Maternal health care visits as predictors of contraceptive use among childbearing women in a medically underserved state in Nigeria

Ajayi, Anthony Idowu; Adeniyi, Oladele Vincent; Akpan, Wilson

doi:10.1186/s41043-018-0150-4

Cited by 23 publications

(27 citation statements)

References 24 publications

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“…Mothers who received antenatal care were 1.74 folds more likely to utilize modern contraceptive than mothers who did not received such care. These higher odds of modern contraceptive utilization are supported by findings reported from Ethiopia [19] and Nigeria [18]. The plausible reason might be that during antenatal care follow ups the mothers obtain counseling on birth spacing and family planning.…”

Section: Discussionsupporting

confidence: 70%

“…In the multivariate analysis, postnatal care was the other significant variable because mothers who received postnatal care were 2.02 times more likely to utilize modern contraceptive than their counterparts as repeated by other studies in Africa [18,19]. This might be so because postnatal care enabled health workers to counsel women on the importance of birth spacing.…”

Section: Discussionmentioning

confidence: 94%

“…High contraceptive utilization has been documented among literate [13,14], old age [14], rural residences [13], media familiar and richest women [15] who have had many (> 5) live children [16,17]. Health care utilizations during pregnancy and after delivery, antenatal and postnatal care [18,19] and child immunization [20] also increase the likelihood of modern contraceptive utilization.…”

Section: Introductionmentioning

confidence: 99%

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Prevalence and determinants of modern contraceptive utilization among rural lactating mothers: findings from the primary health care project in two northwest Ethiopian districts

et al. 2020

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Background: Contraceptive utilization is a guarantee to avert unwanted pregnancies. In Ethiopia however, more than half of the rural women have shorter birth intervals. Consequently, 17 and 8% of the births have been either mistimed (wanted at later date) or unwanted, respectively. Therefore, this study investigated modern contraceptive utilization and its predictors among rural lactating women. Methods: A community based-cross-sectional study was conducted from May 01 to June 29, 2019, in Dabat and Gondar zuria districts, northwest Ethiopia. Data from 603 lactating mother were collected through face to face interviews using a structured questionnaire. Bivariate and multivariate logistic regression analyses were fitted to identify the independent predictors of modern contraceptive utilization. Results: The overall prevalence of modern contraceptive (MC) utilization rate was 45.8% [95% CI: 38.01, 53.59]. The contraceptive method mix was dominated by Depo-Provera (39.8%) followed by implants (4.8%). The odds of utilization of contraceptive were 5.58 times higher among mothers of children with fully immunized [AOR = 5.58, 95% CI: 3.45, 9.01] compared to mothers whose children were vaccinated partially or not at all. Mothers who received antenatal [AOR = 1.74, 95% CI: 1.13, 4.43] and postnatal care [AOR = 2.02, 95%CI: 1.24, 2.91) were 1.74 and 2.02 folds more likely to utilize modern contraceptives than mothers who did not receive such care, respectively.

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Section: Discussionsupporting

confidence: 70%

Section: Discussionmentioning

confidence: 94%

Section: Introductionmentioning

confidence: 99%

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Prevalence and determinants of modern contraceptive utilization among rural lactating mothers: findings from the primary health care project in two northwest Ethiopian districts

et al. 2020

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“…setting Rural Zambia. Participants Secondary data of 4903 married or cohabiting rural women (15-49 years) after filtering out the pregnant, urban based and unmarried women from 2013 to 2014 Zambian Demographic and Health Survey (ZDHS) were analysed using SPSS V. 22. Multiple logistic regression, Pearson's χ 2 and descriptive statistics were performed to examine factors associated with modern contraceptive use.…”

Section: Introductionmentioning

confidence: 99%

Determinants of modern contraceptive use among married women of reproductive age: a cross-sectional study in rural Zambia

et al. 2020

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ObjectiveZambia is among the world’s top 10 countries with higher fertility rate (5.5 births/woman); unmet family planning need for births spacing (14%) and limiting births (7%). Women in rural Zambia (24%) are reported to have unmet need for family planning than those in urban areas (17%). This study was conducted to ascertain factors associated with modern contraceptive use among rural Zambian women.DesignCross-sectional study.SettingRural Zambia.ParticipantsSecondary data of 4903 married or cohabiting rural women (15–49 years) after filtering out the pregnant, urban based and unmarried women from 2013 to 2014 Zambian Demographic and Health Survey (ZDHS) were analysed using SPSS V.22. Multiple logistic regression, Pearson’s χ2and descriptive statistics were performed to examine factors associated with modern contraceptive use.ResultsFactors that were positively associated with contraceptive use were respondent’s education (secondary adjusted ORs (AOR = 1.61, p≤0.002); higher (AOR = 2.39, p≤0.050)), wealth index (middle class, (AOR = 1.35, p≤0.005); rich (AOR = 2.04, p≤0.001) and richest (AOR = 1.95, p≤0.034)), high parity (1–2 (AOR = 5.31, p≤0.001); 3–4 (AOR = 7.06, p≤0.001); 5+ (AOR = 8.02, p≤0.001)), men older than women by <10 years (AOR = 1.50, p≤0.026) and women sensitised about family planning at health facility (AOR = 1.73, p≤0.001). However, old age (40–49 years (AOR = 0.49, p≤0.001)), other religions (Protestants, African traditionalists and Muslims) (AOR = 0.77, p≤0.007), ever had pregnancy miscarried, aborted or stillbirth (AOR = 0.78, p≤0.026) and women without knowledge of number of children husband desires (AOR = 0.71, p≤0.001) were negatively associated with contraceptive use.ConclusionModern contraceptive use in rural Zambia among currently married women of reproductive age group is relatively low (43%). We recommend that appropriate interventions are instituted to increase contraceptive access and use especially among uneducated older rural Zambian women.

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“…Each dimension is found to be important in Nigeria and more broadly in sub-Saharan Africa [12]. Barriers related to geographic accessibility involve problems with access to the service location, such as transportation costs and the lack of means of transport [13–15]. Barriers to availability relate to the lack of a treatment that meets the need of patients, such as drug stockouts, and lack of qualified health workers [16].…”

Section: Introductionmentioning

confidence: 99%

The impacts of quantity and quality of health clinics on health behaviors and outcomes in Nigeria: analysis of health clinic census data

Sato

2019

BMC Health Serv Res

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Background Past studies have identified that inconvenient access to health clinics is one of the important barriers to health service utilization and health outcomes. However, establishing the link between the lack of access to health clinics and the high maternal and child morbidity and mortality in Nigeria has been a challenge due to the lack of data. This paper overcomes this problem by using the country’s health clinic census data. Methods Using the Nigerian health clinic census, we evaluate the intercorrelation between the quantity and the quality of health clinics available across the country. We also examine the correlation between the access to health clinics and health behaviors/outcomes for residents by merging the health clinic census data with data from the demographic and health survey (DHS). The health clinic census data makes it possible to capture the overall geographical allocation of health services across the country as well as their comprehensive relationship with health outcomes. Results We find a strong positive correlation between the quality of a health clinic and the quantity and quality of neighboring clinics. The high quality clinics are concentrated in areas where the density of clinics is high, and where more of the clinics around them are also of high quality. We also find that an increase in access to health clinics of high quality that are in close proximity is significantly and positively correlated with an improvement in health behaviors as well as health outcomes. Women who are more disadvantaged benefit more from the access to high quality clinics than others. Conclusions Health clinics of good quality are unevenly distributed geographically in Nigeria. The quality of health clinics should be of a level that can support the promotion of recommended health behaviors and achieve improved health outcomes throughout the country. Further studies are necessary to evaluate the optimal distribution of clinics of good quality, given that residents in less populated areas gain a higher marginal benefit from improved access to health service, despite the higher costs of supplying the service in those areas.

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Maternal health care visits as predictors of contraceptive use among childbearing women in a medically underserved state in Nigeria

Cited by 23 publications

References 24 publications

Prevalence and determinants of modern contraceptive utilization among rural lactating mothers: findings from the primary health care project in two northwest Ethiopian districts

Prevalence and determinants of modern contraceptive utilization among rural lactating mothers: findings from the primary health care project in two northwest Ethiopian districts

Determinants of modern contraceptive use among married women of reproductive age: a cross-sectional study in rural Zambia

The impacts of quantity and quality of health clinics on health behaviors and outcomes in Nigeria: analysis of health clinic census data

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