Contraceptive Use and Its Socio-economic Determinants among Women in North-East and North-West Regions of Nigeria: A Comparative Analysis

Unumeri, Godwin; Ishaku, Salisu Mohammed; Ahonsi, Babatunde; Oginni, Ayodeji

doi:10.11564/29-2-757

Cited by 12 publications

(8 citation statements)

References 14 publications

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“…This is very important as the northern region suffers disparities in healthcare access 29,30 and is hesitant to some health policies because of religious, cultural practices and interpretations, and level of education. [31][32][33] Similarly, rural-urban variations in comprehensive HIV knowledge were observed in this study. Previous studies 16,34 have shown that young women in urban areas have higher odds of having comprehensive HIV knowledge compared with those in rural areas.…”

Section: Discussionsupporting

confidence: 78%

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Assessment and associated factors of comprehensive HIV knowledge in an at-risk population: a cross-sectional study from 19,286 young persons in Nigeria

Kareem¹,

Dorgbetor

Ameyaw³

et al. 2023

Therapeutic Advances in Infection

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Background: The prevalence of HIV among young people aged 15–19 years in Nigeria is estimated as 3.5%, the highest among West and Central African countries. Comprehensive knowledge of HIV is associated with increased awareness of preventive interventions and a reduction in the spread of HIV. Therefore, this article seeks to assess and determine the associated factors of comprehensive HIV knowledge among youths in Nigeria. Methods: The study used the 2018 Nigerian Demographic Health Survey, a cross-sectional survey that employed a two-stage cluster sampling method. Comprehensive knowledge of HIV was assessed based on five questions. The data were analysed separately for men and women aged 15–24 years. A multivariable log-binomial regression model was used to determine factors associated with comprehensive HIV knowledge. All analysis was performed using Stata 15.0 and adjusted for weighting, clustering and stratification. Results: A total of 15,267 women and 4019 men aged 15–24 years were included in this study. The prevalence of comprehensive knowledge of HIV was higher among women than among men (42.6% versus 33.7%; p < 0.001) and lower among younger ages 15–17 years compared with other ages. The findings revealed that age, ethnicity, wealth, education and exposure to mass media were statistically significant factors associated with comprehensive knowledge of HIV. In addition, religion, place of residence, phone ownership, internet use, currently working and having initiated sex were significant factors among women and modern contraceptive use among men. Conclusion: Key findings from this study imply that public health programmes in Nigeria should focus on providing information on HIV/AIDS using different approaches, including comprehensive sex education as well as health promotion and education strategies in the formal and informal sectors. Because media exposure is a common and cost-effective way of public health promotion and education in modern times, emphasis could also be placed on using this channel to reach the target population.

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Section: Discussionsupporting

confidence: 78%

Section: Discussionmentioning

confidence: 99%

Assessment and associated factors of comprehensive HIV knowledge in an at-risk population: a cross-sectional study from 19,286 young persons in Nigeria

Kareem¹,

Dorgbetor

Ameyaw³

et al. 2023

Therapeutic Advances in Infection

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“…The chance of being non-users is 0.6 times less for Catholics compared to Protestants. Certainly, the likelihood of being non-user was high among the young and women with no child, perhaps due to socio-religious prospects of having more children in the future (UNFPA, 2016;Godwin et al, 2015). The odds of using contraception increased strongly among urban women and those with much better education due to rapid social and economic changes underway in Rwanda (Ndaruhuye et al, 2015).…”

Section: Discussionmentioning

confidence: 99%

Unmet need among married women: examining socio-religious influences on family planning use in Rwanda, 2005-2015

Mahoro

2018

IJHRH

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Purpose The purpose of this paper is to determine the socio-religious factors associated with unmet need for family planning among married Rwandan women, and examine individual and contextual characteristics of married fecund women influencing their contraceptive use and future intentions to use contraception. Design/methodology/approach This study employed merge data, which were extracted from 2005, 2010, 2014–2015 Rwanda Demographic And Health Survey’s individual women data sets. Characteristics of married fecund women with unmet need for family planning were compared using Pearson’s χ2 test. A binary logistic regression analysis was applied to examine the influence of socio-religious factors on contraceptive use, and future intentions to use contraception among married fecund women. Findings Unmet need for family planning among married Rwandan women has significantly decreased over the past decade, from 39.9 percent in 2005 to 19.5 percent in 2010 and 17.5 percent in 2015. Women who are Protestants, residing in rural area, and having five or more children were significantly more likely to have an unmet need for family planning. Overall, the likelihood of having unmet need for family planning, not using contraceptives and future intentions for not using contraception was found statistically high among Protestant women compared to Catholics and low-educated women. Research limitations/implications Unmarried women and men are not included to examine their role play and characteristics influences on family planning use in Rwanda. Investing in education of girls should be a priority for the future, without that there will not be equality in reproductive health and rights. Factors behind the recent slow motion of family planning initiatives need to be addressed in order to meet the reproductive needs and rights of all women. Practical implications Public-religious collaboration to promote nationally Natural Family Planning in all healthcare facilities is extremely needed. Since the family planning initiatives have been recently very slow, investing in behavioral change programs through mass communication seems deliberately prudent. Social implications Investing in behavioral change programs and promoting sexual and reproductive health education would improve women’s social well-being. Originality/value This is the first-ever effort to examine the influence of the socio-religious values on family planning use among Rwandan fecund women.

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“…It was concluded that women increase the use of contraceptives when they achieve their ideal number of children. Families also become even more challenging by more children for the associated additional expenses i.e., to provide better and higher education, food and clothing, shelter, and other health care services (Unumeri et al, 2015). Age at first cohabitation plays a significant importance in the problem of overpopulation.…”

Section: Discussion/analysismentioning

confidence: 99%

Influence of Individual and Community-Level Associates of Contraceptive Use in Pakistan: A Multi-Level Mixed Effect Analysis (Pdhs 2017-18)

Kamal

Malik

Batool

et al. 2021

HSSR

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Purpose of the study: This research aims to investigate the impact of mass media exposure and women's autonomy on the use of contraceptives, along with other potential determinants at the individual level and community level among women in Pakistan. Methodology: Data was extracted from Pakistan Demographic & Health Surveys 2017-18. The sample size included 10,461 non-pregnant and married women from a total of 15,068 ever-married women. The analysis was done using two-level mixed-effects logistic regression for the binary outcome variable, i.e., current contraceptive use (yes/no). Main Findings: Significant factors positively associated with contraceptive use at the individual level were women's education, wealth index, parity, age at first cohabitation, child mortality experience, and mass media exposure. Community attributes like region (Sindh, KPK, Balochistan as compared to Punjab), residence (rural as compared to urban) had an inverse relationship with contraceptive use. At the same time, women's education and an ideal number of children were the significant positive associates. Women's empowerment has though insignificant, but it has a positive impact on the use of contraceptives at both individual and community levels. Applications of this study: Family planning programs can be extended by focusing on women residing in rural settings or in high fertility intentions communities, less educated and unprivileged younger women who had reduced the uptake of contraceptives. An increase in women's access to education, media exposure, employment, and women's empowerment can help attain Pakistan's contraceptive prevalence targets. Novelty/Originality of this study: The current study's effect of individual and community-level factors was investigated using National-level data, mainly focusing on the role of mass media and women's autonomy.

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Contraceptive Use and Its Socio-economic Determinants among Women in North-East and North-West Regions of Nigeria: A Comparative Analysis

Cited by 12 publications

References 14 publications

Assessment and associated factors of comprehensive HIV knowledge in an at-risk population: a cross-sectional study from 19,286 young persons in Nigeria

Assessment and associated factors of comprehensive HIV knowledge in an at-risk population: a cross-sectional study from 19,286 young persons in Nigeria

Unmet need among married women: examining socio-religious influences on family planning use in Rwanda, 2005-2015

Influence of Individual and Community-Level Associates of Contraceptive Use in Pakistan: A Multi-Level Mixed Effect Analysis (Pdhs 2017-18)

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