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Contraceptive use and fertility control in rural and urban communities of Lagos Nigeria
Kikelomo Ololade Wright1, Modupe Rebekah Akinyinka2, Temiloluwa Fagbemi3, Adedayo Aderibigbe4, Aduragbemi Banke-Thomas5, Onipede Wusu6
1 Department of Community Health and Primary Health Care, Lagos State University College of Medicine; Department of Community Health and Primary Health Care, Lagos State University Teaching Hospital; Centre for Reproductive Health Research and Innovation, Lagos State University College of Medicine, Lagos, Nigeria
2 Department of Community Health and Primary Health Care, Lagos State University College of Medicine; Department of Community Health and Primary Health Care, Lagos State University Teaching Hospital, Lagos, Nigeria
3 Centre for Reproductive Health Research and Innovation, Lagos State University College of Medicine, Lagos, Nigeria
4 Department of Community Health and Primary Health Care, Lagos State University Teaching Hospital; Centre for Reproductive Health Research and Innovation, Lagos State University College of Medicine, Lagos, Nigeria
5 Centre for Reproductive Health Research and Innovation, Lagos State University College of Medicine, Lagos, Nigeria; Centre for Vulnerable Children and Families, Institute for Life Course Development, University of Greenwich, London, United Kingdom
6 Department of Sociology, Faculty of Social Sciences, Lagos State University, Lagos, Nigeria
Correspondence Address:
Kikelomo Ololade Wright
Department of Community Health and Primary Health Care, Lagos State University College of Medicine, Teaching Hospital, Ikeja, Lagos
Nigeria
 Source of Support: None, Conflict of Interest: None  | Check |
DOI: 10.4103/npmj.npmj_268_22
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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.
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