Contraceptive use and quality of life among women of reproductive age, attending a general outpatient clinic in a Nigerian tertiary hospital

Tawakalit O. Salam, Olushola A. Mosuro, Sufiyan A. Muyibi, Adedotun A. Adetunji


Background: In Sub-Saharan Africa, unplanned pregnancies, sexually transmitted infections (STIs) and low use of modern contraceptives are major reproductive health problems affecting women of reproductive age. However, there is evidence of an increase in contraceptive use over the past decade. This study was carried out to assess the pattern of contraceptive use, and its association with quality of life among women of reproductive age, attending a general outpatient clinic, at the University College Hospital (UCH), Ibadan, Nigeria.

Methods: A descriptive, cross-sectional study conducted with 323 women aged 15-49 years for three months. Data were retrieved using a semi-structured questionnaire and analyzed using the Statistical Package for Social Sciences (SPSS) version 23.

Results: The mean age of the participants was 34.9±8 years. The prevalence of contraceptive use was 43.7%, and out which, 34.4% accounted for modern methods. At least 72.4% ever heard about a method of contraceptive. Male condom was the most heard (96.6%) and most used (39.0%) contraceptive method. Majority of the quality of life parameters had higher mean scores, with significant mean values in vitality and social functioning categories among contraceptive users (72.41±14.82 and 72.07±18.39 respectively, p=0.029) compared with non-contraceptive users.

Conclusions: Despite a higher mean quality of life scores among contraceptive users, less than half of the respondents made use of contraceptives. Therefore, the need for more orientation on the use of contraceptives to promote safe sexual practice and birth control is required.


Contraceptive use, Modern contraceptives, Quality of life, Women of reproductive age

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Adongo PB, Tabong PT, Azongo TB, Phillips JF, Sheff MC, Stone AE, et al. A comparative qualitative study of misconceptions associated with contraceptive use in southern and northern ghana. Front Public Health. 2014;2:137.

Bankole A, Adewole IF, Hussain R, Awolude O, Singh S, Akinyemi JO. The incidence of abortion in Nigeria. Int Perspect Sexual Reprod Health. 2015;41(4):170-81.

Tekelab T, Melka AS, Wirtu D. Predictors of modern contraceptive methods use among married women of reproductive age groups in Western Ethiopia: a community based cross-sectional study. BMC Women's Health. 2015;15(1):52.

Family planning: World Health Organization. Available at: Accessed on 12th March 2020.

Singh S, Darroch JE, Ashford LS, Vlassoff M. Adding it up: the costs and benefits of investing in family planning and maternal and newborn health. USA: GUTTMACHER and UNFPA; 2009.

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):9-22.

United Nations, department of economic and social affairs, population division. World Population Prospects: The 2015 Revision, Key Findings and Advance Tables. Working Paper No. ESA/P/WP.241. New York: United Nations; 2015. Available at: /files/key_findings_wpp_2015.pdf. Accessed on 15th March 2020.

National Population Commission (NPC) [Nigeria] and ICF International. Nigeria Demographic and Health Survey 2013. Abuja, Nigeria, and Rockville, Maryland, USA: NPC and ICF International. 2014.

Romero M, Vivas-Consuelo D, Alvis-Guzman N. Is Health related quality of life (HRQoL) a valid indicator for health systems evaluation? Springer Plus. 2013;2(1):1-7.

Hart PD, Kang M. Reliability of the short-form health survey (SF-36) in physical activity research using meta-analysis. World J Prevent Med. 2015;3(2):17-23.

ICSU. Review of targets for the sustainable development goals: the science perspective: International council for science (ICSU); 2015. Available at: reports-and-reviews/review-of-targets-for-the-sustainable-development-goals-the-science-perspective-2015/SDG-Report.pdf. Accessed on 15th March 2020.

Nigeria 2006 Census Figures. National Population Commission. 2006. Available at: Accessed on 12th March 2020.

Goertz CM. Scoring the RAND SF-36-item health survey 1.0. Clin Chiro. 1994;1(1):51-9.

Charan J, Biswas T. How to calculate sample size for different study designs in medical research? Indian J Psychol Med. 2013;35(2):121-6.

Balogun MO, Owoaje ET, Owoaje ET. Contraceptive use among female traders in Ibadan, Nigeria. Trop J Obstet Gynaecol. 2013;30(2):63-71.

Pacqué-Margolis S, Cox C, Puckett A, Schaefer L. Exploring contraceptive use differentials in Sub-Saharan Africa through a health workforce lens. Technical Brief. 2013;11.

Sexual and reproductive health: WHO; 2017. Available at: health/topics/infertility/definitions/en/. Accessed on 12th March 2020.

Adeyemi AS, Olugbenga-Bello AI, Adeoye OA, Salawu MO, Aderinoye AA, Agbaje MA. Contraceptive prevalence and determinants among women of reproductive age group in Ogbomoso, Oyo State, Nigeria. Open Access J Contracept. 2016;7:33-41.

Kidayi PL, Msuya S, Todd J, Mtuya CC, Mtuy T, Mahande MJ. Determinants of modern contraceptive use among women of reproductive age in Tanzania: evidence from Tanzania demographic and health survey data. Adv Sex Med. 2015;5(3):43-52.

Okunade K, 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. African J Med Health Sci. 2017;15:69-73.

Anguko AA. Determinants of contraceptive use among women of reproductive age in north eastern Kenya. Nairobi: University of Nairobi Institute of Tropical and Infectious Diseases (UNITID); 2014.

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

Chimah U, Lawoyin T, Ilika A, Nnebue C. Contraceptive knowledge and practice among senior secondary schools students in military barracks in Nigeria. Nigerian J Clin Pract. 2016;19(2):182-8.

Ajayi AI, Adeniyi OV, Akpan W. Use of traditional and modern contraceptives among childbearing women: findings from a mixed methods study in two southwestern Nigerian states. BMC Public Health. 2018;18(1):604.

Muhammad Z, Maimuna DG. Contraceptive trend in a tertiary facility in North Western Nigeria: a 10-year review. Nigeria Journal of Basic Clinical Sciences. 2014;11(2):99.

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

Abiodun OM, Balogun OR. Sexual activity and contraceptive use among young female students of tertiary educational institutions in Ilorin, Nigeria. Contracept. 2009;79(2):146-9.

Schwandt HM, Skinner J, Saad A, Cobb L. Doctors are in the best position to know: The perceived medicalization of contraceptive method choice in Ibadan and Kaduna, Nigeria. Patient Educat Counsel. 2016;99(8):1400-5.

Olugbenga-Bello AI, Abodunrin OL, Adeomi AA. Contraceptive practices among women in rural communities in South-Western Nigeria. Global J Med Res. 2011;11:2.

Idonije BO, Oluba OM, Otamere HO. A study on knowledge, attitude and practice of contraception among secondary school students in Ekpoma, Nigeria. JPCS. 2011;2:22-7.

Adogu P, Udigwe I, Udigwe G, Onwasigwe C. Comparative analysis of sexual practice and contraceptive use among student and non-student adolescent girls in Onitsha, Nigeria. Albanian Medical Journal. 2014;4:12-20.

Imo CK, Okoronkwo E, Ukoji V. Interaction effect of knowledge and use of contraceptive methods on fertility among Umuahia women of South-Eastern Nigeria. J Culture Society Develop. 2015;5:18-26.

Asiimwe JB, Ndugga P, Mushomi J, Manyenye Ntozi JP. Factors associated with modern contraceptive use among young and older women in Uganda; a comparative analysis. BMC Pub Health. 2014;14:926.

Rayamajhi RB, Paudel IS, Bhattarai S, Neupane B, Pokharel PK. Practice of contraception and quality of life among Bhutanese refugee women of eastern Nepal. Global J Med Res Interd. 2014;14(2):17-22.

Williams SL, Parisi SM, Hess R, Schwarz EB. Associations between recent contraceptive use and quality of life among women. Contracept. 2012;85(3):282-7.