Socioeconomic determinants of use and choice of modern contraceptive methods: a cross sectional study in Kebbi State, Nigeria

Abstract

Background: Family planning and contraception have proven to have many clear health benefits, including the prevention of unintended pregnancies, which, in turn, reduces unsafe abortions, maternal morbidity, and mortality, among others. This study examines the socioeconomic determinants of modern contraceptive use and choice among reproductive-age men and women in Kebbi State, Nigeria.Methods: We employed a cross-sectional approach to collect responses from 400 survey participants, which included both women and men of reproductive age (15-49 and 15-59, respectively). These study populations were systematically sampled in 11 rural and urban areas of the state. Data obtained were analyzed using Excel and SPSS (v 28.0) for descriptive and inferential analysis to meet the set objectives of the study.Results: The findings of the survey reveal that condoms have the highest usage (10.5%) across all socioeconomic variables among middle-ages of 30-34. Also, for marital status and contraceptive utilization, married has the bulk proportion of male condom usage (28.2%. We also find that different factors affect the use and choice of modern methods of contraception among men and women in the study area. Muslim men had a higher likelihood than their Christian counterparts were 38.1% more likely to choose condoms over others. Moreover, respondents with a tertiary level of education had the bulk (65.8%) of contraceptive utilization; hence, they were more likely than those with basic education. Finally, respondents who earn 5-10,000 naira monthly were more likely than those with higher earnings to use modern methods of contraception, with condoms still maintaining the highest usage (36.8%).Conclusions: Aside from condoms, other methods of modern contraception don’t record much progress; hence, the need to intensify and sustain current gains. We recommend that appropriate interventions are instituted to increase contraceptive access and use, particularly among uneducated men and women in the study area.