Five-years retrospective study on utilization and uptake pattern of family planning services in primary health centres in a peri-urban settlement in southwest Nigeria

Background: Family planning is one of the most basic and essential healthcare services that can promote and ensure women's reproductive health worldwide. However, there has been a low level of utilisation of family planning services by women in developing countries. Therefore, the paper documented the utilisation rate, the uptake pattern of family planning services, and the socio-demographic characteristics of the women who attended the selected primary health centres in the Ife-Central local government area. Method: A five-year retrospective review of primary health centre’s records of clients who attended selected health centres from January 2017-December 2021. Data was obtained from the client cards and the family planning record book. A total of 2572 clients’ records were evaluated. Results: the study revealed the modal age group of 25-34 (58%) and modal parity of 3-4 (51%) children. The most significant proportion of the women was married (94.6%), with a secondary level of education (89%). Injectables were the most utilized family planning services among women in primary health centres, followed by the uptake of condoms. The Implant was the only increasing uptake pattern of family planning services within 5 years in primary health centres. Conclusion: Injectable contraceptives have a higher utilization rate, and the uptake pattern of family planning services varied in selected PHCs. However, the uptake pattern of implants increased consistently. Therefore, there is a need for continuous awareness creation and advocacy for the uptake of family planning services to promote women’s health and well-being. Trial registration: It was not retrospectively registered

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

Factors associated with pregnancy and induced abortion among street-involved female adolescents in two Nigerian urban cities: a mixed-method study

Abstract Objectives This study determined the correlates of unwanted pregnancy and induced abortion among sexually active female street-involved adolescents (SIAs) aged 10–19 years in two urban cities in South-west, Nigeria. Methods The data for this study were extracted from a larger mixed-method survey dataset on the sexual and reproductive health (SRH) of 1505 street-involved young people aged 10 to 24 years. For the quantitative data, the explanatory variables were age, history of school attendance, employment status, religion, living arrangement and city of residence. The study outcomes were a history of pregnancy and a history of induced abortion of last pregnancy. Binomial regression analysis was performed to determine the association between the explanatory and outcome variables. For the qualitative data generated through focus group discussions and in-depth-interviews, inductive and deductive approaches were used in conducting a thematic analysis to explore the perspectives and experiences of SIA on pregnancy and induced abortion. Results Of the 424 female SIAs, 270 (63.7%) reported having had sex. Sixty-four (23.7%) respondents had a history of pregnancy, of which 38 (59.4%) gave a history of induced abortion of the last pregnancy. A history of school attendance significantly reduced the likelihood of being pregnant (AOR: 0.42, 95% C.I: 0.19–0.91), while 15–19-years-old SIAs who were pregnant were significantly less likely to abort (AOR: 0.13, 95% C.I: 0.02–0.77). Qualitative reports indicated that unintended pregnancy and induced abortion was a common experience among the sexually active SIAs. Many participants were aware of the methods of, and places to induce abortion. Conclusion A large proportion of SIAs are sexually active with a high incidence of unintended pregnancy and a high rate of unsafe abortion. Access of female SIAs to education can reduce the risk of unintended pregnancy. Attention needs to be paid to how SIAs can have access to contraception

Fertility, labour force participation and poverty among married women in Nigeria

Context: Previous studies have established increasing female employment and fertility transition in developed countries and improved social welfare. However, findings on female employment, fertility transition and poverty incidence have shown mixed results in Nigeria. The paper examined critical issues of fertility, female employment and poverty incidence among women of reproductive ages in Nigeria. Specifically, we examined the linkages between fertility, female employment, and household wealth to enrich our understanding of the relationships among characteristics.Method: We analysed the 2013 Nigeria DHS dataset. The association of fertility, female employment, and poverty incidence was assessed using Chi-square and multinomial logistic regression.Results: Female employment was positively related to fertility rate and negatively related to household wealth. Other significant predictors of fertility and poverty incidence are age, level of education, religion, and location of residence. Conclusion: Women participation in Labour force enhance household wealth status but do not necessarily limit fertility. Policies and programmes aimed at fertility reduction and poverty alleviation should focus on formal employment and female education