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Investigating Claims of Contraceptive Failure among Women of Reproductive Age in Nigeria: Findings from a National Survey

机译：调查尼日利亚育龄妇女避孕失败的说法：一项全国调查的结果

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Uptake of contraceptives in Nigeria is low despite the several interventions and efforts on family planning in the country. Contraceptive failure among other factors may be responsible for this occurrence as women reason “why use it if it doesn’t work”. This paper investigates claims of contraceptive failure among women aged 15 to 49 years in Nigeria using data obtained from the 2007 National HIV/AIDS and Reproductive Health Survey. A total of 5360 women were interviewed in the study. Using the Chi Square test of association and the logistic regression, variables such as level of education, place of residence, geopolitical zones and exposure to mass media intervention on family planning were explored. Findings showed that more than 86% have ever been pregnant and about 10% had become pregnant while using contraceptive (P = 0.0992, CI =0.0888, 0.1096). Report of contraceptive failure was highest among women aged 25 years and above (85%), while self employed group were more affected than women in other occupational groups. Also, women from rural areas reported more cases of contraceptive failure than their urban counterpart (54.1% to 45.9%). Daily oral pills accounted for about 21.5% of all reported contraceptive failures while condoms and Injectables accounted for 19.6% and 13.9% respectively. Women with secondary and higher levels of education are 1.7 times more likely to experience contraceptive failure than women of lower educational level. Significant spatial pattern was observed at the level of geopolitical zones. Intervention on client adherence to pills and introducing Cyclebeads to women who prefer traditional methods may be explored.
机译：尽管对该国计划生育采取了若干干预措施和努力，但尼日利亚的避孕药具吸收率仍然很低。避孕失败等其他原因可能是造成这种情况的原因，因为女性的原因是“如果不起作用，为什么要使用它”。本文使用从2007年全国艾滋病毒/艾滋病和生殖健康调查中获得的数据，调查了尼日利亚15至49岁妇女避孕失败的说法。该研究共采访了5360名女性。使用卡方关联检验和逻辑回归，探讨了诸如教育水平，居住地，地缘政治区域以及大众传播媒介对计划生育的干预等变量。研究结果表明，使用避孕药具的人中，有超过86％的人曾经怀孕，约10％的人已经怀孕（P = 0.0992，CI = 0.0888，0.1096）。避孕失败的报告在25岁及以上的女性中最高（85％），而自营职业群体比其他职业群体的女性受影响更大。另外，农村妇女报告的避孕失败案例比城市妇女多（54.1％至45.9％）。每日口服避孕药约占报告的避孕失败总数的21.5％，而避孕套和注射剂分别占19.6％和13.9％。受过高等教育的妇女的避孕失败可能性是受教育程度较低的妇女的1.7倍。在地缘政治区水平上观察到了显着的空间格局。可以探讨对服药者依从性的干预，以及向喜欢传统方法的女性介绍Cyclebeads的方法。

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