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MODELLING GEOGRAPHICAL VARIATIONS AND DETERMINANTS OF USE OF MODERN FAMILY PLANNING METHODS AMONG WOMEN OF REPRODUCTIVE AGE IN NIGERIA

Published online by Cambridge University Press:  27 June 2012

SAMSON B. ADEBAYO ,
EZRA GAYAWAN ,
CHINAZO UJUJU  and
AUGUSTINE ANKOMAH
SAMSON B. ADEBAYO
Affiliation:
Society for Family Health, Abuja, Nigeria Planning, Research and Statistics Directorate, National Agency for Food and Drug Administration and Control, Abuja, Nigeria
EZRA GAYAWAN*
Affiliation:
Department of Mathematical Sciences, Redeemer's University, Redemption City, Nigeria
CHINAZO UJUJU
Affiliation:
Society for Family Health, Abuja, Nigeria
AUGUSTINE ANKOMAH
Affiliation:
Society for Family Health, Abuja, Nigeria Department of Population, Family and Reproductive Health, School of Public Health, University of Ghana, Legon, Accra, Ghana
*
aCorresponding author email: ezrascribe@yahoo.com.
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Summary

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 population-based 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.

Type
Research Article
Information
Journal of Biosocial Science , Volume 45 , Issue 1 , January 2013 , pp. 57 - 77
Copyright
Copyright © Cambridge University Press 2012

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