Contraceptive use and distribution of high-risk births in Nigeria: a sub-national analysis
Background: Family planning expansion has been identified as an impetus to harnessing Nigeria's demographic dividend. However, there is a need for data to address pockets of inequality and to better understand cultural and social factors affecting contraceptive use and health benefits. This pap...
| Main Authors: | , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Taylor & Francis Group
2015-11-01
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| Series: | Global Health Action |
| Subjects: | |
| Online Access: | http://www.globalhealthaction.net/index.php/gha/article/view/29745/pdf_182 |
| _version_ | 1811218022601326592 |
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| author | Akanni Akinyemi Sunday Adedini Sennen Hounton Ambrose Akinlo Olanike Adedeji Osarenti Adonri Howard Friedman Solomon Shiferaw Abdoulaye Maïga Agbessi Amouzou Aluisio J. D. Barros |
| author_facet | Akanni Akinyemi Sunday Adedini Sennen Hounton Ambrose Akinlo Olanike Adedeji Osarenti Adonri Howard Friedman Solomon Shiferaw Abdoulaye Maïga Agbessi Amouzou Aluisio J. D. Barros |
| author_sort | Akanni Akinyemi |
| collection | DOAJ |
| description | Background: Family planning expansion has been identified as an impetus to harnessing Nigeria's demographic dividend. However, there is a need for data to address pockets of inequality and to better understand cultural and social factors affecting contraceptive use and health benefits. This paper contributes to addressing these needs by providing evidence on the trends and sub-national patterns of modern contraceptive prevalence in Nigeria and the association between contraceptive use and high-risk births in Nigeria. Design: The study utilised women's data from the last three Demographic and Health Surveys (2003, 2008, and 2013) in Nigeria. The analysis involved descriptive, bivariate, and multivariate analyses. The multivariate analyses were performed to examine the relationship between high-risk births and contraceptive use. Associations were examined using Poisson regression. Results: Findings showed that respondents in avoidable high-risk birth categories were less likely to use contraceptives compared to those at no risk [rate ratio 0.82, confidence interval: 0.76–0.89, p<0.001]. Education and wealth index consistently predicted significant differences in contraceptive use across the models. Conclusions: The results of this study suggest that women in the high-risk birth categories were significantly less likely to use a modern method of contraception relative to those categorised as having no risk. However, there are huge sub-national variations at regional and state levels in contraceptive prevalence and subsequent high-risk births. These results further strengthen evidence-based justification for increased investments in family planning programmes at the state and regional levels, particularly regions and states with high unmet needs for family planning. |
| first_indexed | 2024-04-12T07:02:54Z |
| format | Article |
| id | doaj.art-aca650964b604bb1b609c4d2d83012d9 |
| institution | Directory Open Access Journal |
| issn | 1654-9880 |
| language | English |
| last_indexed | 2024-04-12T07:02:54Z |
| publishDate | 2015-11-01 |
| publisher | Taylor & Francis Group |
| record_format | Article |
| series | Global Health Action |
| spelling | doaj.art-aca650964b604bb1b609c4d2d83012d92022-12-22T03:42:57ZengTaylor & Francis GroupGlobal Health Action1654-98802015-11-01801810.3402/gha.v8.2974529745Contraceptive use and distribution of high-risk births in Nigeria: a sub-national analysisAkanni Akinyemi0Sunday Adedini1Sennen Hounton2Ambrose Akinlo3Olanike Adedeji4Osarenti Adonri5Howard Friedman6Solomon Shiferaw7Abdoulaye Maïga8Agbessi Amouzou9Aluisio J. D. Barros10 Demography and Social Statistics Department, Obafemi Awolowo University, Ile Ife, Nigeria Demography and Social Statistics Department, Obafemi Awolowo University, Ile Ife, Nigeria United Nations Population Fund, New York, NY, USA Demography and Social Statistics Department, Obafemi Awolowo University, Ile Ife, Nigeria United Nations Population Fund, Abuja, Nigeria United Nations Population Fund, Abuja, Nigeria United Nations Population Fund, New York, NY, USA School of Public Health, Addis Ababa University, Addis Ababa, Ethiopia Institut Supérieur des Sciences de la Population, Ouagadougou University, Ouagadougou, Burkina Faso UNICEF, New York, NY, USA International Center for Equity in Health, Federal University of Pelotas, Capão do Leão, BrazilBackground: Family planning expansion has been identified as an impetus to harnessing Nigeria's demographic dividend. However, there is a need for data to address pockets of inequality and to better understand cultural and social factors affecting contraceptive use and health benefits. This paper contributes to addressing these needs by providing evidence on the trends and sub-national patterns of modern contraceptive prevalence in Nigeria and the association between contraceptive use and high-risk births in Nigeria. Design: The study utilised women's data from the last three Demographic and Health Surveys (2003, 2008, and 2013) in Nigeria. The analysis involved descriptive, bivariate, and multivariate analyses. The multivariate analyses were performed to examine the relationship between high-risk births and contraceptive use. Associations were examined using Poisson regression. Results: Findings showed that respondents in avoidable high-risk birth categories were less likely to use contraceptives compared to those at no risk [rate ratio 0.82, confidence interval: 0.76–0.89, p<0.001]. Education and wealth index consistently predicted significant differences in contraceptive use across the models. Conclusions: The results of this study suggest that women in the high-risk birth categories were significantly less likely to use a modern method of contraception relative to those categorised as having no risk. However, there are huge sub-national variations at regional and state levels in contraceptive prevalence and subsequent high-risk births. These results further strengthen evidence-based justification for increased investments in family planning programmes at the state and regional levels, particularly regions and states with high unmet needs for family planning.http://www.globalhealthaction.net/index.php/gha/article/view/29745/pdf_182sub-nationalestimatescontraceptive usehigh-risk birthsNigeria |
| spellingShingle | Akanni Akinyemi Sunday Adedini Sennen Hounton Ambrose Akinlo Olanike Adedeji Osarenti Adonri Howard Friedman Solomon Shiferaw Abdoulaye Maïga Agbessi Amouzou Aluisio J. D. Barros Contraceptive use and distribution of high-risk births in Nigeria: a sub-national analysis Global Health Action sub-national estimates contraceptive use high-risk births Nigeria |
| title | Contraceptive use and distribution of high-risk births in Nigeria: a sub-national analysis |
| title_full | Contraceptive use and distribution of high-risk births in Nigeria: a sub-national analysis |
| title_fullStr | Contraceptive use and distribution of high-risk births in Nigeria: a sub-national analysis |
| title_full_unstemmed | Contraceptive use and distribution of high-risk births in Nigeria: a sub-national analysis |
| title_short | Contraceptive use and distribution of high-risk births in Nigeria: a sub-national analysis |
| title_sort | contraceptive use and distribution of high risk births in nigeria a sub national analysis |
| topic | sub-national estimates contraceptive use high-risk births Nigeria |
| url | http://www.globalhealthaction.net/index.php/gha/article/view/29745/pdf_182 |
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