Modern Contraceptive Use: An Analysis of The Factors Influencing Its Adoption Among Women of Reproductive Age in North-Central Nigeria

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Modern Contraceptive Use: An Analysis of The Factors Influencing Its Adoption Among Women of Reproductive Age in North-Central Nigeria

Citation: Oluwatola, T., Isiaka, S.D., Omeje, O. et al. Assessment of quality of maternal and newborn care and its determinants: a national study of primary health care facilities in Nigeria. BMC Health Serv Res 25, 921 (2025).

Abstract

Background: Despite what is obtainable in existing literature regarding the factors influencing modern contraceptive use in Nigeria, there remains a significant gap in understanding the specific regional factors influencing modern contraceptive adoption in north-central Nigeria. 

Methods: Using data from the 2021 Nigeria Multiple Indicator Cluster Survey, this study investigated the factors influencing modern contraceptive use among women of reproductive age. The data were analyzed using R studio. Respondents’ characteristics were described using frequency and percentage. A logistic regression model was employed to identify factors associated with modern contraceptive usage in the north-central region of Nigeria. Bivariate logistic regression between the explanatory variables (age, marital status, education, ethnicity, wealth index etc.) and the response variable (modern contraceptive usage). This study focused on the north-central zone of Nigeria comprising of Benue, Kogi, Kwara, Nasarawa, Niger, and Plateau state with the Federal Capital Territory (FCT).

Results: Nearly one-third (30.1%) of the respondents are above 35 years of age. 3 out of every 5 (61.2%) respondents are currently married. Over one-tenth (12.8%) of the respondents experienced childbirth delivery through cesarean section.  Age, education, childbirth delivery method, number of children, access to media, and state of residence are key drivers of modern contraceptive adoption and utilization among women of reproductive age.

Conclusion: This study finds it plausible to increase the awareness and sensitization of modern contraceptives and contraceptive usage in this region.  There is a need for health education on the benefits and relevance of modern contraceptive usage.