Contexts and persistence of age of consent for accessing family planning services in Lagos, Nigeria: A qualitative study

Nigeria has one of the lowest adolescents family planning uptake in sub-Saharan Africa. Previous studies show that a high age of consent is a significant predictor. Little evidence exists about the contexts and persistence of the high age of consent for accessing family planning in Nigeria. Hence, this study used a qualitative methodology to explore the contexts, persistence and implications of high age of consent for accessing family planning in Lagos State. Forty-four in-depth interviews and 31 key-informant interviews were conducted in two Local Government Areas. NVIVO 12 plus was used to analyse data. The results suggest that contexts consisted of health and moral concerns, religious opposition and negative attitudes, which were underlying the persistence of high age of consent for accessing family planning. The contexts formed the basis for the exclusion of adolescents from family planning services. Consequently, sexually active adolescents adopted local herbs, a combination of differentmedicines, concoctions and local alcoholic drink (ogogoro) to prevent or abort pregnancies. Therefore, community-based NGOs should engage communities to promote perception change about adolescents accessing family planning and motivate the communities to begin to demand of their representatives in government a policy to lower age of consent for accessing family planning. Keywords: Perspectives, parental consent, adolescents, contraceptive us

Interconnections among changing family structure, childrearing and fertility behaviour among the Ogu, Southwestern Nigeria

The interconnections of family transformation, childrearing and fertility behaviour are explored. Data were generated through nine focus groups organized among the Ogu and content analyzed. The analysis reveals that although the family system is still largely dominated by extended structure, the strong traditional kinship ties have begun to undergo serious strain. Child fostering and other means of spreading childrearing cost among relatives are fading out. Consequently, desired family size and ideal number of children in the society now gravitate to four children relative to over eight in the past. Given dwindling extended family resources for the support of a large number of its members, innovative reproductive behaviour is permeating the society, such as the adoption of family planning.childrearing, childrearing cost, family planning, family structure, fertility, fertility behavior, household, ideal family size, interconnections, kinship

Gender Revolution Prospects in Nigeria: Implications for Marriage Timing and Fertility

We hypothesise that the prospects of gender revolution (GR) is rising in Nigeria and may be swaying marriage timing and fertility. The 1990 and 2013 NDHS data and 45 in-depth interviews were analysed. The analysis suggests that the prospects for the emergence of GR increased between 1990 and 2013. Women with high GR status positively predicted marriage timing in 2013 as against the inconsistent association observed in 1990. Similarly, high GR status negatively predicted children ever born (CEB) in 2013. Also, qualitative data suggest a general preference for completing education and participating in labour market before marriage among women. The findings suggest that as the proportion of women with improved GR status increases across Nigeria, delayed marriage is likely to soar and sustainable fertility decline achieved. Social policy to accelerate female education and labour force participation along with realistic economic recovery strategies are therefore of critical importance.Keywords: Female education, Labour force participation, Age at marriage and Children ever bor

Understanding Sexual Negotiation between Marital Partners: A Study of Ogu Families in Southwestern Nigeria

Studies on African sexuality have concentrated on men extra-marital affairs and a total neglect of sexual negotiation between husband and wife. The main objective of this study is to examine gender differentials in sexual negotiation strategies between marital partners among the Ogu, South-western Nigeria. Data were generated from survey conducted among 900 married men and women and 9 focus group discussions. Analysis reveals that both husband and wife have sexual needs that make them to desire sex naturally. While men do make direct demand for sex, women employ indirect erotic strategies to initiate sex. The consent of both partners is required for sexual encounter to give maximum pleasure. Logistic models show that urban residence and frequent spousal communication are associated with gender equity in sexual negotiation between marital partners. It is suggested that sexual health programmes should therefore focus on both partners and not just men

Fertility Behaviour and Wealth Situation in Nigeria: Evidence from 2013 Demographic and Health Survey

There is consensus over the possibility of improved wealth situation leading to fertility decline. However, the likelihood of fertility decline leading to a significant improvement in wealth situation remains a subject of intense debate. This study examines the current pattern of linkages between fertility behaviour and wealth situation in Nigeria in an attempt to contribute to the debate. The study used the 2013 Nigeria Demographic and Health Survey data. Analysis involved use of descriptive statistical tools at univariate and bivariate levels while at multivariate level we used ordinary least square and hierarchical regression techniques. Results suggest that the contribution of the fertility behaviour indicators to the variance in wealth status, demonstrated through the R-square change in women and men hierarchical regression models that controlled for selected confounding variables, was almost zero percent (1 %). Although the individual fertility behaviour indicators exhibited some significant association with wealth status, the beta coefficients were visibly small in magnitude compared to the magnitude observed in the unadjusted OLS regression models. Thus, the current data suggest that the role of fertility behaviour in wealth status in Nigeria among women and men is not as important as other social, spatial and economic forces prevailing in the country. The study concludes that we have to seek explanation for the poor wealth situation in Nigeria in other factors other than fertility behaviour. Keywords Fertility Behaviour, Predictors, Wealth status, Nigeri

Family Structure and Reproductive Health Decision-Making Among the Ogu of Southwestern Nigeria: A Qualitative Study

This study examines the structure of the Ogu family and its influence on reproductive health decision-making using a qualitative approach. Data were sourced through nine focus groups organized in the study area among married men and women. The data reveal that the family structure in the study area is changing, although the dominant pattern remains extended. The findings of the study suggest that there are on-going internal transformations that tend to enhance gender equity in reproductive health decision-making between husbands and wives. These changes may be attributed to the widespread influence of western culture and the spread of education in the study population, which are necessary concomitants of economic, political and cultural changes taking place in the society.Cet article examine la structure de la famille Ogu et son influence sur la prise de d\ue9cision en mati\ue8re de sant\ue9 de la reproduction. Les donn\ue9es utilis\ue9es sont des donn\ue9es qualitatives obtenues \ue0 partir de 9 "Focus Group" organis\ue9s entre hommes et femmes mari\ue9es du milieu d'\ue9tude. Les donn\ue9es montrent que la structure de la famille dans ce milieu d'\ue9tude \ue9volue bien que le type dominant reste la famille \ue9largie. Les r\ue9sultats de l'\ue9tude montrent que des transformations internes tendant \ue0 promouvoir l'\ue9galit\ue9 entre les genres en mati\ue8re de prise de d\ue9cision concernant la sant\ue9 de la reproduction entre \ue9poux et \ue9pouses sont entrain de s'op\ue9rer. Ces \ue9volutions peuvent \ueatre dues par l'influence croissante de la culture occidentale et la g\ue9n\ue9ralisation de l'\ue9ducation dans la population \ue9tudi\ue9e qui accompagnent n\ue9cessairement les transformations \ue9conomiques, politiques et culturelles en cours dans la soci\ue9t\ue9

Unconventional Substance Use among Young People in Urban Lagos and the Implications for Sexual and Reproductive Health

Previous studies have examined conventional substance use among young people but little is known about unconventional substance use in this population. Hence, this study sought to explore unconventional substance use among young people in urban Lagos and the implications for sexual and reproductive health (SRH). The study employed cluster sampling strategy in administering 1200 copies of a structured questionnaire among in-school and out-of-school young people (10-24 years old) across selected areas in urban Lagos. Results indicated that the social environment of young people influenced their involvement in unconventional substance use (p<0.05) in the study setting. Older young people, those out-of-school, exposure to unconventional substance use through peers, through television and those less religious were more likely to report ever use of any unconventional substance. Tramadol, cough syrup, and rohypnol were the most popular unconventional substances ever used among both male and female respondents. Also, while young females who used various unconventional substances were vulnerable to STIs owing to poor preventive behaviour, multiple sexual partnership was rampant among their male counterparts though rich preventive culture prevailed among them. Thus, unconventional drug use among young people has a strong probability of increasing health burden through risky SRH in the study setting

Descriptive analysis of men’s sexual behaviour in sub-Saharan Africa: Simplicity-parsimony approach

The interconnection between men’s sexual behaviour as a contributor to burden of reproductive and sexual health diseases in sub-Saharan Africa are often presented with complex and sophisticated statistical analyses with little or no comprehension among the affected population that are mostly with little or no statistical literacy and education. The study adopted simplicity-parsimony idea as amalgam of simplicity and parsimony theories in analysing the trends and patterns of men’s sexual behaviour in Ethiopia, Nigeria and Zambia, the three countries selected from Eastern, Western and Southern parts of sub-Saharan Africa. Demographic Health Survey male-recode datasets (2000–2014) were used. Simple descriptive statistical techniques at univariate and bivariate levels were conducted. The results highlighted that men’s sexual behaviour are not the same in these regions. The men median sexual debut is 18 (Nigeria and Ethiopia) but 16 in Zambia. The median age at first cohabitation differs: 22 in Zambia and Ethiopia but higher in Nigeria. From 2000/2004 to 2010/2014, cohabitation practice reduced in Ethiopia across all ages but increased among men aged 25–29 (Zambia: 14.7–15.0%, Nigeria: 13.3–13.9%). There were declined in union-turnover in Ethiopia (−8.8%), Nigeria (−11.4%) and Zambia (−9.3%) including condom use; but non-spousal sex increased. The study concludes that the increase in non-spousal sex, non-condom use could have implications for STIs/HIV spread and zero-AIDS deaths agenda in the region. The authors suggest that policy decision-takers focus on non-spousal sex, non-use of condom, and union-turnover as crucial factors in the fight against STIs/HIV in sub- Saharan Africa

Contraceptive use and fertility control in rural and urban communities of Lagos Nigeria

BACKGROUND: It is predicted that the population of sub-Saharan Africa will be thrice its size by the end of the 21st century. Our study compared patterns, incentives and disincentives for the uptake of contraceptives in rural and urban communities of Lagos, Nigeria. MATERIALS AND METHODS: This is a population-based cross-sectional study on 1445 women of reproductive ages 15-49 years using a cluster sampling technique and a pre-tested, interviewer-administered electronic questionnaire in 2020. Data were analysed using the Statistical Package for the Social Sciences (SPSS) software version 26.0 and ethical approval was obtained for the study. RESULTS: About 32.4% of the respondents were rural dwellers and 67.6% were urban residents. The overall mean age was 31.7 ± 7.8 years. In terms of pattern, slightly over half (53.3%) of all respondents had ever used family planning (FP), including modern contraceptives and slightly less than a third (30.8%) currently use FP methods in both rural and urban communities, respectively. Predominant disincentives for non-use of FP include a desire to retain fertility, lack of further need, unbearable side effects and lack of spousal support. The odds of being an urban dweller currently using a method of contraceptive method is 4.169 times higher for earners above ₦60,000, which is twice the minimum wage compared to those without income (adjusted odd's ratio: 4.169, 95% confidence interval: 1.395-12.462). CONCLUSION: Sustained effort is required to improve contraceptive uptake, FP service delivery and demand satisfaction for modern contraceptives to enable the achievement of demographic dividends and gains

Perception about being an aged person in South-Western Nigeria

This paper investigates the perception about being an aged person in SouthWestern Nigeria. 594 aged persons were interviewed through questionnaire administration in Lagos and Oyo states of South-western Nigeria. The univariate, bivariate and One-way Analysis of variance (F-ratios) were employed in the analyses of this research. The major findings of this study are: firstly, the univariate and bivariate results indicate that there is low-perception about being an aged person. Secondly, One-way Analysis of variance (F-ratios) show that the study location, age category, means of livelihood; and usual place of residence (Oyo and Lagos state rural settings) have significant influences on perception about being an aged person in South-Western Nigeria. Thus, the paper recommends the following: firstly, that aged persons from Lagos state who are 50-79 years should begin to admit from now that they are ‘elderly people’ despite the fact that some of them are retired and still physically active. Secondly, the salary earners who are still working as well as Lagos-rural dwellers should urgently assume their roles as elders both in the families and in larger Nigerian society