization. Conclusion: Contraceptive users had high perception related to susceptibility of the threat of pregnancy and benefits of contraceptive methods utilization. Moreover, the vast majority of them had moderate perception to severity and barriers associated with contraception uptake. Last but not least, there was a statistically significant correlation between women's health beliefs and their utilization of contraceptive method.

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Awareness and opinions regarding contraception by women of reproductive age in North-West Nigeria

Cited by 21 publications

References 13 publications

Spatial distribution and factors associated with modern contraceptive use among women of reproductive age in Nigeria: A multilevel analysis

Spatial distribution and factors associated with modern contraceptive use among women of reproductive age in Nigeria: A multilevel analysis

Patterns of triggers, ideation and motivational factors of contraceptive utilization among women and gate-keepers in Nigeria: a scoping study on the resilient and accelerated scale up of DMPA-SC in Nigeria (RASUDIN)

Perception of women towards contraceptive methods: using health belief model

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