Rural-Urban Disparities in the Acceptance and Adoption of Family Planning among Couples in Oyo State, Nigeria

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DOI: 10.21522/TIJAR.2014.08.03.Art004

Authors : Stella Akinso, Femi Tinuola, Folajinmi Oluwasina, Amitabye Luximon-Ramma

Abstract:

Modern contraceptive use can enhance the living standard and reduce mortality among people living in rural and urban areas. However, contraceptive use tends to be low in the rural than the urban populace. A descriptive, cross-sectional study of systematic sampling technique was used to select 570 persons of reproductive age in the rural and urban communities of Oyo State. A semi-structured questionnaire on socio-demographic characteristics, knowledge, attitude and factors influencing uptake of modern contraceptives was administered to respondents. of the 570 respondents, the mean age was 34.3 ±8.4 years. The majority (63.3%) were female compared to 36.7% male respondents. Most (97.0%) of respondents had heard of family planning in the past. The result shows significant differences in location, gender, marital status, occupation, ethnicity, and a number of children (P<0.001). The majority (33.3%) of the respondents sourced family planning information from health care providers, while 31.3% sourced theirs from mass media – Radio, TV, or newspapers. Respondents in urban areas were currently using family planning methods than respondents in rural areas (61.8% vs. 38.2%). People in the urban area are 2.344 times the odds of utilizing any family planning compared to people in rural area (95% CI 1.495, 3.676). Urban and rural disposition to modern contraception services is influenced by economic, socio-cultural, environmental factors, location, age, educational, traditional beliefs, religion, family type, and level of knowledge. Although some signs of progress have been made in family planning at the communities, more work needs to be done. Men need to be actively involved, and other fears about family planning addressed.

References:

[1] United Nations, Trends in Contraceptive Use Worldwide 2015, UN, Department of Economic and Social Affairs, Population Division, 2015.

[2] Lim S, Allen K, Bhutta Z, Dandona L, Forouzanfar M, Fullman N et al.(2015) Measuring the health-related Sustainable Development Goals in 188 countries: a baseline analysis from the Global Burden of Disease Study https://www.scholars.northwestern.edu/en/publications/measuring-the-health-related-sustainable-development-goals-in-188 assessed May 13 2021.

[3] Lu, Y.; Slusky, D. J. G. (2018). “The Impact of Women's Health Clinic Closures on Fertility”. American Journal of Health Economics. 5 (3): 334–359. doi:10.1162/ajhe_a_00123. ISSN 2332-3493.

[4] National Population Commission (NPC) [Nigeria] and ICF. (2019). Nigeria Demographic and Health Survey 2018. Abuja, Nigeria, and Rockville, Maryland, USA: NPC and ICF.

[5] OECD (2012) NIGERIA-OVERVIEW- West Africa Gateway

https://www.oecd.org/swac/publications/Nigeria_e-version_en_light.pdf.

[6] United Nations (2015) World Population Prospect. Department of Economic and Social Affairs/Population Division 59 World Population Prospects: The 2015 Revision.

[7] NBS. (2013). National Bureau of Statistics, Annual Abstract of Statistics, 2011. Abuja: National Bureau of Statistics.

[8] Jayalakshmi A, Kirani, A., Prabhakar P K and Pushpanjali, S. (2002) A Study of Male Involvement in Family Planning. Health and Population Perspectives and Issues 25 (3): 113 - 123, https://www.researchgate.net/publication/265183365.

[9] Donta B., Nair S., Saggurti N., Ghule M., Battala M., Dasgupta A., Gajanan V., Silverman J. and Raj A. (2016) The Importance of Husbands’ Engagement in Family Planning Discussion to Promote Contraception Use for Birth Spacing in Rural India. Asia-Pacific Population Journal. 31 (2) 5-20.

[10] Blackstone, S. R., & Iwelunmor, J. (2017). Determinants of contraceptive use among Nigerian couples: evidence from the 2013 Demographic and Health Survey. Contraception and reproductive medicine, 2(1), 1-8.

[11] WHO. (2018). Family Planning/contraception fact sheet. Retrieved Feb.26, 2019 from: https://www.who.int/news-room/fact-sheets/detail/family-planning-contraception.

[12] United Nations Population Fund (2017) “Family planning”. Retrieved 6 March 2019.

[13] Bajos, N.; Le Guen, M.; Bohet, A.; Panjo, Henri; Moreau, C. (2014). “Effectiveness of family planning policies: The abortion paradox”. PLOS ONE. 9 (3): e91539. doi:10.1371/journal.pone.0091539. PMC 3966771. PMID 24670784.

[14] Packham, A. (2017). “Family planning funding cuts and teen childbearing”. Journal of Health Economics. 55: 168–185. doi:10.1016/j.jhealeco.2017.07.002. ISSN 0167-6296.

[15] Lu, Y.; Slusky, D. J. G. (2018). “The Impact of Women's Health Clinic Closures on Fertility”. American Journal of Health Economics. 5 (3): 334–359. doi:10.1162/ajhe_a_00123. ISSN 2332-3493.

[16] Thomas, O. (2020). City Population - statistics, maps & charts. Retrieved 09 25, 2020, from Oyo State in Nigeria:

https://www.citypopulation.de/php/nigeria-admin.php?adm1id=NGA031.

[17] All Nigeria information (2021) https://allnigeriainfo.ng/local-government-areas-in-oyo-state/ Accessed 6, May 2021.

[18] Alana Ojo Olukayode & Idowu Oluwafemi Amos. (2018) Factors Influencing Non-Utilization of Modern Methods of Family Planning Among Couples in Paikon-Kore, (FCT) Nigeria Covenant Journal of Business & Social Sciences (CJBSS) Vol. 9 No. 2, Dec. 2018

https://www.academia.edu/Documents/in/Public_Health.

[19] Clifford Obby Odimegwu (1999) Family Planning Attitudes and Use in Nigeria: A Factor Analysis: International Family Planning Perspectives, 1999, 25(2):86-91.

[20] Thimothy Okeowo Olujide (2014) Attitude, Knowledge and Utilization of Family Planning Methods among Rural Women in Ogun State, Nigeria Agrosearch 14(1):39DOI: [accessed May 12 2021].https://www.researchgate.net/publication/287812629/10.4314/agrosh.v14i1.5.

[21] Khalil B., Sarfraz M, and Khan R., (2015) Socio-economic and demographic determinants of contraceptive uptake in Pakistan. Pakistan Journal of Medical Research. 54(2):40-44.

[22] Duru C. B., Nnebue C.C., Iwu A.C., Oluoha R.U., Ndukwu E.U., Nwaigbo E. (2018). Utilization of Family Planning Services among Women of Reproductive Age in Urban and Rural Communities of Imo State, Nigeria: A Comparative Study. Afrimedic Journal, 6(1): 11-26.

[23] Gummaraj N.V., Menzil M., Kurre B., Deepa L.N., Meundi A.D. (2018). Contraceptive Practices among the Eligible Couples from a Rural and an Urban Area of Karnataka. National Journal of Community Medicine. 9(7):524-528.

[24] Habyarimana F. and Ramroop S, (2018). The Analysis of Socio-Economic and Demographic Factors Associated with Contraceptive Use Among Married Women of Reproductive Age in Rwanda. The Open Public Health Journal. Volume 11: 348-359 DOI: 10.2174/1874944501811010348.

[25] Kaggwa EB, Diop N, Storey JD. The role of individual and community normative factors: a multilevel analysis of contraceptive use among women in the union in Mali. Int. Family Planning Perspective. 2008 Jun; 34(2):79-88. doi: 10.1363/ifpp.34.079.08. PMID: 18644759.

[26] Lasong J., Zhang Y., Gebremedhin S.A., et al. (2020). Determinants of modern contraceptive use among married women of reproductive age: a cross-sectional study in rural Zambia. BMJ Open10: e030980.doi:10.1136/ bmjopen-2019-030980.

[27] Kaniki F.R., (2019). Factors influencing the use of modern contraceptive methods among rural women of childbearing age in the Democratic Republic of the Congo. Journal of Family Medicine and Primary Care. 8:2582-6.

[28] Akokuwebe, M.E. and Ojo, O. A., (2016). Factors Influencing Acceptability of Family Planning among Women in Rural Communities in Ife Central Local Government Area, Osun State, Nigeria. Ibadan Journal of the Social Sciences, 14 (2), 250-261.

[29] Esike C.O.U., Anozie O.B., Ani M., Ekwedigwe K., Onyebuchi A.K., Ezeonu P.O., et al. (2017) Barriers to family planning acceptance in Abakaliki, Nigeria. Tropical Journal of Obstetrics & Gynaecology, 34:212-7.

[30] Etokidem, A. J., Ndifon, W., Etowa, J., & Asuquo, E. F. (2017). Family planning practices of rural community dwellers in cross river state, Nigeria. Nigerian Journal of clinical practice, 20(6), 707-715.

[31] Blackstone, S. R., & Iwelunmor, J. (2017). Determinants of contraceptive use among Nigerian couples: evidence from the 2013 Demographic and Health Survey. Contraception and reproductive medicine, 2(1), 1-8.

[32] Islam, A. Z. (2018). Factors affecting modern contraceptive use among fecund young women in Bangladesh: does couples’ joint participation in household decision-making matter? Reproductive health, 15(1), 1-9.

[33] Mutombo N. and Bakibinga P. (2014). The effect of joint contraceptive decisions on the use of Injectables, Long-Acting and Permanent Methods (ILAPMs) among married female (15–49) contraceptive users in Zambia: a cross-sectional study. Reproductive Health. 11:51 http://www.reproductive-health-journal.com/content/11/1/51.

[34] Donta B., Nair S., Saggurti N., Ghule M., Battala M., Dasgupta A., Gajanan V., Silverman J. and Raj
A. (2016) The Importance of Husbands’ Engagement in Family Planning Discussion to Promote Contraception Use for Birth Spacing in Rural India. Asia-Pacific Population Journal. 31 (2) 5-20.

[35] Obwoya J. G., Wulifan J.K. and Kalol A. (2018). Factors Influencing Contraceptives Use among Women in the Juba City of South Sudan. International Journal of Population Research. Volume 2018, Article ID 6381842, 7 pages https://doi.org/10.1155/2018/6381842.