Variations in modern contraceptive uptake and its correlates in South West and North East Nigeria: a comparative analysis

Background: Family planning programs are implemented specifically to address the sexual and reproductive health challenges of women of childbearing age but these interventions are yet to address regional differences in modern contraceptive usage in Nigeria. Hence, this study aimed to examine correlates of modern contraceptive uptake in South West and North Eastern, Nigeria.Methods: A cross-sectional survey data for women aged 15-49 years was extracted from Nigeria demographic and health surveys 2018 (NDHS). Data analyses were based on a weighted sample of 10,907 (North East= 5406 and South West = 5501) women of reproductive age. The outcome variable was modern contraceptive use. The main explanatory variables were age, employment status, religion, Number of living children, education, and marital status. Frequency distribution, Chi-square test, and binary logistic regression were used for data analysis (α=0.05).Results: The result showed the mean age of women of reproductive age in South West and North East to be 32years and 30 years respectively. More women in South West used modern contraceptive than women in North East. About 91.5% and 75.8% of women in North East and South West respectively did not used any modern method. The result showed that, in the South West, number of living children (OR:4.06, CI: 2.794-5.921), education (OR:1.35, CI: 1.045-1.754) and wealth index (OR:1.77, CI: 1.053-2.973) increased the odds of contraceptive uptake, while maternal age (OR:0.52, CI: 0.282-0.965), religion (OR:0.25, CI: 0.184-0.347) and place of residence (OR:0.68, CI: 0.504-0.916) significantly reduced the odds of modern contraceptive uptake in North East.Conclusions: This study concludes that there are regional variations in uptake and predictors of modern contraceptives use in Nigeria. Therefore, sexual and reproductive health interventions that considers the study’s significant variables should be put in place to increase uptake

Family type, ethnicity and under-five mortality in Nigeria

Background: High rate of under-five mortality (UFM) in Nigeria is an impediment to national development. This study examined the influence of family type and ethnicity on UFM.Data Source and Methods: The study was cross-sectional and employed the 2013 Nigeria Demographic and Health Survey dataset. The survey utilised a stratified three-stage cluster sampling procedures in interviewing 31,828 women of childbearing age. Data were analysed using Chi-square test, Brass and Cox-proportional hazard models.Results: UFM rates were 92, 119 and 196 deaths per 1000 live births among Yoruba, Igbo/Ibo and Hausa/Fulani respectively. On overall, single-parent who were Hausa/Fulani women reported the highest deaths (265/'000) and the polygamous Igbo women reported the lowest (2/'000). UFM is lowest among the Igbo/Ibo while single parenting impact on UFM more among Hausa/Fulani than other ethnic groups.Conclussion: Family type and ethnicity were associated with UFM. Measures to reduce UFM should target single-parenting and the Hausa/Fulani