Determinants of Use of Modern Family Planning among Northern Nigerian Women: A Secondary Analysis of 2013 NDHS

摘要

Introduction: Family planning allows people to attain their desired number of children and determine the spacing of pregnancies. It is achieved through use of contraceptive methods and the treatment of infertility. The aim of this study was to determine various factors that influenced the uptake of modern family planning among women of reproductive age in Northern Nigeria. Methodology: The study used data obtained from Nigeria Demographic and Health Survey (NDHS) 2013. Factors considered were drawn from the dataset. Analysis was carried out using Stata version 12.1. Multivariate logistic regression analysis was used to determine relationship between various factors and use of modern family planning methods. Level of significance was set at 0.05. Results: The total number of participants in the study was 21, 037. The mean age of respondents was 29.0 ± 7.1 years. Only 5.3% of the participants were currently using modern family planning methods. The highest proportion of use was 14.3% in the Northcentral zone of Northern Nigeria, while the lowest was 2.38% in Northwest. Identified predictors of modern family planning use were: Having at least secondary education (OR = 3.8, 95% CI: 3.3 - 4.4), being from the Northcentral (OR = 3.9, 95% CI: 3.4 - 4.5), being 25 years old or more (OR = 1.7, 95% CI: 1.5 - 2.1) and being of urban residence (OR = 2.0, 95% CI: 1.8 - 2.4). All factors were statistically significant (P < 0.001). The highest predictor of modern family planning uptake was geopolitical zone, followed by education. Conclusion: Measures should be taken to increase female literacy especially in the Northeastern and Northwestern zones of Northern Nigeria, as this will most likely lead to improved uptake of modern family planning among the respondents.