Patterns And Predictors Of Contraceptive Uptake Among Women Attending Family Planning Clinic In A Tertiary Health Facility In South-West Nigeria: A 10-Year Review

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Olanrewaju Saheed Jimoh
Adebayo Makinde Adeniyi
Adetokunbo Timothy Vaughan
Abdulmumin Kayode Ahmed
Ibrahim Oluwaseun Sule-Odu
Taslimah Mojirayo Badmaasi-Abdulraheem
Basir Opeyemi Lawal
Hidaayah Oluwamayowa Jimoh-Abdulghaffaa



Contraception is a cost-effective way of reducing maternal morbidity and mortality in Sub-Saharan Africa, where its utilisation is still significantly low despite the alarming rate of unemployment and economic downturn. The choice and acceptability of different contraceptives depend on myriad factors. The study aimed to determine the patterns and predictors of contraceptive uptake among women attending a family planning clinic in a tertiary health facility in South-West Nigeria.


This was a 10-year retrospective, descriptive study of the women who sought contraceptive services at the family planning clinic of Federal Medical Centre, Abeokuta, from 1 January 2011 to 31 December 2020. Relevant data were collected from the available records, coded, and analysed with the Statistical Package for Social Sciences (SPSS) version 25.0. Descriptive statistics were computed for all data, and the results were presented in tables and charts. Chi-square was used to test for significance, and a p-value < 0.05 was considered statistically significant.


A total number of 3,023 women accessed contraceptive services during the study period with clients between the ages of 17 and 56 years, and the highest percentage (36.3%) of contraceptive usage was between 30-34 years, whereas 8.2% of women below the age of 25 years utilised contraceptive care services. The most common method of contraception used was implants, whereas the least common method was Bilateral Tubal Ligation (BTL). The relationship between age, parity, and level of education with the preferred methods of contraception was statistically significant (p=0.000). The lowest uptakes of contraception were recorded in 2011 and 2020. Information about contraception predominantly (71.6%) emanated from clinical personnel.


The acceptability of different contraceptive methods is multifactorial, and the relevant stakeholders should be apprised of these critical determinants in policy formulation and implementation.  


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Jimoh, O. S. ., Adeniyi , A. M., Vaughan, A. T., Ahmed, A. K., Sule-Odu, I. O., Badmaasi-Abdulraheem, T. M., Lawal, B. O., & Jimoh-Abdulghaffaa, H. O. (2024). Patterns And Predictors Of Contraceptive Uptake Among Women Attending Family Planning Clinic In A Tertiary Health Facility In South-West Nigeria: A 10-Year Review. African Journal of Research in Medical and Health Sciences, 2(1), 12-19.


Fayehun F. Contraceptive use in Nigeria is deficient. A lack of knowledge may be why. The conversation. University of Ibadan. July 27, 2017.

Starbid E, Norton M, Marcus R. Investing in family planning is key to achieving sustainable development goals. Glob Health Sci Pract 2016; 4(2):191-210.

Goodkind D, Lollovk L, Choi Y, McDevitt T, West L. The demographic impact and development benefits of meeting the demand for family planning with modern contraceptive methods. Glob Health Action. 2018;11(1):1423861.

Arbab A, Bener A, Abdulmalik M. Prevalence awareness and determinant on contraceptive use in Qatari women. East Mediterr Health J. 2011;17(1):11-8.

Bello-Schunemann J, Cilliers J, Donnenfeld Z, Aucoin C, Porter A. Africa future 2035, key trends. J Future stud 2018;23(1):127-40.

Azees AS, Ehiem EC, Isa A, Awosan KJ, Suleiman AM. Prevalence, pattern and determinant of contraceptive use among pregnant women attending ANC in a secondary health facility in Kebbi State: A cross-sectional study. Pan Afr Med J. 2022; 41:179.

National Demographic and Health Survey (NDHS). Demographic and health survey 2013. National Population Commission and ICF International. Abuja –Nigeria: National Population Commission and ICF International; 2014.available from: Cfm #sthash.v67EQimm.dpref (last accessed 2022, July 28)

Nigeria Demographic and Health Survey 2018 - Final Report [Internet]. Abuja, Nigeria, Rockville, Maryland, USA: NPC/Nigeria and ICF International; [Internet]. 2018. Available from: [last accessed 2023, Feb 18]

Orjingene O, Teryila O. Utilization of family planning services in Africa’s most populous nation, are we at a tipping point. J Gynecol Reprod Med. 2022;6 (3):139-45.

Gbadegesin A, Olumodeji A, Oshodi Y, Kuku KT, Olalere H. F. Contraceptive awareness and prevalence rate among women in a Nigerian. J Repr Health Contracept. 2021;1(10): 8988

Johnson OE. Determinants of modern contraceptive uptake among Nigeria women: evidence from the National demographic and health survey. Afr J Reprod Health. 2017; 21(3):89-95.

Asekun-Olarinmoye EO, Adebimpe WO, Bamidele JO, Odu OO, Asekun-Olarinmoye IO, Ojofeitimi EO. Barriers to the use of modern contraceptives among women in an inner city of Oshogbo metropolis, Osun State, Nigeria. Int J Women H. 2013; 5: 647-55.

Osagi N, Ozori SE, Makinde OI, Biakolo A, Berefagha M. A 5-year review on long-acting contraceptive uptake at a family planning clinic in south–south Nigeria. Asian Res J Obstet Gynecol. 2021;5(4) : 5-11.

Akamike, IC, Okedo-Alex IN, Eze II, Ezeanosike OB, Uneke CJ. Why does uptake of family planning services remain sub-optimal among Nigerian women? A systematic review of challenges and implications for policy. Contracept Reprod Med. 2020; 5(1):1-11.

Etokidiem AJ, Ndifom W, Etowa J, Asuquo EF. Family Planning Practices in Rural Community Dwellers in Cross River State Nigeria. Niger J Clin Pract. 2017; 20(6): 707-15.

Adefalu AA, Ladipo OA, Akinyemi OO, Popoola OA, Latunji OO, Iyanda OF. Awareness and opinion regarding contraception by women of reproductive age in North West Nigeria. Pan Afr Med J. 2018; 30 (1):65.

Oluwasina OF. Factors affecting the uptake of modern contraceptive services among women of reproductive age in Nigeria. Texila Int J Public Health. 2017; 5 (4): 1-19.

Okanlawon K, Reeves M, Agbaje OF. Contraceptive use: knowledge, perception and attitudes of refugee youth in Oru refugee camp, Nigeria. Afr J Repro Health. 2010; 14(4): 16-25.

Sinai I, Omoluabi E, Jimoh A, Jurczynka K. Unmet need for family planning and barriers to contraceptive use in Kaduna, Nigeria: Culture, myths and perceptions. Cult Heal Sex. 2020; 22(11): 1253-68.

Federal Ministry of Health (FMOH). Nigerian family planning blueprint (scale-up plan). 2014. Available from: [last accessed 2023, March 20]

Mochache V, Lakhani A, El-Busaidy H, Temmerman M, Gichangi P. Pattern and determinants of contraceptive usage among women of reproductive age from the Digo community residing in Kwale, Kenya: results from a cross-sectional household survey. BMC Women's Health. 2018; 18(1): 1-1.

Okunade KS, Daramola E, Ajepe A, Sekumade A. A 3-year review of the pattern of contraceptive use among women attending the family planning clinic of a University Teaching Hospital in Lagos, Nigeria. Afr J Med Heal Sci. 2016; 15(2):69-72.

Oyedokun AO. Determinants of contraceptive usage: Lessons from women in Osun state, Nigeria. J Human Soc Sci. 2007; 1(2):1-4.

Amin R. Choice of contraceptive method among females attending family planning centre in Hayat Abad medical complex, Peshawar. J Pak Med Assoc. 2012; 62(10):1023-8.

Olaleye AO, Akintayo AA, Adewoyin YO, Olaleye AO. The utilisation of family planning services in a Nigerian tertiary hospital: a six-year review. Trop J Obstet Gynaecol. 2014; 31 (2): 7-15

Monjok E, Smesny A, Ekabua JE, Essien EJ. Contraceptive practices in Nigeria: Literature review and recommendation for future policy decisions. Open Access J Contracept. 2010; 1(1):9-22.

Ajiboye A, Adesina KT, Abdul IF, Ezeoke GG. Patterns of contraceptive usage at family planning clinics in Ilorin, Nigeria. Bangladesh Med J. 2015; 44 (3): 140-5

Adebara IO, Ijaiya MA. Trends in patterns of contraceptive use in a Nigerian tertiary hospital. J Clin Med Res.2010; 2 (11):180-4.

Emina JB, Chirwa T, Kandala NB. Trend in the use of modern contraception in sub-Saharan Africa: does women's education matter? Contraception. 2014; 90(2):154–61.

Chigbu B, Onwere S, Aluka C, Okoro O. Feyi-Waboso P. Contraceptive choices of women in rural Southeastern Nigeria. Niger J Clin Pract. 2010;13(2):195-9

Jejeebhoy SJ. Santhya KG, Zavier AF. Demand for contraception to delay first pregnancy among young married women in India. Stud Fam Plan. 2014;45(2):183-201.

Ikiaki CU, Inaku JE, Ekabua JE, Odusola PO, Njoku CO. Use of combined oral contraceptive pill among teenage girls in Calabar, Nigeria. Open Access J Contracept. 2012;3:31-5.

Enyidah EIN, Enyidah NS, Eshemogie C. Pattern of contraceptive use at a family planning clinic in Southern Nigeria. Int J Res Med Sci. 2020; 8(6):2082-7.

Ijarotimi AO, Bakare B, Badejoko OO et al. Contraceptive uptake among women attending family planning clinic in a Nigerian tertiary health facility: a 6-year review. Int J Reprod Contracept Obstet Gynecol. 2015; 4(3):721-4.

Kana MA, Tugurum YO, Hassan ZI, et al. Prevalence and determinant of contraceptive use in rural north-eastern Nigeria: Results of mixed qualitative and quantitative assessment. Ann Nigerian Med. 2016; 10: 3-10.

Adeyemi AS, Adekanle DA, Komolafe JO. Pattern of contraceptive choice among the married women attending the family planning clinic of a tertiary health institution. Niger J Med. 2008; 17(1):67–70.

Yangsi TT, Florent FY, Ngole ME, Nelson F. Modern contraceptive choice among patients seen at the “Cameroon National Planning Association for Family Welfare” clinic Yaoundé. Clin Med Insights Reprod Health. 2017; 11: 1179558117713016.

Asuquo EF, John ME. Knowledge, attitude, acceptability and practice of permanent methods of contraception. African J Public Health. 2016; 1:36-42.

Utoo BT, Mutihir TJ, Utoo PM. Knowledge, attitude and practice of family planning methods among women attending antenatal clinic in Jos, North-Central Nigeria. Niger J Med. 2010; 19(2):214-8.

Hembah-Hilekaan SK, Augustine OO, Onyemocho A, et al. Trends in Contraceptive Choices among Women Attending the Family Planning Clinic in a Nigerian Tertiary Hospital in Makurdi, Nigeria. J Contracept Stud. 2018;3(2):1