Health insurance coverage and modern contraceptive use among sexually active women in Nigeria: Further analysis of 2018 Nigeria Demographic Health Survey.

Journal article

Bolarinwa, Obasanjo Afolabi, Babalola, Taiwo Oladapo,, Adebayo, Oladayo Abayomi and Ajayi, Kobi V. 2022. Health insurance coverage and modern contraceptive use among sexually active women in Nigeria: Further analysis of 2018 Nigeria Demographic Health Survey. Contraception and Reproductive Medicine. 7 (1), p. 22. https://doi.org/10.1186/s40834-022-00187-8
AuthorsBolarinwa, Obasanjo Afolabi, Babalola, Taiwo Oladapo,, Adebayo, Oladayo Abayomi and Ajayi, Kobi V.
AbstractStudies have shown that affordable health insurance can influence healthcare visits and increase the choice of medication uptake in sub-Saharan Africa. However, there is a need to document the influence of health insurance coverage and modern contraceptive use in order to encourage its uptake. Thus, this study examined the influence of health insurance coverage on modern contraceptive use among sexually active women in Nigeria. The secondary dataset utilised in this study were derived from the 2018 Nigeria Demographic and Health Survey (NDHS). Data analyses were restricted to 24,280 women of reproductive age 15-49 years who were sexually active in the survey dataset. Weighted bivariate and multivariable logistic regression models were used to examine the influence of health insurance coverage on modern contraceptive use while controlling for possible confounders. A Significant level of alpha was determined at p < 0.05 using STATA 16.0. The prevalence of health insurance coverage and modern contraceptive use among sexually active women in Nigeria were 25.47% and 13.82%, respectively. About 1 out of every 4 sexually active women covered by health insurance were using a modern contraceptive, while 86.50% of the women not covered by health insurance were not using any modern contraceptive method. After adjusting for socio-demographic characteristics, the odds of using any modern contraceptive were significantly higher for sexually active women who were covered by any health insurance [aOR = 1.28; 95% (CI = 1.01-1.62)] compared to sexually active women not covered by health insurance in Nigeria. The study demonstrated that health insurance coverage is a significant driver of health service utilization, including modern contraceptive use. Health insurance benefits are recommended to be expanded to cover a broader spectrum of family planning services in Nigeria. More research is required to understand the influence of different health insurance schemes and the use of modern family planning methods in Nigeria. [Abstract copyright: © 2022. The Author(s).]
KeywordsHealth Insurance; Family Planning; Sexually active women; Contraceptive methods; Nigeria; DHS
Year2022
JournalContraception and Reproductive Medicine
Journal citation7 (1), p. 22
PublisherBMC
ISSN2055-7426
Digital Object Identifier (DOI)https://doi.org/10.1186/s40834-022-00187-8
Official URLhttps://contraceptionmedicine.biomedcentral.com/articles/10.1186/s40834-022-00187-8
Publication dates
Online01 Nov 2022
Publication process dates
Accepted16 Sep 2022
Deposited17 Nov 2022
Publisher's version
License
Output statusPublished
Permalink -

https://repository.canterbury.ac.uk/item/931zz/health-insurance-coverage-and-modern-contraceptive-use-among-sexually-active-women-in-nigeria-further-analysis-of-2018-nigeria-demographic-health-survey

Download files

Publisher's version
s40834-022-00187-8.pdf
License: CC BY 4.0

  • 42
    total views
  • 11
    total downloads
  • 0
    views this month
  • 0
    downloads this month

Export as

Related outputs

Barriers to breast and cervical cancer screening uptake among Black, Asian, and Minority Ethnic women in the United Kingdom: evidence from a mixed-methods systematic review.
Bolarinwa, Obasanjo Afolabi and Holt, Nicole 2023. Barriers to breast and cervical cancer screening uptake among Black, Asian, and Minority Ethnic women in the United Kingdom: evidence from a mixed-methods systematic review. BMC Health Services Research. 23 (1), p. 390. https://doi.org/10.1186/s12913-023-09410-x
Shifts in age pattern, timing of childbearing and trend in fertility level across six regions of Nigeria: Nigeria Demographic and Health Surveys from 2003-2018.
Olowolafe, Tubosun A., Adebowale, Ayo S., Fagbamigbe, Adeniyi F, Bolarinwa, O. and Akinyemi, Joshua O 2023. Shifts in age pattern, timing of childbearing and trend in fertility level across six regions of Nigeria: Nigeria Demographic and Health Surveys from 2003-2018. PLoS ONE. 18 (1), p. e0279365. https://doi.org/10.1371/journal.pone.0279365
Association between knowledge of Human Immunodeficiency Virus transmission and consistent condom use among sexually active men in Nigeria: An analysis of 2018 Nigeria Demographic Health Survey.
Bolarinwa, O., Ajayi, K. and Sah, R. 2022. Association between knowledge of Human Immunodeficiency Virus transmission and consistent condom use among sexually active men in Nigeria: An analysis of 2018 Nigeria Demographic Health Survey. PLOS Global Public Health. 2 (3), p. e0000223. https://doi.org/10.1371/journal.pgph.0000223
Health system barriers influencing timely breast cancer diagnosis and treatment among women in low and middle-income Asian countries: evidence from a mixed-methods systematic review.
Afaya, A., Ramazanu, S., Bolarinwa, O., Yakong, V., Afaya, R., Aboagye, R., Daniels-Donkor, Silas Selorm, Yahaya, Ahmed-Rufai, Shin, J., Dzomeku, V., Ayanore, M. and Alhassan, R. 2022. Health system barriers influencing timely breast cancer diagnosis and treatment among women in low and middle-income Asian countries: evidence from a mixed-methods systematic review. BMC Health Services Research. 22 (1), p. 1601. https://doi.org/10.1186/s12913-022-08927-x
Prevalence and determinants of intention to use modern contraceptives among grand-multiparous women in sub-Saharan Africa.
Alawode, Oluwatobi Abel, Okeke, Sylvester Reuben, Sah, Rajeeb Kumar and Bolarinwa, Obasanjo Afolabi 2022. Prevalence and determinants of intention to use modern contraceptives among grand-multiparous women in sub-Saharan Africa. Archives of public health = Archives belges de sante publique. 80 (1), p. 246. https://doi.org/10.1186/s13690-022-01006-x
Prevalence and factors associated with the use of long-acting reversible and permanent contraceptive methods among women who desire no more children in high fertility countries in sub-saharan Africa.
Bolarinwa, Obasanjo Afolabi, Afaya, Agani, Ajayi, Kobi V, Ojo, Abimbola and Alawode, Oluwatobi Abel 2022. Prevalence and factors associated with the use of long-acting reversible and permanent contraceptive methods among women who desire no more children in high fertility countries in sub-saharan Africa. BMC Public Health. 22 (1), p. 2141. https://doi.org/10.1186/s12889-022-14575-x
Spatial distribution and predictors of intimate partner violence among women in Nigeria.
Bolarinwa, Obasanjo Afolabi, Ahinkorah, Bright Opoku, Frimpong, James Boadu, Seidu, Abdul-Aziz and Tessema, Zemenu Tadesse 2022. Spatial distribution and predictors of intimate partner violence among women in Nigeria. BMC Women's Health. 22 (1), p. 245. https://doi.org/10.1186/s12905-022-01823-w
Factors associated with access to condoms and sources of condoms during the COVID-19 pandemic in South Africa.
Bolarinwa, O. 2021. Factors associated with access to condoms and sources of condoms during the COVID-19 pandemic in South Africa. Archives of public health = Archives belges de sante publique. 79 (1), p. 186. https://doi.org/10.1186/s13690-021-00701-5