From non-use to covert and overt use of contraception: Identifying community and individual factors informing Nigerian women's degree of contraceptive empowerment

PloS One
Funmilola M OlaOlorunCaroline Moreau

Abstract

In Nigeria, unmet need for contraception is high despite improved access to modern contraception. To identify factors that support Nigerian women's contraceptive decisions to achieve their reproductive goals, in the presence or absence of their partner's support, we seek to identify individual/couple and community level determinants of a spectrum of contraceptive practices, from non-use to covert and overt use of contraception. Data were drawn from a national probability survey conducted by Performance Monitoring and Accountability 2020 in Nigeria in 2017-2018. A sample of 12,948 women 15-49 years was included, 6433 of whom were in need of contraception at the time of the survey. We conducted bivariate and multivariate analysis to identify individual/couple and community level factors associated with covert use relative to non-use and to overt use of contraception. Altogether, 58.0% of women in need of contraception were non-users, 4.5% were covert users and 37.5% used contraception overtly. Covert users were more educated and wealthier than non-users, but less educated and less wealthy than overt users. Covert users were less likely to cohabitate with their partner compared to non-users [AOR = 4.60 (95%CI: 3.06-6.93)] and over...Continue Reading

References

Apr 16, 2014·International Perspectives on Sexual and Reproductive Health·Laili IraniJean-Christophe Fotso
Dec 24, 2014·Journal of Obstetrics and Gynaecology : the Journal of the Institute of Obstetrics and Gynaecology·L O AjahE O Ugwu
Jan 7, 2017·International Quarterly of Community Health Education·Sarah R BlackstoneJuliet Iwelunmor
Feb 24, 2017·Reproductive Health·Araya Abrha MedhanyieHagos Godefay
Apr 28, 2017·Ethiopian Journal of Health Sciences·Olayinka BalogunPeace Adeniran
Sep 9, 2017·Studies in Family Planning·Linnea ZimmermanScott Radloff
May 31, 2018·Studies in Family Planning·Ifta Choiriyyah, Stan Becker

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Methods Mentioned

BETA
contraception

Software Mentioned

JHU Collect
Open Data Kit

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