Knowledge and factors influencing long-acting reversible contraceptives use among women of reproductive age in Nigeria

Abstract

Background: Approximately 48% of unintended pregnancies occur as a result of contraceptives failure around the world, which is mostly due to incorrect use, poor adherence, and/or technology failure. Long-acting reversible contraceptive (LARC) methods have been developed to close this gap. The main aim of this study is to identify factors associated with the use of LARCs among women of reproductive age and to examine the relationship between knowledge of LARCs and the current use of LARCs in Nigeria. Methods: This study assessed the PMA2020 methodology and secondary dataset using female datasets from PMA 2016 (Round 3) exercise. The survey was conducted out in seven states of Nigeria. The target population for this study was women of reproductive age (15-49 years) currently using contraception prior to the survey. The sample size of women that met the inclusion criteria was 1927. The data were analyzed using frequency distribution, chi-square, and logistic regression at a 5% level of significance. Results: The results showed that 21.0% of women were using traditional methods. 14.8% of the sampled women were using LARCs methods. Findings further showed that at both levels of analyses, there is a significant relationship (P<0.05 and P=0.00 for binary and logistic regression, respectively) between knowledge of LARCs and the use of LARCs. This means that knowledge of LARCs and socio-demographic variables among women of reproductive age in Nigeria can influence the use of LARCs. Conclusions: We concluded in this study that 14.8% of women using contraception were using LARCs. Additionally, the level of education, age of women, household wealth, and the number of living children were significantly associated with using LARCs in Nigeria. Also, when discussing contraception with women, health care practitioners should discuss the risks and benefits of LARCs with women of reproductive age and recommend them as a first-line method.

The Association between Recent Sexual Activity and the Use of Modern Contraceptive Methods among Married/Cohabiting Women in Indonesia

“… 23 Consistent findings were also informed in the findings of previous studies in Bangladesh, the United States, and Nigeria. 24 …”

Utilization of Long –Acting Contraceptive Methods and Associated Factor Among Female Health Care Providers in South Wollo Zone Hospitals, North East, Ethiopia.

“…But, other study in Ethiopia shows that, family monthly income was negative associated with LACMs use [38].Additionally, institutional based cross-sectional study conducted in East Gojjam Zone, Northwest Ethiopia, show that among female health care providers monthly family monthly income was positive signi cant association with LACMs use [19]. Facility based cross sectional studies done in Kenya, Nigeria, Adaba Town, West Arsi Zone show that, Governmental Health Institutions of Gondar City, Gondar city Administration women educational level was positive signi cant association with LACMs [24,25,34,37,41]. But other studies conducted in Nigeria, Ethiopia ,show that how that women education was negatively associated with LACMs use [28,38].Another study Chinese survey ,show that emphasized the need for education and training Health care providers (HCPs) about the guidelines for contraceptive use to improve their knowledge and overcome misconceptions [42].…”

“…A facility based study in Nigeria, show that family monthly income was positive signi cant association with LACMs [25]. But, other study in Ethiopia shows that, family monthly income was negative associated with LACMs use [38].Additionally, institutional based cross-sectional study conducted in East Gojjam Zone, Northwest Ethiopia, show that among female health care providers monthly family monthly income was positive signi cant association with LACMs use [19].…”

“…A cross sectional community-based studies done in Ethiopia and Adigrat town, Tigray and, show that, Intention to use LAPMs was 11.6%, 48.4%, respectively [5,38] A Facility based cross sectional study conducted in Kenya, show that, Age was positive signi cant association with LACMs [24].But, other study in Nigeria, show that, age was negative associated with LACMs use [25].A community based cross sectional studies conducted in Debre Markos in Adaba Town, West Arsi Zone, tow show that, age was positive signi cant association with LACMS use [29,34]. But other study in Southern Nations Nationalities and People show that age was negative associated with LACMs use [33].…”

“…Many studies have been conducted about utilization of LACMs both in developed and developing countries. Furthermore, A cross sectional studies done in Kenya, Nigeria, Uganda, and urban Ghana, show that, LARC methods use was 20.6% 14.8% 31.7%,71% and respectively [24][25][26][27]. Another mixed study conducted in Nigeria, show that LARC methods utilization was 65.6% [28].…”