|Predictors of discontinuation of contraceptive use among Nigerian women: Results of 2013 Nigeria Demographic and Health Surveys|
||Azuike E.C., Ikeako L.C., Ezeobi I., Ezebialu I.U., Umeobika J.C., Obi K.M., Anene J.O., and Azuike E.D.
||Journal of Scientific Research and Studies, 4(7): 171-176;
||Unintended pregnancy is a major public health problem that affects not only the individuals directly
involved but also the society indirectly. The best approach to reduction of unintended pregnancies is
the use of contraceptives. This study used a secondary analysis of data from 2013 Nigeria Demographic
and Health Survey dataset. Only the 29,990 women who were in a union were included. Data were
analysed using Stata data analysis software Version 12.1, and some basic characteristics of the women
were explored. Frequencies and percentages were also displayed in tables. Binomial logistic regression
was used to determine the predictors of discontinuation of contraceptives among the women. Among
the 29,990 women who participated in the study, 4,080 reported contraception discontinuation, giving a
contraception discontinuation rate of 13.6%. The commonest method discontinued was the withdrawal
method (18.53%) and the least discontinued method was the diaphragm (0.07%). The commonest
reason for discontinuation was the intention to get pregnant (49.58%), followed by occurrence of
pregnancy while using a contraceptive method (16.18%). The predictors of contraception
discontinuation were: the women’s age, the women’s residence (urban/rural), education, number of
children < 5 years, marital duration, the women’s occupation, the men’s occupation and wealth index. In
conclusion, understanding the predictors of contraception discontinuation will help in planning of
interventions to reduce contraception discontinuation, while trying to increase uptake of contraception
and reduce unmet need for contraception. We recommend further studies to find out the direction of
the effect of the predictors of contraception discontinuation.
Key words: Predictors, discontinuation, contraceptives, Nigeria.