Modelling geographical variations and determinants of use of modern family planning methods among women of reproductive age in Nigeria

Type Journal Article - Journal of Biosocial Science
Title Modelling geographical variations and determinants of use of modern family planning methods among women of reproductive age in Nigeria
Author(s)
Volume 45
Issue 01
Publication (Day/Month/Year) 2013
Page numbers 1-21
URL https://www.researchgate.net/profile/Ezra_Gayawan/publication/228081284_Modelling_geographical_varia​tions_and_determinants_of_use_of_modern_family_planning_methods_among_women_of_reproductive_age_in_N​igeria/links/55c4941908aea2d9bdc31c75.pdf
Abstract
Understanding the level, trend, geographical variations and determinants
of use of modern family planning (FP) plays a major role in designing
effective interventions leading to increased usage. This study assessed these
characteristics of FP use in Nigeria using data from the 2003, 2005 and 2007
National HIV/AIDS and Reproductive Health Survey, a national populationbased
household survey. A Bayesian geo-additive procedure was used, which
provides flexible modelling of non-linear and spatial effects at a highly disaggregated
level of states. The findings reveal considerable geographical variation
in the use of modern FP in Nigeria, with a distinct north–south divide.
Furthermore, a significant trend in the use of modern FP was evident, with
an increase between 2003 and 2005 followed by a decline between 2005 and
2007. The effect of respondent’s age was non-linear, and use of modern FP
was found to differ significantly between never-married and currently/formerly
married respondents. Awareness of FP methods and knowledge of where to
get/buy FP services/methods were found to be significantly associated with
usage. The findings provide policymakers with tools to prioritize the use of
scarce resources for implementing FP and reproductive health interventions.

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