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Background <p>Contraceptive use is essential for promoting sexual and reproductive health, directly impacting public health and national development through effective fertility management. In Nigeria, however, the adoption of modern contraceptive methods remains consistently low, contributing to high maternal mortality rates despite a broad awareness of contraceptive options among women of reproductive age. The systematic review synthesised key factors associated with the utilisation of modern contraceptives among Nigerian women of reproductive age, identifying specific influences on contraceptive uptake to guide future health interventions.</p> Method <p>A comprehensive search was conducted across three databases, MEDLINE, Scopus, and Web of Science, to identify studies examining the determinants of modern contraceptive use among Nigerian women. Eligible studies were assessed and manually extracted, and findings were consolidated in a narrative review format.</p> Results <p>From the literature search, ten studies met the criteria for inclusion. The synthesis highlighted a generally high level of awareness regarding contraceptive methods among Nigerian women, although modern contraceptive prevalence remains significantly low. The male condom emerged as the most known and utilised contraceptive method, while implants and injectables were mostly used by women.</p> <p>Key factors influencing contraceptive uptake were categorised into sociodemographic, economic, cultural, and religious domains. Barriers to modern contraceptive use included a strong desire for additional children, concerns about side effects, spousal opposition, limited access to contraceptive services, and a lack of comprehensive knowledge.</p> Conclusion <p>Collaborative efforts between health agencies, community leaders, and advocacy groups should prioritise raising awareness, particularly through culturally sensitive education, to help mitigate sociocultural and economic obstacles. Additionally, it is crucial to involve male partners in these initiatives, as their support and understanding can significantly influence contraceptive decisions, helping to overcome some of the barriers to use. Strengthened advocacy efforts and inclusive educational programs are imperative to improving contraceptive uptake and ultimately enhancing reproductive health outcomes in Nigeria.</p>

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Factors associated with modern contraceptives use in Nigerian women: a systematic review of quantitative studies

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2025年5月26日

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  • Oluwaseun Ayo-Bello,
  • Natalie Quinn–Walker

摘要

Background

Contraceptive use is essential for promoting sexual and reproductive health, directly impacting public health and national development through effective fertility management. In Nigeria, however, the adoption of modern contraceptive methods remains consistently low, contributing to high maternal mortality rates despite a broad awareness of contraceptive options among women of reproductive age. The systematic review synthesised key factors associated with the utilisation of modern contraceptives among Nigerian women of reproductive age, identifying specific influences on contraceptive uptake to guide future health interventions.

Method

A comprehensive search was conducted across three databases, MEDLINE, Scopus, and Web of Science, to identify studies examining the determinants of modern contraceptive use among Nigerian women. Eligible studies were assessed and manually extracted, and findings were consolidated in a narrative review format.

Results

From the literature search, ten studies met the criteria for inclusion. The synthesis highlighted a generally high level of awareness regarding contraceptive methods among Nigerian women, although modern contraceptive prevalence remains significantly low. The male condom emerged as the most known and utilised contraceptive method, while implants and injectables were mostly used by women.

Key factors influencing contraceptive uptake were categorised into sociodemographic, economic, cultural, and religious domains. Barriers to modern contraceptive use included a strong desire for additional children, concerns about side effects, spousal opposition, limited access to contraceptive services, and a lack of comprehensive knowledge.

Conclusion

Collaborative efforts between health agencies, community leaders, and advocacy groups should prioritise raising awareness, particularly through culturally sensitive education, to help mitigate sociocultural and economic obstacles. Additionally, it is crucial to involve male partners in these initiatives, as their support and understanding can significantly influence contraceptive decisions, helping to overcome some of the barriers to use. Strengthened advocacy efforts and inclusive educational programs are imperative to improving contraceptive uptake and ultimately enhancing reproductive health outcomes in Nigeria.