Title:
Reproductive Intentions and Ability to Uptake Modern Contraceptive Methods Among Urban Poor Women of Reproductive Age in Nigeria
Authors:
Onaolapo, Olajumoke Funmilola
Place:
Amsterdam
Publisher:
KIT - Royal Tropical Institute [etc.]
Year:
2017
PAGE:
ix, 43
Language:
En
Subject:
Maternal Health – Lessons Learned
Keywords:
Reproductive intentions, Utilization, modern contraceptives, women of reproductive age, urban poor, Nigeria.
Abstract:
Despite series of investments in FP programs, Nigeria is yet to make any significant progress when compared to some SSA countries. The modern CPR remains low at 10% while unmet need for contraceptives is 16%. An average woman in Nigeria is expected to have at least 5.5 children in her lifetime. Nigeria contribute significantly to rapid urbanization in West Africa and sub-Sahara Africa. Rapid urbanization in Nigeria has been linked to natural population growth. A large number of urban births are either unplanned or unwanted. Recent evidence also revealed inequalities exist among the poor and rich in urban settings, as the urban poor are more vulnerable and neglected sometimes more than rural women. To effectively address this, there is need to explore why urban women especially the urban poor are not using modern methods despite high need. This thesis reviewed relevant and peer reviewed articles systematically adapting the Levesque et al conceptual framework to explore the demand and supply side determinants, i.e., “paired dimensions” of reproductive intentions and modern contraceptive uptake in Nigerian urban poor settings. Findings confirmed that high level of awareness on modern methods, different types and benefits of FP has not translated to increase in use among urban poor. Factors driving use include myths and misconceptions, fear of side effects, sociocultural factors, poverty, social boundaries of living environment, provider bias, poor response from the public health system and high informal sector patronage. Effective interventions include SRH policies and political commitment, strengthened public-private partnership, community engagement, community service provision and improving the quality of FP counselling. To increase uptake of modern methods among urban Nigerian women especially the poor, recommendations include SRH policies and political/stakeholder’s commitment, effective demand generation activities, community service provision and meaningful private sector engagement, further research and improving the quality of FP counselling. These recommendations are evidenced based and are crucial for Nigeria to achieve her target of 36% CPR increase in 2018, contribute her quota in achieving FP2020, demographic dividends and SDGs by 2030.
Organization:
KIT - Royal Tropical Institute
,
VU - Vrije Universiteit Amsterdam
Institute:
KIT (Royal Tropical Institute)
Country:
Nigeria
Region:
West Africa
Training:
Master of Public Health
Category:
Research
Right:
@ 2017 Onaolapo
Document type:
Thesis/dissertation
File:
beC0w3QSAR_20180415122611700.pdf