Examining the Role of Couples’ Characteristics in Contraceptive use in Nigeria and Zambia

Abstract

Relationship-related characteristics influence diverse health and demographic outcomes. This study examined the role of couples' characteristics in contraceptive use. Data were obtained from 2013 Nigeria and 2013-14 Zambia Demographic and Health Surveys. The study population consisted of couples in monogamous union (married or living together) who had at least one live birth and the wife was not pregnant at the time of the survey. Prevalence of contraceptive use among couples in Nigeria was 27% and 63% in Zambia. Couples' educational attainment, religious affiliation, the frequency of listening to the radio, reported number of children, fertility preference, region of residence and household wealth index were significant predictors of contraceptive use among couples in Nigeria and Zambia. Given the significant role of couples' characteristics in the uptake of contraceptives, there is the need to encourage interventions that target couples, particularly those of poor socioeconomic status. (Afr J Reprod Health 2017; 21[4]: 93-101).Keywords: Contraceptive, relationship-related characteristics, monogamous union, couples, Nigeria, Zambia RésuméLes caractéristiques liées aux relations influencent les divers résultats sanitaires et démographiques. Cette étude a examiné le rôle des caractéristiques des couples dans l'utilisation de la contraception. Les données ont été obtenues à partir des enquêtes sur la démographie et la santé menées en 2013 au Nigéria et en 2013-2014 en Zambie. La population étudiée était composée de couples en union monogame (mariés ou vivant ensemble) qui avaient au moins une naissance vivante et dont la femme n'était pas enceinte au moment de l'enquête. La prévalence de l'utilisation des contraceptifs parmi les couples au Nigéria était de 27% et 63% en Zambie. Le niveau d'instruction des couples, leur affiliation religieuse, la fréquence d'écoute de la radio, le nombre d'enfants déclarés, la préférence de fécondité, la région de résidence et l'indice de richesse des ménages sont des indices significatifs de l'utilisation des contraceptifs au Nigeria et en Zambie. Étant donné le rôle important des caractéristiques des couples dans l'absorption des contraceptifs, il est nécessaire d'encourager les interventions ciblant les couples, en particulier ceux qui ont une situation socioéconomique médiocre. (Afr J Reprod Health 2017; 21[4]: 93-101).

Influence of women’s empowerment indices on the utilization of skilled maternity care: evidence from rural Nigeria

“…Of interest also, is that women in a marital union where the wife was more educated or equally educated than her partner fared better in utilizing the three levels of care than when both spouses had no education. This finding strengthens the importance of empowering women with education to achieve health-related outcomes, as shown in past studies that examined the spousal gap in education and health outcomes (Ntoimo & Mutanda, 2017;Ntoimo & Chirwa-Banda, 2017). However, when other factors were adjusted, the difference in educational attainment became statistically insignificant, suggesting that when a woman is empowered through education, the spousal difference in education may not be a deterrent to the use of maternal health care services.…”

Factors associated with low contraceptive use amongst vulnerable mothers in South West State, Nigeria

“…This is more prominent in Eastern & Western Africa where the unmet need for family planning is the highest. 7 , 8 , 9 , 10 , 11…”

“…This is more prominent in Eastern & Western Africa where the unmet need for family planning is the highest. 7,8,9,10,11 Reduction in the non-use of contraceptives has a uniquely wide range of demographic, economic and environmental benefits, in addition to its well-documented health advantages for women and children, and this is because of its direct link to family sizes and population change. 12 Background: Young mothers tend to be more prone to high maternal and perinatal risks and are thus deemed vulnerable to adverse sexual and reproductive health rights (SRHR) in terms of their right to choose contraceptives of their choice to enhance their maternal well-being and childbirth spacing should be well discussed.…”

Faktor-Faktor yang Berhubungan dengan Penggunaan Metode Kontrasepsi Tradisional

“…Penelitian tersebut menunjukkan bahwa wilayah tempat tinggal mempunyai hubungan yang signifikan dalam penggunaan kontrasepsi sekalipun persentasenya tidak menunjukkan adanya perbedaan yang besar antara tinggal di perkotaan dan pedesaan 32 . Penelitian di Nigeria dan Zambia juga menunjukan hasil yang sama, yaitu bahwa wilayah tempat tinggal merupakan salah satu prediktor signifikan penggunaan kontrasepsi 33 . Penelitian Agbadi et al, menyebut salah satu faktor sosio demografi berkorelasi positif pada penggunaan kontrasepsi, yaitu tempat tinggal perkotaan 34 .…”