Variations in the Adoption and Use of Different Family Planning Methods and Implications: Evidence from a Cross-Sectional Study in Nigeria

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Femi B. Adebola
Dorothy N. Ononokpono
Olukemi G. Adebola
Olusegun S. Ewemooje
Adetola A. Adediran
Ganiyu Oboh
Danjuma Jibasen
Steve Metiboba


Despite concerted efforts by all stakeholders to increase acceptability and access to modern family planning (FP) methods, the adoption and usage of family planning methods have remained low, particularly in developing countries which place stringent conditions on achieving SDGs. Therefore, there is the need to understand variations in the adoption and use of FP and their implications to speed-up interventions in the right direction. The study used cross-sectional data collected between June and August 2022 in 2,817 households with 6,641 males and females of reproductive age successfully interviewed. Univariate, bivariate, and binary multivariate logistic regression model were used to model traditional and modern FP usage. Awareness was shown to be approximately two-thirds (62.8%) among respondents with main source of information being radio. Major methods of awareness are condom and pills. In terms of significant others’ support enjoyed, 43.5%, 38.5% and 39.5% enjoyed their mother, mother-in-law, and community support, respectively. Religion, region and parent’s parity were significant predictors of traditional method usage. Living in the North-Western region, increase in education, being gainfully employed, increase in years of marriage and exposure to media increase the use of modern methods of FP, whereas living in the rural areas (AOR = 0.76; CI = 0.58-1.00) and partner FP approval (AOR = 0.64; CI = 0.48-0.85) significantly reduce usage. Diverse variations have been identified in the adoption and usage of FP. To improve utilisation, appropriate education and accurate information through radio and mass media must be provided in rural areas and regions where FP usage is low.

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Adebola, Femi B., Dorothy N. Ononokpono, Olukemi G. Adebola, Olusegun S. Ewemooje, Adetola A. Adediran, Ganiyu Oboh, Danjuma Jibasen, and Steve Metiboba. 2024. “Variations in the Adoption and Use of Different Family Planning Methods and Implications: Evidence from a Cross-Sectional Study in Nigeria”. ABUAD Journal of Social and Management Sciences 5 (2), 261-84.


Abdi, B., Okal, J., Serour, G. & Temmerman, M. (2020). “Children are a blessing from God" - a qualitative study exploring the socio-cultural factors influencing contraceptive use in two Muslim communities in Kenya. Reprod Health. 17(1): 44.
Abdullah, Y. A. (2004). The Meaning of the Holy Qur’an (English). Amana Publications. Amana Corporation, 2004. 10th Edition 1420 AH / 1999 CE, Reprint 1424 AH / 2004 CE
Adebayo, S. B., Gayawan, E., Ujuju, C. & Ankomah, A. (2013). Modelling geographical variations and determinants of use of modern family planning methods among women of reproductive age in Nigeria. J Biosoc Sci. 45(1): 57-77.
Adebola, O. G., Ewemooje, O. S. & Adebola, F. B. (2023). Predictors and differences in fertility level among Nigerian women of reproductive age: a function of subgroup social norms fertility behaviour. Hum Fertil (Camb). 26(5): 1114 - 1128.
Agha, S. (2010). Intentions to use contraceptives in Pakistan: implications for behavior change campaigns. BMC Public Health. 10: 450.
Ajaero, C. K., Odimegwu, C., Ajaero, I. D. & Nwachukwu, C. A. (2016). Access to mass media messages, and use of family planning in Nigeria: a spatio-demographic analysis from the 2013 DHS. BMC Public Health. 16:427.
Ajayi, A. I., Adeniyi, O. V. & Akpan, W. (2018). Use of traditional and modern contraceptives among childbearing women: findings from a mixed methods study in two southwestern Nigerian states. BMC Public Health. 18(1): 604.
Amo-Adeji, J., Mutua, M., Mukiira, C., Mutombo, N., Athero, S., Ezeh, A. & Izugbara, C. (2019). Fertility intentions and the adoption of long-acting and permanent contraception (LAPM) among women: evidence from Western Kenya. BMC Women’s Health. 19(1): 26.
Andersen, R. M. (1995). Revisiting the behavioral model and access to medical care: does it matter? J Health Soc Behav. 36(1): 1-10.
Angeles. G., Guilkey, D. K. & Mroz, T. A. (2003). The Effects of Education and Family Planning Programs on Fertility in Indonesia. North Carolina: University of North Carolina at Chapel Hill.
Char, A., Saavala, M. & Kulmala, T. (2010). Influence of mothers-in-law on young couples' family planning decisions in rural India. Reprod Health Matters. 18(35): 154-62.
Ejembi, C. L., Dahiru, T. & Aliyu, A. A. (2015). Contextual factors influencing modern contraceptive use in Nigeria DHS Working Papers No. 120. Rockville, Maryland, USA: ICF International, 2015.
Giusti, C. & Vignoli, D. (2006). Determinants of contraceptive use in Egypt: A multilevel approach. Statistical Methods and Application. 15(1): 89-106.
Habib, A., Iqbal, H. & Amer, S. (2020). Contraception – an Islamic perspective. Journal of the British Islamic medical Association, 5(2) :1-6
Hailu, T. G. (2015). Determinants and Cross-Regional Variations of Contraceptive Prevalence Rate in Ethiopia: A Multilevel Modeling Approach. American Journal of Mathematics and Statistics. 5(3): 95-110
Harris, D. M., Dam, A., Morrison, K., Mann, C., Jackson, A., Bledsoe, S. M., Rowan, A & Longfield, K. (2022). Barriers and Enablers Influencing Women's Adoption and Continuation of Vaginally Inserted Contraceptive Methods: A Literature Review. Stud Fam Plann., 53(3): 455-490.
Irani, L., Speizer, I. and Barrington, C. (2013). Attitudes, beliefs and norms relating to contraceptive use among young migrant and non-migrant adults in urban Dar es Salaam, Tanzania. Glob Public Health, 8(9): 1048-62.
Ismael, A. S. & Sabir Zangana, J. M. (2012). Knowledge, attitudes and practice of condom use among males aged (15-49) years in Erbil Governorate. Glob J Health Sci. 4(4): 27-36.
Jones, R. K. & Dreweke, J. (2011). Countering Conventional Wisdom: New Evidence on Religion and Contraceptive Use, New York: Guttmacher Institute, 2011
Joshi, S., Uttamacharya, Borkotoky, K., Gautam, A., Datta, N., Achyut, P., Nanda, P., & Verma, R. (2021). Spatial Variation in Contraceptive Practice Across the Districts of India, 1998-2016. Spat Demogr., 9(2):241-269.
Kopp, D. M., Rosenberg, N. E., Stuart, G. S., Miller, W. C., Hosseinipour, M. C., Bonongwe, P., Mwale, M. & Tang, J. H. (2017). Patterns of Contraceptive Adoption, Continuation, and Switching after Delivery among Malawian Women. PLoS One. 12(1): e0170284.
Lakew, Y., Reda, A. A., Tamene, H., Benedict, S. & Deribe, K. (2013). Geographical variation and factors influencing modern contraceptive use among married women in Ethiopia: evidence from a national population based survey. Reprod Health. 10: 52.
Malalu, P., Alfred, K., Too, R. & Chirchir, A. (2014). Determinants of use of modern family planning methods: a case of Baringo North District, Kenya. Science Journal of Public Health, 2(5): 424-430.
National Population Commission (NPC) [Nigeria] and ICF International. Nigeria Demographic and Health Survey 2013. Abuja, Nigeria, and Rockville, Maryland, USA: NPC and ICF International, 2014.
National Population Commission (NPC) [Nigeria] and ICF. Nigeria Demographic and Health Survey 2018. Abuja, Nigeria, and Rockville, Maryland, USA: NPC and ICF, 2019.
Ononokpono, D. N., Odimegwu, C. O. & Usoro, N. A. (2020). Contraceptive Use in Nigeria: Does Social Context Matter? African Journal of Reproductive Health, 24(1): 133-142.
Ononokpono, D. N., Usoro, N. A. & Akpabio, E. M. (2023). Non-use of modern contraceptives among women in humanitarian contexts: evidence from a qualitative study in Akwa Ibom State, Nigeria. J Biosoc Sci. 55(2): 199-212.
Rakhi, J., & Sumathi, M. (2011). Contraceptive methods: needs, options and utilization. The Journal of Obstetrics and Gynecology of India. 61(6): 626-634.
Shah, A. M., Lee, K. & Mir, J. N. (2021). Exploring readiness for birth control in improving women health status: factors influencing the adoption of modern contraceptives methods for family planning practices. International Journal of Environmental Research and Public Health, 18(22): 2-20.
Suherman, S., Nur, R., Noor, L., Triana, S. & Iswan. (2022). Family Planning in Islamic Perspectives. Indonesian Journal of Islam and Public Health, 2022; 2(1): 2797 – 9989
Umoh, A. V. & Abah, M. G. (2011). Contraception awareness and practice among antenatal attendees in Uyo, Nigeria. Pan Afr Med J. 2011; 10:53.
United Nations Department of Economic and Social Affairs, Population Division. World Family Planning 2022: Meeting the changing needs for family planning: Contraceptive use by age and method. UN DESA/POP/2022/TR/NO. 4, 2022.
United Nations, Department of Economic and Social Affairs, Population Division. World Contraceptive Use, 2019.
United Nations, Department of Economic and Social Affairs, Population Division. World Fertility and Family Planning 2020, Highlights. New York, 2020.
Wani, B. A. & Anjum, R. (2019). Islamic Perspective on Birth Control: Issues and Prospectus. Al-Alfkar: Journal Islamic Studies, 2(1), 200–208.
World Health Organization. Family Planning/Contraception Method. Geneva: Switzerland, 2023.
World Health Organization. Family planning/contraception methods. World Health Organization, Geneva, 2020.