Contraceptive Use Among Female Undergraduates: Prevalence, Patterns, and Barriers at Edo State University, Iyamho Nigeria
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Abstract
Introduction: Contraceptive use remains a cornerstone of reproductive health, particularly among young women in tertiary institutions who face the dual challenges of unintended pregnancies and sexually transmitted infections (STIs). Despite increasing awareness, contraceptive uptake among female undergraduates in Nigeria remains suboptimal. This study assessed the prevalence, patterns, and barriers to contraceptive use among female undergraduates at Edo State University, Iyamho, Nigeria
Methods: A descriptive cross-sectional study was conducted involving 350 female undergraduate students selected through stratified random sampling across academic levels (100–600 level). Data collection was carried out using a structured, selfadministered questionnaire covering socio-demographic characteristics, contraceptive use, and perceived barriers. Data were analyzed using STATA version 16.0. Associations between variables were tested using chi-square, with a p-value < 0.05 considered statistically significant
Results: The mean age of respondents was 22.2 ± 2.0 years; most were between 18 and 21 years (61%) and unmarried (97%). Only 21% had ever used contraceptives, with just 8% being current users. Common methods included condoms (46%), natural methods (44%), and emergency contraception (42%). Long-acting methods were rarely used. The primary motivation for use was pregnancy prevention (42%), while discontinuation was largely due to side effects (31%) and cost (18%). Alarmingly, 76% were unaware of where to access contraceptives. Major barriers included fear of side effects (54%), poor access (51%), inadequate information (49%), and cultural or religious beliefs. Age, marital status, and relationship status significantly influenced use (p < 0.05).
Conclusion: While awareness of contraceptive methods is high among female undergraduates, actual utilisation remains relatively low. Addressing misinformation, improving access, and delivering youth-focused reproductive health programmes are essential to enhancing uptake.
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Kigongo E, Tumwesigye R, Anyolitho MK, Musinguzi M, Kwizera G, Achan E, et al. Access to family planning services and associated factors among young people in Lira city northern Uganda. BMC Public Health. 2024;24(1):1–13.
WHO. Family planning/Contraception methods. [Internet]. 2018. Available from: https://www.who.int/newsroom/fact-sheets/detail/family-planningcontraception
Ahinkorah BO, Budu E, Aboagye RG, Agbaglo E, Arthur-Holmes F, Adu C, et al. Factors associated with modern contraceptive use among women with no fertility intention in sub-Saharan Africa: evidence from cross-sectional surveys of 29 countries. Contracept Reprod Med. 2021;6(1):1–13.
Kraft JM, Serbanescu F, Schmitz MM, Mwanshemele Y, Ruiz C. AG, Maro G, et al. Factors Associated with Contraceptive Use in Sub-Saharan Africa. J Women’s Heal. 2022;31(3):447–57.
Adebowale AS, Palamuleni ME. Family planning needs to limit childbearing are unmet, yet our parity is high: characterizing and unveiling the predictive factors. BMC Womens Health [Internet]. 2023;23(1):1–14. Available from: https://doi.org/10.1186/s12905-
-02640-5
Chekol BM, Sheehy G, Siraneh Y. Sexual and reproductive health experiences, access to services, and sources of information among university students in Ethiopia. Front Reprod Heal [Internet]. 2023;5(December):1–12. Available from:
https://doi.org/10.3389/frph.2023.1271685
Okyere J, Yeboa NK, Nikoi C, OwusuAmoako M, Ferka L, Nurzhynska A, et al. Adolescent sexual and reproductive health needs and utilisation of health services in the Bono East Region, Ghana. Reprod Heal [Internet]. 2024;21(1):1–15. Available from:
https://doi.org/10.1186/s12978-024-01822-0
Jonas K, Duby Z, Maruping K, Harries J, Mathews C. Rumours, myths, and misperceptions as barriers to contraceptive use among adolescent girls and young women in South Africa. Front Reprod Heal. 2022;4(September):1–11.
Ezenwaka U, Mbachu C, Ezumah N, Eze I, Agu C, Agu I, et al. Exploring factors constraining utilization of contraceptive services among adolescents in Southeast Nigeria: An application of the socioecological model. BMC Public Health. 2020;20(1):1–11.
Mbachu CO, Agu IC, Obayi C, Eze I, Ezumah N, Onwujekwe O. Beliefs and misconceptions about contraception and
condom use among adolescents in southeast Nigeria. Reprod Health [Internet]. 2021;18(1):1–8. Available from: https://doi.org/10.1186/s12978-020-01062-y
Sanchez EK, McGuire C, Calhoun LM, Hainsworth G, Speizer IS. Influences on contraceptive method choice among adolescent women across urban centers in Nigeria: a qualitative study. Contracept Reprod Med. 2021;6(1):1–10.
Vaaler ML, Kalanges LK, Fonseca VP, Castrucci BC. Urban-Rural Differences in Attitudes and Practices Toward LongActing Reversible Contraceptives among Family Planning Providers in Texas. Women’s Heal Issues [Internet]. 2012;22(2):157–62. Available from: http://dx.doi.org/10.1016/j.whi.2011.11.004
Pourhoseingholi MA, Vahedi M, Rahimzadeh M. Sample size calculation in medical studies. Gastroenterol Hepatol from Bed to Bench. 2013;6(1):14–7.
Idris T, Oseni A. Determinants of Contraceptive Use Among Female Undergraduates in Edo State. Iman Med J. 2022;8(1):1–15.
Chowdhury S, Chakraborty P pratim. Are myths surrounding long‑acting reversible contraception the reason for a huge unmet need for spacing pregnancies? J Fam Med Prim Care [Internet]. 2017;6(2):169–70. Available from: http://www.jfmpc.com/article.asp?issn=2249-4863;year=2017;volume=6;issue=1;spage=169;epage=170;aulast=Faizi
Aduloju OP, Akintayo AA, Adefisan AS, Aduloju T. Utilization of Long-Acting Reversible Contraceptive (LARC) Methods in a tertiary hospital in southwestern Nigeria: A Mixed Methods Study. J Obstet Gynecol India [Internet]. 2021;71(2):173–80. Available from: https://doi.org/10.1007/s13224-020-01386-6
Salawu HM, Akinwaare MO. Accessibility and Utilization of Contraceptives and Its Associated Factors among Students of Tertiary Institutions in Nigeria. Eur J Med Heal Sci. 2024;6(6):18–23.
Darroch JE, Woog V, Bankole A. ADDING IT UP : Costs and Benefits of Meeting the Contraceptive Needs of Adolescents [Internet]. New York: Guttmacher Institute. 2016. Available from: https://www.guttmacher.org/sites/default/files/report_pdf/adding-it-up-adolescentsreport.pdf