Family planning method discontinuation among Nigerian women: Evidence from the Nigeria Demographic and Health Survey 2018

Agbana, Richard Dele; Michael, Turnwait O.; Ojo, Tolulope

doi:10.1016/j.jtumed.2022.08.003

Cited by 4 publications

(8 citation statements)

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“…Adolescent girls in SSA countries such as Nigeria, Zambia, and Ethiopia are confronted by cultural practices such as emphasis on virginity of girls, early child marriage, and encouragement of large family sizes. As a result, married adolescents in these countries are less likely to use contraceptives as they may prioritise getting pregnant in line with the prevailing cultural norms [ 10 , 35 – 37 ]. Past studies noted that contraception is thought to encourage promiscuity in adolescent girls, thus making husbands to discourage their younger wives from using contraceptives [ 34 , 38 ].…”

Section: Discussionmentioning

confidence: 99%

“…It is also observed that girls who have been tested for HIV are more likely to use contraceptives than those who have never been tested. Possible explanation is that a girl who has been tested for HIV could have got the opportunity to receive counseling and information about the importance of abstinence or the use of condoms to prevent sexually transmitted infections, which is a means of encouraging the use of contraceptives [ 10 ].…”

Section: Discussionmentioning

confidence: 99%

“…Condoms, pills, implants, intra-uterine devices, and injectables are among the modern contraceptives that are more reliable and effective in preventing unwanted pregnancies [ 7 , 8 ]. Unreliable traditional contraceptives are withdrawal, periodic abstinence, and herbal mixtures or concoctions [ 9 , 10 ]. The World Health Organization states that adolescents, like adults, are entitled to SRH rights, such as access to counseling, contraception, and sex education [ 11 ].…”

Section: Introductionmentioning

confidence: 99%

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Prevalence and factors associated with contraceptive use among sexually active adolescent girls in 25 sub-Saharan African countries

Michael,

Ojo,

Ijabadeniyi

et al. 2024

PLoS ONE

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Introduction Various countries in sub-Saharan Africa have taken divergent steps toward achieving the Sustainable Development Goal’s target of universal access to sexual and reproductive health-care services by 2030, particularly among sexually active adolescent girls who are at risk of unplanned pregnancies and sexually transmitted infections. However, because contraceptive use among sexually active adolescents remains unexplored in sub-Saharan Africa, the researchers intended to examine the prevalence and factors associated with contraceptive use among adolescent girls who had been sexually active in the previous four weeks. Materials and methods Cross-sectional data from the most recent demographic and health surveys of 25 sub-Saharan African countries on 16,442 sexually active adolescent girls were analyzed. In the analyses, descriptive statistics and multivariate binary logistic regression were used. Analyses were statistically significant at p<0.05. Results The overall prevalence of contraceptive use was 25.4%. Chad had the lowest prevalence (4%), while Namibia had the highest (60.5%). Over 90% of the countries studied had less than 50% contraceptive use among sexually active adolescent girls. Adolescent girls withhigher education were eight times more likely than those with no formal education to use contraception (aOR = 7.97, 95% Cl = 6.26-9.45). When compared to single adolescent girls, married adolescent girls were 66% less likely to use contraceptives (aOR = 0.34, 95% Cl = 0.31-0.36). Adolescent girls with two or more children were seven times more likely than those without a child to use contraceptives (aOR = 6.91, 95% Cl = 5.58-8.56). Conclusion It is established that there exists a low prevalence of contraceptive use among adolescent girls in sub-Saharan Africa. As countries in the sub-region strive for universal access to reproductive health services, it is critical for the governments and civil societies in countries with low contraceptive use to strengthen mass education on the use of contraception among sexually active adolescents, with special emphasis on the less educated, married, and adolescent girls from poor households.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Prevalence and factors associated with contraceptive use among sexually active adolescent girls in 25 sub-Saharan African countries

Michael,

Ojo,

Ijabadeniyi

et al. 2024

PLoS ONE

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“…Only 19% of married women aged 15–49 in Nigeria utilize modern contraception, even though 98% of sexually active unmarried women and 94% of married women are aware of their options [ 1 , 2 ]. In Nigeria, the public sector provides more modern contraceptive methods than the private sector (54% vs. 41%).…”

Section: Introductionmentioning

confidence: 99%

“…This has been true in Nigeria and other African countries, where for example, the community-based distribution policy was critical for the uptake of injectable contraceptives because it removed the access barrier for many people who could not go to health facilities for one reason or another [ 14 ]. Researchers have alluded to the need for policy frameworks to boost family planning use, identify common adverse reactions, and focus on educating the public about the negative implications of poor family planning uptake on people, families, and the country [ 1 , 4 ]. Also, studies have shown that the lack of clear policy and implementation guidelines limited innovation within Nigeria's health system, including the introduction of new contraceptive technologies.…”

Section: Introductionmentioning

confidence: 99%

Scale-up of the DMPA-SC in Nigeria: Why policy matters

Akinyemi

Danfakha

Adefalu³

et al. 2022

BMC Women's Health

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Background Injectable contraceptives have contributed substantially to Nigeria's rise in modern family planning methods usage. They are one of the most commonly used and preferred means of contraception among women in the country. Enabling policies are required to assure contraceptive access, security, and use. This study aimed to investigate the policy environment and how it supports or limits Nigeria's introduction and scale-up of subcutaneous depot-medroxyprogesterone acetate (DMPA-SC). Methods The design of this mixed-methods study was cross-sectional. Desk reviews of policy papers, key informant interviews, and in-depth interviews were used to obtain information from respondents about the introduction of DMPA-SC in Nigeria and how existing policies influenced its scale-up. Data on DMPA-SC and other injectables were gathered from Nigeria's national electronic logistics management information system. Results The findings suggest that policies such as task-shifting and task-sharing, cost-free policies, reproductive health policies, and others created an enabling environment for the scale-up of DMPA-SC adoption in Nigeria. The inclusion of DMPA-SC on the essential medicines list and the approved patent medicines list facilitated the scale-up process by ensuring private sector participation, removing economic barriers to access, fostering greater collaboration among health worker cadres, improving intersectoral partnerships, and improving logistics and client access. Despite significant anomalies in some implementing policies, injectable contraceptive consumption data demonstrate a progressive increase in DMPA-SC use during the study period. The results also indicate that policy initiatives have a favorable impact on the use of DMPA-SC throughout the country. Conclusion The existence of policies, the active participation of stakeholders, and the political will of the Nigerian health system's leadership have all aided in the scaling-up of the DMPA-SC. Understanding how to build an enabling policy climate is critical for providing women with family planning options. These lessons from Nigeria emphasize the importance of these levers, which should be considered by teams intending to introduce innovative health products, particularly in developing countries.

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Sociological interventions for the diphtheria outbreak in Nigeria: addressing misconceptions, cultural biases, and promoting vaccination

Michael

2024

Eureka: SH

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Diphtheria is a fatal bacterial infection primarily affecting the respiratory system, characterized by a thick membrane formation in the throat, caused by Corynebacterium diphtheriae. This manuscript elucidates sociological interventions, aimed at protecting the population of Nigeria from diphtheria, a preventable yet persisting health threat. It delves into diverse strategies that could be employed to combat misconceptions, navigate deeply ingrained cultural biases, and instill the significance of vaccination within the context of diphtheria outbreak and prevention. The research question was: "What are the sociological interventions, used to address misconceptions, cultural biases, and promote vaccination in the context of diphtheria prevention in Nigeria?" In response to this inquiry, a comprehensive review methodology was employed to systematically gather, evaluate, and synthesize relevant literature outputs. The literature search, conducted across diverse academic databases and repositories, yields a rich collection of studies, reports, and case studies. The lens of Symbolic Interactionism was applied. The sociological interventions, considered in this context, engage directly with communities, healthcare providers, and local leaders. It addresses the vital need to combat misconceptions, cultural biases, and vaccine hesitancy, fostering a deeper understanding of the dynamic interplay between sociological factors and healthcare interventions. Sociological interventions for diphtheria protection in Nigeria require culturally sensitive approaches, community engagement, health education, addressing vaccine hesitancy, offering accessible vaccination services, tackling socioeconomic barriers, targeted messaging, behavioral change communication, data collection, and research collaborations to understand and address sociocultural factors influencing vaccine uptake and prevention. The findings and implications offer valuable insights for policymakers, healthcare providers, and researchers, and lay the groundwork for more effective strategies to protect the population from this preventable disease

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Family planning method discontinuation among Nigerian women: Evidence from the Nigeria Demographic and Health Survey 2018

Cited by 4 publications

References 34 publications

Prevalence and factors associated with contraceptive use among sexually active adolescent girls in 25 sub-Saharan African countries

Prevalence and factors associated with contraceptive use among sexually active adolescent girls in 25 sub-Saharan African countries

Scale-up of the DMPA-SC in Nigeria: Why policy matters

Sociological interventions for the diphtheria outbreak in Nigeria: addressing misconceptions, cultural biases, and promoting vaccination

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