Barriers to contraceptive uptake among women of reproductive age in a semi-urban community of Ekiti State, Southwest Nigeria

Durowade, Kabir Adekunle; Omokanye, Lukman Omotayo; Elegbede, Olusegun Elijah; Adetokunbo, Stella; Olomofe, Charles Oluwatemitope; Ajiboye, Akinyosoye D.; Adeniyi, Makinde Adebayo; Sanni, Taofik A.

doi:10.4314/ejhs.v27i2.4

Cited by 51 publications

(59 citation statements)

References 17 publications

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“…It has been suggested that women in the South rely on abortions to maintain smaller family sizes [51]. Women may choose traditional/folkloric over modern contraceptives for reasons such as the fear of side effects, which is a known barrier to contraceptive use [52, 53].…”

Section: Discussionmentioning

confidence: 99%

Levels and determinants of maternal mortality in northern and southern Nigeria

Meh

Thind

Ryan

et al. 2019

BMC Pregnancy Childbirth

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BackgroundMaternal mortality is still a major risk for women of childbearing age in Nigeria. In 2008, Nigeria bore 14% of the global burden of maternal mortality. The national maternal mortality ratio has remained elevated despite efforts to reduce maternal deaths. Though health disparities exist between the North and South of Nigeria, there is a dearth of evidence on the estimates and determinants of maternal mortality for these regions.MethodsThis study aimed to assess differences in the levels and determinants of maternal mortality in women of childbearing age (15–49 years) in the North and South of Nigeria. The Nigeria Demographic and Health Surveys (2008 and 2013) were used. The association between maternal mortality (outcome) and relevant sociocultural, economic and health factors was tested using multivariable logistic regression in a sample of 51,492 living or deceased women who had given birth.ResultsThere were variations in the levels of maternal mortality between the two regions. Maternal mortality was more pronounced in the North and increased in 2013 compared to 2008. For the South, the levels slightly decreased. Media exposure and education were associated with maternal mortality in the North while contraceptive method, residence type and wealth index were associated with maternal death in the South. In both regions, age and community wealth were significantly associated with maternal mortality.ConclusionsDifferences in the levels and determinants of maternal mortality between the North and South of Nigeria stress the need for efforts to cut maternal deaths through new strategies that are relevant for each region. These should improve education of girls in the North and access to health information and services in the South. Overall, new policies to improve women’s socioeconomic status should be adopted.

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Section: Discussionmentioning

confidence: 99%

Levels and determinants of maternal mortality in northern and southern Nigeria

Meh

Thind

Ryan

et al. 2019

BMC Pregnancy Childbirth

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“…among AGYW in SSA is unknown, nearly 25% of women in the subregion (i.e. about 47 million) have unmet need for contraception [20], with a majority of them being AGYW [15][16][17]. This unquestionably accounts for the high fertility and unsafe abortion rates among AGYW in SSA [21].…”

Section: Plos Onementioning

confidence: 99%

“…These countries and their fertility rates are as follows: Niger (7.2), Mali (5.9), Chad (5.8), Angola (5.6), Burundi (5.6), Uganda (5.5), Nigeria (5.4), Gambia (5.3), Burkina Faso (5.3) and Mozambique (5.1) [22]. With evidence that unmet need for contraception plays a key role in high fertility [23][24][25], and the understanding that unmet need for contraception is predominant in AGYW in SSA [15][16][17], it is worthwhile to understand its predictors in these high fertility countries.…”

Section: Plos Onementioning

confidence: 99%

“…Although contraceptives have been considered effective in fertility regulation, their use among AGYW in SSA remains an issue that needs urgent attention [12][13][14]. Studies have indicated that despite the desire for AGYW in SSA to use contraceptives, a majority of them have challenges with access to contraceptive services [15][16][17]. A useful measure for of the gap between the desire for and access to contraception is the estimation of unmet need for contraception [18].…”

Section: Introductionmentioning

confidence: 99%

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Predictors of unmet need for contraception among adolescent girls and young women in selected high fertility countries in sub-Saharan Africa: A multilevel mixed effects analysis

Ahinkorah

2020

PLoS ONE

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Introduction Despite the desire of adolescent girls and young women (AGYW) in sub-Saharan Africa (SSA) to use contraceptives, the majority of them have challenges with access to contraceptive services. This is more evident in high fertility countries in SSA. The purpose of this study was to examine the predictors of unmet need for contraception among AGYW in selected high fertility countries in SSA. Materials and methods Data from current Demographic and Health Surveys (DHS) carried out between 2010 and 2018 in 10 countries in SSA were analysed. A sample size of 24,898 AGYW who were either married or cohabiting was used. Unmet need for contraception was the outcome variable in this study. The explanatory variables were age, marital status, occupation, educational level, frequency of reading newspaper/magazine, frequency of listening to radio, frequency of watching television and parity (individual level variables) and wealth quintile, sex of household head, place of residence and decision-maker in healthcare (household/community level variables). Descriptive and multilevel logistic regression analyses were carried out. The results of the multilevel logistic regression analyses were reported using adjusted odds ratios at 95% confidence interval. Results The prevalence of unmet need for contraception in all the countries considered in this study was 24.9%, with Angola, recording the highest prevalence of 42.6% while Niger had the lowest prevalence of 17.8%. In terms of the individual level predictors, the likelihood of unmet need for contraception was low among AGYW aged 20-24

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“…The education of husbands in many African countries was associated with FP as well. 4,26,27 Interviews with men revealed that their involvement in FP programmes can be achieved through raising awareness about FP, communicating with their wives about modern contraceptive methods, and providing them with access to reproductive health and FP services. Indeed, sensitising men about FP and contraception is an important element in their involvement.…”

Section: Discussionmentioning

confidence: 99%

<p>Use of Modern Contraceptive Methods in Burkina Faso: What are the Obstacles to Male Involvement in Improving Indicators in the Centre-East and Centre-North Regions?</p>

Bado¹,

Badolo²,

Zoma

2020

OAJC

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Introduction: In Burkina Faso, despite several efforts to improve contraceptive uptake, contraceptive prevalence remains low. Studies suggest that the low levels of family planning (FP) practices can be partially attributed to the low participation of men in reproductive health programmes. Involving men in FP programmes in Burkina Faso is thus imperative, but the obstacles to this are poorly documented. This study has two objectives to explore the perspectives of men and women on barriers to contraceptive use and to identify the strategies to increase male involvement in family planning. Methods: It is a qualitative study using 20 focus groups and 52 in-depth individual interviews in two regions (North Central Region and Central East Region) with a sample of 29 adult men and 23 women who were married and had children or not. Interviews were conducted in Moore (the national language commonly spoken in both regions). All interviews were recorded and transcribed into French using Microsoft Word. Then, content analysis was carried out using the constant comparison method to identify the major themes. Results: The results show that men's attitudes are still a significant barrier to women's use of modern contraceptives. The reasons women do not use contraception and men do not adhere to FP programmes include lack of method knowledge, negative beliefs and perceptions about modern contraceptive methods, and the side effects of contraceptives. Cultural norms and preferences for large families are also common barriers to FP. However, the results showed that men's awareness of FP, communication between spouses, and access to FP services can promote men's adherence to FP programmes in the Centre-East and Centre-North regions of Burkina Faso. Conclusion: Efforts should be made to improve educational standards, especially for men, and reorient FP services to make them more accessible to men.

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Barriers to contraceptive uptake among women of reproductive age in a semi-urban community of Ekiti State, Southwest Nigeria

Cited by 51 publications

References 17 publications

Levels and determinants of maternal mortality in northern and southern Nigeria

Levels and determinants of maternal mortality in northern and southern Nigeria

Predictors of unmet need for contraception among adolescent girls and young women in selected high fertility countries in sub-Saharan Africa: A multilevel mixed effects analysis

<p>Use of Modern Contraceptive Methods in Burkina Faso: What are the Obstacles to Male Involvement in Improving Indicators in the Centre-East and Centre-North Regions?</p>

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