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Trends and Determinants of Non-Utilization of Modern Contraception in Ekiti State, Nigeria: A Ten-Year Review Cover

Figures & Tables

Figure 1.

Trend of modern contraceptive use among women of childbearing age in Ekiti State: 2008–2018.
Trend of modern contraceptive use among women of childbearing age in Ekiti State: 2008–2018.

Figure 2.

Trend of unmet need for modern contraceptive among married or sexually active women of childbearing age in Ekiti State: 2008–2018.
Trend of unmet need for modern contraceptive among married or sexually active women of childbearing age in Ekiti State: 2008–2018.

Socio-demographic characteristics of weighted sample population (NDHS 2008–2018)

200820132018Pooled 2008–2018

n (%)n (%)n (%)n (%)
Women age
15–19124 (22.3%)71 (21.7%)82 (17.5%)278 (20.5%)
20–2485 (15.3%)49 (15.0%)67 (14.1%)201 (14.8%)
25–29106 (19.1%)56 (17.1%)73 (15.4%)235 (17.3%)
30–3482 (14.7%)44 (13.5%)63 (13.3%)189 (13.9%)
35–3964 (11.5%)36 (11.0%)60 (12.6%)160 (11.8%)
40–4443 (7.7%)37 (11.3%)60 (12.6%)140 (10.3%)
45–4952 (9.4%)34 (10.4%)69 (14.5%)155 (11.4%)
Mean (±SD)28.5 ± 9.629.3 ± 10.231.1 ± 10.329.6 ± 10.1
Place of residence
Urban220 (39.6%)262 (80.1%)386 (81.3%)868 (63.9%)
Rural336 (60.4%)65 (19.9%)89 (18.7%)490 (36.1%)
Level of education
No education42 (7.6%)7 (2.1%)24 (5.1%)73 (5.4%)
Primary96 (17.3%)42 (12.8%)70 (14.7%)208 (15.3%)
Secondary307 (55.2%)195 (59.6%)284 (59.8%)786 (57.9%)
Higher111 (20.0%)83 (25.4%)97 (20.4%)291 (21.4%)
Marital status
Never married209 (37.6%)119 (36.5%)123 (25.9%)451 (33.3%)
Married/Living with partner333 (59.9%)194 (59.5%)326 (68.8%)853 (62.9%)
Formerly married14 (2.5%)13 (4.0%)25 (5.3%)52 (3.8%)
Religion
Christianity459 (82.6%)300 (91.7%)365 (76.8%)1124 (82.8%)
Islam97 (17.4%)27 (8.3%)110 (23.2%)234 (17.2%)
Occupational status
Working309 (56.0%)204 (62.4%)362 (76.45)875 (64.7%)
Not working243 (44.0%)123 (37.6%)112 (23.6%)478 (35.3%)
Wealth index
Poor119 (21.4%)4 (1.2%)111 (23.3%)234 (17.2%)
Middle130 (23.4%)55 (16.8%)111 (23.3%)296 (21.8%)
Rich307 (55.2%)268 (82.0%)254 (53.4%)829 (61.0%)
Covered by health insurance
Yes10 (1.8%)9 (2.8%)8 (1.7%)27 (2.0%)
No544 (98.2%)317 (97.2%)466 (98.3%)1327 (98.0%)
Distance to health facility
Big problem112 (20.2%)35 (10.7%)95 (20.0%)242 (17.9%)
Not a big problem442 (79.8%)291 (89.3%)380 (80.0%)1113 (82.1%)
FP services available at the facility
Yes91 (59.1%)58 (64.4%)134 (58.3%)283 (59.7%)
No63 (40.9%)32 (35.6%)96 (41.7%)1919 (40.3%)
Desire for more children
More children382 (68.8%)213 (65.1%)273 (57.5%)868 (64.0%)
Undecided34 (6.1%)16 (4.9%)22 (4.6%)72 (5.3%)
No more children139 (25.0%)98 (30.0%)180 (37.9%)417 (30.7%)
Woman's autonomy in decision making for family planning
Respondent alone97 (29.2%)55 (28.4%)60 (18.4%)212 (24.9%)
Respondent and husband/partner156 (47.0%)85 (43.8%)218 (66.9%)459 (53.9%)
Husband/partner alone79 (23.8%)54 (27.8%)48 (14.7%)181 (21.2%)
Contraceptives Use
Modern method73 (13.1%)78 (23.9%)109 (23.0%)260 (19.2%)
Non modern method483 (86.9%)248 (76.1%)365 (77.0%)1096 (80.8%)

Bivariate and multivariate analyses of non-modern contraceptive use among women of reproductive age (15–49) in Ekiti State (NDHS 2008–2018) (Weighted sample)

VariablesTypes of ContraceptivesBivariate Analysis (chi-square test)Binary Logistic Regression

Non-modern (%)Modern (%)P valueAOR (95%CI)
Women age 0.001*
15–19254 (91.4%)24 (8.6%) 1
20–24157 (78.5%)43 (21.5%) 0.33 (0.19–0.59)*
25–29183 (77.9%)52 (22.1%) 0.34 (0.18–0.64)*
30–34155 (82.0%)34 (18.0%) 0.46 (0.22–0.94)*
35–39116 (72.5%)44 (27.5%) 0.29 (0.14–0.61)*
40–44104 (73.8%)37 (26.2%) 0.37 (0.17–0.80)*
45–49128 (83.1%)26 (16.9%) 0.62 (0.27–1.44)
Place of residence 0.003*
Urban681 (78.5%)187 (21.5%) 0.72 (0.53–0.98)*
Rural416 (85.1%)73 (14.9%) 1
Level of education 0.017*
No education63 (86.3%)10 (13.7%) 1
Primary173 (83.6%)34 (16.4%) 0.77 (0.35–1.69)
Secondary643 (81.8%)143 (18.2%) 0.55 (0.26–1.15)
Higher217 (74.6%)74 (25.4%) 0.46 (0.21–0.98)*
Marital status 0.009*
Never married383 (84.9%)68 (15.1%) 1
Married/Living with partner668 (78.3%)185 (21.7%) 1.23 (0.79–1.92)
Formerly married45 (86.5%)7 (13.5%) 1.95 (0.77–4.90)
Religion 0.299
Christianity902 (80.3%)221 (19.7%) -
Islam194 (83.3%)39 (16.7%) -
Occupational status 0.789
Working705 (64.5%)170 (65.4%) -
Not working388 (35.5%)90 (34.65) -
Wealth index 0.010*
Poor200 (85.5%)34 (14.5%) 1
Middle249 (84.4%)46 (15.6%) 0.91 (0.56–1.50)
Rich648 (78.3%)180 (21.7%) 0.75 (0.48–1.17)
Covered by health insurance 0.060
Yes1076 (81.1%)251 (18.9%) -
No18 (66.7%)9 (33.3%) -
Distance to health facility 0.965
Big problem195 (80.9%)46 (19.1%) -
Not a big problem900 (80.8%)214 (19.2%) -
FP services available at the facility 0.229
Yes232 (82.0%)51 (18.0%) -
No148 (77.5%)43 (22.5%) -
Desire for more children 0.001*
More children728 (83.9%)140 (16.1%) 1
Undecided60 (82.2%)13 (17.8%) 0.87 (0.45–1.69)
No more children309 (74.3%)107 (25.7%) 0.48 (0.32–0.73)*
Woman's autonomy in decision making for family planning 0.803
Respondent alone165 (77.8%)47 (22.2%) -
Respondent and husband/partner358 (77.8%)102 (22.2%) -
Husband/partner alone145 (80.1%)36 (19.9%) -
DOI: https://doi.org/10.34763/jmotherandchild.20232701.d-22-00067 | Journal eISSN: 2719-535X | Journal ISSN: 2719-6488
Language: English
Page range: 42 - 51
Submitted on: Nov 9, 2022
Accepted on: Feb 2, 2023
Published on: Aug 7, 2023
Published by: Institute of Mother and Child
In partnership with: Paradigm Publishing Services
Publication frequency: 1 issue per year

© 2023 Oluwafunmilayo Oluwadamilola Ibikunle, Tope Michael Ipinnimo, Ayobami Oyekunle Afape, Austine Idowu Ibikunle, Caroline Ajoke Bakare, Babatunde Ajidagba, Demilade Olusola Ibirongbe, Esther Opeyemi Ajidahun, Kabir Adekunle Durowade, Adebowale Femi Akinwumi, Ayokunle Faniku, Babatunde Adelekan, published by Institute of Mother and Child
This work is licensed under the Creative Commons Attribution 4.0 License.