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• W2699981010 abstract "The Nigerian population is growing at the rate of 3.2%/year. The total fertility rate is 6.9 children per women and the crude birth rate is 50.2/1000. The government views the present fertility levels as satisfactory and the governments position constitutes one of the obstacles to fertility control. Another is the accessibility of family planning services. This study deals with the relationship of family planning clinic accessibility to contraceptive use and birth rate. In this study accessibility is defined as a measure of distance to family planning source. Studies in Colombia Costa Rica South Korea Malaysia Nepal and Guatemala have shown that as distance to a facility decreases contraceptive use increases. The population sample for this study consisted of 9727 women aged 15-49 surveyed by the 1981 Nigeria Fertility Survey. 2 categories of independent variables were examined: demographic variables (age education residence work status additional children desired knowledge of outlets) and distance to family planning facilities. The 2 dependent variables were contraceptive use and birthrate (children ever born). The various relationships were analyzed by multiple logistic regression and multivariate analysis. Of the 9727 women 71% were rural 58% were uneducated 33% were not in the formal labor force 33.5% knew of contraception 14.6% had ever used contraception and 4.1% were currently contracepting but only .05% used a modern method. The likelihood of contraceptive nonuse was greater for uneducated women nonworking women women who wanted more children and women who did not know of a family planning outlet. The log odds of contraceptive nonuse increased .007 with each additional kilometer of distance from a facility. There is a sharp increase in the odds for nonuse when a facility is located more than 20 kilometers away. Lack of education increasing age desire for additional children and participation in the labor force all increased the risk of high parity. Living near a family planning facility also correlated with higher parity partly because family planning centers also supply prenatal care partly because living near a family planning center usually means living in or near an urban area where the incidence of breast feeding and postpartum abstenence are lower and partly because in the existing socioeconomic situation children are still valued as workers and as old age security. The implications of the survey for public policy are that women should be given more education that family planning clinics should be located no further than 10 kilometers from the area of residence and that family planning clinics should put more emphasis on the health benefits of birth spacing." @default.
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• W2699981010 date "1988-01-01" @default.
• W2699981010 modified "2023-09-26" @default.
• W2699981010 title "Family planning accessibility as a determinant of contraceptive use and birth rate: the case of Nigeria." @default.
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