Knowledge, Attitude and Modern Contraceptive Use among Women Aged 15--49 in Jigawa State, Nigeria: A Cross-Sectional Study
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Introduction: Contraceptive means serving to prevent impregnation. Modern Contraception (MC) is an integral component of reproductive health and has positive effects on the health of women. A high fertility rate has been associated with poor child and maternal health as well as increased risk of maternal mortality and compromises the economic development, political stability and resources of many developing countries. This study determine the knowledge, attitude and utilization of modern contraceptives among women of childbearing age in Jigawa state.
Methodology: A cross sectional study design was used and a multi stage sampling using structured questionnaire was used to select 325 respondents from the study area. A total of 310 questionnaires were completed and retrieved.
Result: The mean and standard deviation of age of the respondents was 32.9 ± 10.03 years. Majority (83.6%) had a good knowledge of MC, More than two third (77.4%) had a positive attitude toward modern contraceptives and only (8.10%) of the respondents reported a proper level of utilization of modern contraceptives. There is no significant association between knowledge of, attitude toward modern contraceptives and utilization of modern contraceptives among women of childbearing age in Jigawa state (p-value =0.08 and 0.412 respectively). After adjusting for confounding effects using logistic regression analysis; age 44-50 (AOR=2.0, 95%CI=0.00-1.45), educational status of tertiary level (AOR=1.5, 95% CI=0.018-1.24), marital status of married (AOR=64.9, 95% CI= 2.23-194.2) remained significant predictors of utilization of modern contraceptives among study participants.
Conclusion: In conclusion, despite high awareness and positive attitude, the utilization of modern contraceptives remain low. Barriers such as difficulties in accessing contraceptives, and fear of side effects significantly hinder utilization. It is recommended that the government should launch culturally tailored awareness campaigns involving religious and traditional leaders to address myths and cultural barrier.
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