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Family Planning And Fertility Trends In Rural And Urban Communities Of Lagos Nigeria: A Key Policy Lever

Kikelomo Wright, Lagos State University College of Medicine & Teaching Hospital
Modupe Akinyinka, Lagos State University College of Medicine Nigeria
Bisola Adebayo, Lagos State University College of Medicine Nigeria
Khadija Bashir, Lagos State University Teaching Hospital Nigeria
Funmilade Adepoju, Lagos State University Teaching Hospital Nigeria
Aderinsola Anifowose, Lagos State University Teaching Hospital Nigeria
Aduragbemi Banke-Thomas, London School of Economics and Political Science, London
Onipede Wusu, Lagos State University

Introduction: This study compared family planning and fertility trends in urban and rural communities of Lagos in Nigeria. Methods: A descriptive community-based comparative survey was fielded in September 2020 on 1445 women aged 15-49 years in communities of 4 urban and 2 rural Local government areas in Lagos recruited by multistage sampling technique. A pre-tested interviewer-administered electronic questionnaire was used on kobocollect for data collection and analysis done with SPSS. Ethical approval was obtained for the survey. Results: The mean monthly income reported was N33,162.86 (approximately 71 euros). Most (88.0%) had a minimum of secondary education, majority (73.4%%) were married and 45.7% had more than 4 children. Regarding trends, 42.7% and 24.7% of respondents had ever and currently use modern contraceptives, respectively. Reasons for discontinuation include lack of need (30.4%), desiring pregnancy (21.1%) and side effects (18.5%). About 75.7% of those who had ever used contraceptives were between ages 20-39 years. The most popular family planning methods currently being used include implants (27.7%), male condoms (26.9%) and injectables (21.8%). Benefits of family planning were better understood with increasing educational levels (P<0.05) Conclusion: Improved contraceptive services and information can effectively upscale acceptance of family planning commodities and user confidence.

Keywords: Comparative methods, Fertility and childbirth, Methodology, Family demography

See extended abstract.

  Presented in Session P4.