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|Title: ||Prevalence and Determinants of Contraceptive Use in Rural Northeastern Nigeria: Results of a Mixed Qualitative and Quantitative Assessment|
|Authors: ||Kana, Musa Abubakar|
Tagurum, Yetunde O.
Hassan, Zuwaira I.
Afolanranmi, Tolulope O.
Ogbeyi, Gabriel Ofikwu
Difa, Joshua Abubakar
Chirdan, Olubunmi O.
|Keywords: ||mixed methods|
|Issue Date: ||2016|
|Publisher: ||Annals of Nigerian Medicine|
|Citation: ||Kana MA, Tagurum YO, Hassan ZI, Afolanranmi TO, Ogbeyi GO, Difa JA, et al. Prevalence and determinants of contraceptive use in rural Northeastern Nigeria: Results of a mixed qualitative and quantitative assessment. Ann Nigerian Med 2016;10:3-10.|
|Series/Report no.: ||Vol. 10;No. 1; Pp 3-10|
|Abstract: ||Background: Family planning is an effective intervention for promoting maternal health, but its acceptability
and utilization are impeded by many factors in Northern Nigeria. This study aims to assess the prevalence and
identify determinants of contraceptive use in a rural setting.
Methods: A mixed method cross‑sectional descriptive study was conducted in Gumau, a rural community
of Bauchi State, Northeastern Nigeria. Quantitative data were collected using an interviewer‑administered
questionnaire while the qualitative data were collected using focus group discussions with selected women
and their husbands, and key informant interviews with family planning service providers.
Results: Family planning commodities were regularly available in the community and the prevalence of
current contraceptive use was 26%. The main determinants included age <35 years (odds ratio [OR] = 3.0;
confidence interval [CI] = 1.0–8.9; P = 0.028), Christian religious affiliation (OR = 2.4; CI = 1.1–4.9; P = 0.025),
and spousal support (OR = 55.1; CI = 16.0–189.8; P = 0.000). The qualitative data also reinforced the crucial
role of sociocultural factors, especially men in decision‑making and contraceptive uptake.
Conclusion: Sociodemographic factors, especially spousal support is a key determinant of contraceptive use
that should be considered in the design of acceptable family planning intervention.|
|Appears in Collections:||Community Medicine|
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