Determinants of contraceptive use among female undergraduates in Edo State Nigeria

Abstract

Background: Use of modern contraceptive is still low among young women in Nigeria despite its potential to significantly reduce maternal morbidity and mortality. This study determines the prevalence and determinants of contraceptive use among female undergraduates in Edo State in order to implement measures that will boost its use.

Methodology: A cross-sectional study of 360 female undergraduates attending Irrua Specialist Teaching Hospital who met the eligibility criteria was conducted through interviewer administered questionnaire. The results were analysed using epi info 3.5.4 statistical software and significance level was set at p < 0.05.

Results: Prevalence of contraceptive use was 28% despite 100% knowledge. Reasons for non-usage included fear of future infertility, refusal by male partner, fear of safety profile of the methods and lack of interest. Contraceptive use was higher among older respondents (p = 0.02), single (p = 0.04) with high socioeconomic status (p < 0.001).

Conclusion: Contraceptive use is low among female undergraduates despite adequate knowledge due to fear of adverse effects and non-cooperation by male partner. There is need for greater advocacy and education on safety profile of modern contraception as well as educating men on the need for their cooperation as this will increase usage.

Key words: contraceptive use, undergraduates, determinants, prevalence