The need for understanding the level of communication among couples is important in reproductive health.
Agreement by couples on contraceptive adoption is a major consideration if population growth will be
reduced. Therefore this paper tests the hypothesis that there is no significant relationship between interspousal
communication and contraceptive use in Nigeria. The study employed both quantitative and
qualitative method of data collection. The quantitative data employed the 2013 Nigeria Demographic and
Health Survey Couple recode dataset, while the qualitative data was collected using Focus Group
Discussion. Data was analyzed using Stata13 and the qualitative data was analyzed using NVivo 11
software. The result of the logistic regression model showed that there is a significant relationship between
inter-spousal communication and contraceptive use (P<0.001). The result of the unadjusted model showed a
Log-likelihood ratio [LLR] = 2335.0875, R2 = 27.05% and Chi-square= 1731.32 on 29 degree of freedom
while, the adjusted model showed a [LLR] = 435.0011, R2 = 38.20%, Chi-square= 268.36 on 32 degrees of
freedom, p<0.05. The reduction of 1296.3189 in the Log-likelihood ratio and an increase of 11.15 % in the R2
indicate a very good fit. In the qualitative study the findings showed that majority of the couples using
contraceptives discussed with their spouses and more than half of them received their husband’s maximum
support. We conclude that couples communication will improve the uptake of contraceptives and reduce the
increasing population growth in Nigeria
