Spousal Communication and Family Planning Utilization in Anambra State, Nigeria

The need to explore the nexus between spousal communication and family planning utilization especially in the developing world cannot be overemphasized. Studies show limited male involvement in family planning programs in the developing worlds including Nigeria. Which negatively affects spousal communication about family planning activities leading to low family planning utilization. Few researches have been carried out on spousal communication and family planning utilization among couples in the study area. This is the gap in knowledge which this study filled. The study investigated Spousal communication and family planning utilization among couples in Anambra state using cross-sectional survey design. The Health Belief Model provided the framework for the study. The target population for this paper is 2,049,924 married men and women in the study area, Using Taro Yamane formula to derive the sample size of 400 respondents for this study, also hypothesis was tested using the Chi-Square ( x2) statistics. Structured questionnaires and In-depth interviews comprised the instruments for the data collection. Findings show that, family planning is not optimal in the study area, as only a few respondents are using both medical and non-medical methods of family planning, especially the Billings ovulation method probably due to religious beliefs. On the other hand, spousal communication about family planning issues was found to be in limited practice. Family planning utilization was found to be higher among couples that engage in family planning communication. There should be intensive sensitization programs on family planning programs and strengthening spousal communication in the study area. Also, male involvement in family planning should be encouraged.

Spousal communication, Family Planning utilization, Anambra state

1. Adanan, M. S., Kangyoon, L., & Javaria, N. M. (2021). Exploring readiness for birth control in improving women health status:Factors influencing the adoption of modern contraceptive methods for for family practices. International Journal of Environmental Research and Public Health. [Google Scholar] [Crossref]

2. Adane, B., Kefale, B., Damtie, Y., Arefaynie, M., Addisu, E., Dewau, R., Mitiku, K., Tsega, T. D., [Google Scholar] [Crossref]

3. Andualem, A. A., Awoke, M., Asfaw, T., Wasihun, Y., & Yalew, M. (2024). Male involvement in [Google Scholar] [Crossref]

4. family planning and its association with knowledge and spouse discussion in Ethiopia: a systematic review and meta-analysis. BMJ Open, 14(4). https://doi.org/10.1136/bmjopen-2023-082094 [Google Scholar] [Crossref]

5. Ademola, A., Omoregie; P., & Edoni, E. (2014). Male involvement in family Planning: challenges and way forward. International Journal of Population Research, 1–9. [Google Scholar] [Crossref]

6. Akaba, G., Ketare, N., & Tile, W. (2016). A Community-based mixed methods study of the attitudes and behaviour of men regarding modern Family planning in Nigeria. Int.J Gynaecol Obstet, 135(1), 89–90. [Google Scholar] [Crossref]

7. Akamike, I. C., Madubueze, U. C., Okedo-Alex, I. N., Anyigor, C. J., Azuogu, B. N., Umeokonkwo, C. D., & Mbachu, C. O. (2020). Perception, pattern of use, partner support and determinants of uptake of family planning methods among women in rural communities in [Google Scholar] [Crossref]

8. Southeast Nigeria. Contraception and Reproductive Medicine, 5(1). https://doi.org/10.1186/s40834020-00120-x [Google Scholar] [Crossref]

9. Alo, O. D., Daini, B. O., Omisile, O. K., Ubah, E. J., Adelusi, O. E., & Idoko-Asuelimhen, O. (2020). Factors influencing the use of modern contraceptive in Nigeria: A multilevel logistic analysis using linked data from performance monitoring and accountability 2020. BMC Women’s Health, 20(1). https://doi.org/10.1186/S12905-020-01059-6 [Google Scholar] [Crossref]

10. Amuzie, C. I., Nwamoh, U. N., Ukegbu, A., Umeokonkwo, C. D., Azuogu, B. N., Agbo, U. O., & Balogun, M. S. (2022). Determinants of male involvement in family planning services in Abia State, Southeast Nigeria. Contraception and Reproductive Medicine, 7(1). [Google Scholar] [Crossref]

11. https://doi.org/10.1186/s40834-022-00182-z [Google Scholar] [Crossref]

12. Ankomah, A., Anyanti, J., & Oladosu, M. (2011). Myths,Misinformation and Communication about family planning and contraceptive use in Nigeria. Open Access Journal of Contraception, 2, 95– 105. [Google Scholar] [Crossref]

13. Berhane, A., Biadgilign, S., Amberbir, A., Morankar, S., Berhane, A., & Deribe, K. (2011). Men’s Knowledge, Spousal Communication about Family Planning African Journal of Reproductive Health (Vol. 15, Issue 4). [Google Scholar] [Crossref]

14. Bolarinwa, O. A., Olaniyan, A. T., Saeed, B. Q., & Olagunju, O. S. (2022). Family planning use among young mothers in the peri-urban area of Osun State, Nigeria: the influence of spousal communication and attitude. Journal of Health Research, 36(4), 673–684. [Google Scholar] [Crossref]

15. https://doi.org/10.1108/JHR-11-2020-0574 [Google Scholar] [Crossref]

16. Boston University School of Public Health. (2013). Behavioural Change Models: The theory of planned Behaviour. [Google Scholar] [Crossref]

17. Ezeanolue, E. E., Iwelunmor, J., Asaolu, I., Obiefune, M. C., Ezeanolue, C. O., Osuji, A., Ogidi, A. G., Hunt, A. T., Patel, D., Yang, W., & Ehiri, J. E. (2015). Impact of male partner’s awareness and support for contraceptives on female intent to use contraceptives in southeast Nigeria Health behavior, health promotion and society. BMC Public Health, 15(1). https://doi.org/10.1186/s12889015-2216-1 [Google Scholar] [Crossref]

18. Fagbamigbe, A., & Ojebuyi, B. R. (2017). Influence of Spousal Communication about Family Planning and HIV/AIDs related issues on modern contraceptive use in NIgeria. Journal of Health Management, 19(2), 321–324. [Google Scholar] [Crossref]

19. Glanz, K., Babara, K. R., & Viswannah, K. (2008). Health Behaviour Health Education theory (4th ed.). [Google Scholar] [Crossref]

20. Glanz, K., & Bishop, D. B. (2010). The role of behavioural Science theory in the development and implementation of public health intervention. Annual Review of Public Health, 299–418. [Google Scholar] [Crossref]

21. Irani, L., Speizer, S., & Fosto, J. (2014). Relationship Characteristics and Contraceptive use among Couples in Urban Kenya. International Perspective on Sexual and Reproductive Health, 40(1), 11– 20. [Google Scholar] [Crossref]

22. Izugbara, C., Ibisomi, L., Ezeh, A. C., & Mandara, M. (2010). Gendered interests and poor spousal contraceptive communication in Islamic northern Nigeria. Journal of Family Planning and Reproductive HealthCare, 36(4), 219–224. [Google Scholar] [Crossref]

23. Kiran, F., & Zia, A. (2024). Impact of Interpersonal Communication for Contraceptive Uses among Married Couples in Karachi. Qlantic Journal of Social Sciences, 5(1), 183–193. [Google Scholar] [Crossref]

24. https://doi.org/10.55737/qjss.129649283 [Google Scholar] [Crossref]

25. Koffi.T.B., Weldert, K., Bittasse, E. O., Mensah, M. A. E., Emina, J., & Mensah, S. (2018). Engaging Men in Family Planning Perspectives from married men in Lome,Togo. Glob Heal Sci.Pract, 6, 316. [Google Scholar] [Crossref]

26. Marcelo, F. C. (2020). Health belief Model for Coronavirus Infection risk determinants. [Google Scholar] [Crossref]

27. Massenga, J., Noronha, R., Awadhi, B., Bishanga, D., Safari, O., Njonge, L., Kim, Y. M., Roosmalen, J. van, & Akker, T. van den. (2021). Family planning uptake in kagera and mara regions in tanzania: A cross-sectional community survey. International Journal of Environmental Research and Public Health, 18(4), 1–16. https://doi.org/10.3390/ijerph18041651 [Google Scholar] [Crossref]

28. michelle J.H, Amanda M.K, Terri-Ann. T, & Ushma.D.U. (2016). Intervention to prevent unintended and repeat pregnancy among young people in low- and middle-income countries. Journal of Adolescent Health. [Google Scholar] [Crossref]

29. Mosha, I. H., & Ruben, R. (2013). Communication, Knowledge, social network and Family planning utilization among couples in Mwanza, Tanzania. African Journal of Reproductive Health, 17(3), 57–69. [Google Scholar] [Crossref]

30. Muanda, M. F., Ndongo, G. P., Messina, L. J., & Bertrand, J. T. (2017). Barriers to modern contraceptive use in rural areas in Democratic Republic of Congo. An International Journal for Research, Intervention and Care, 19(9). [Google Scholar] [Crossref]

31. National Population Commission Nigeria, & International Children Fund. (2013). Nigeria Demographic and Health Survey. NPC and ICF International. [Google Scholar] [Crossref]

32. Ogunjuyigbe, P. O., Ojofeitimi, E. O., & Ayotunde, L. (2009). Spousal Communication, changes in partner attitude, and contraceptive use among the Yorubas of South West Nigeria. . Indian Journal of Community Medicine, 34(2), 112–116. [Google Scholar] [Crossref]

33. Osuafor, G. N., Akokuwebe, M. E., & Idemudia, E. S. (2023). Male Involvement in Family Planning Decisions in Malawi and Tanzania: What Are the Determinants? International Journal of [Google Scholar] [Crossref]

34. Environmental Research and Public Health, 20(6). https://doi.org/10.3390/ijerph20065053 [Google Scholar] [Crossref]

35. Peter-Kio. (2021). Male involvement in family planning and spousal contraceptive use in Kalabari communities. FNAS Journal of Mathematics and Science Education, 3(1), 11–18. www.fnasjournals.com [Google Scholar] [Crossref]

36. Sharjabad, F. N., Rahman, H. A., Hanafiah, M., & Yahya, S. Z. (2014). Spousal communication on family planning and perceived social supports for contraceptives practices in a sample of malaysian women. Iranian Journal of Nursing and Midwifery Research, 19(7). [Google Scholar] [Crossref]

37. Shuang-Fei, X., Jun-Qing, W., Chuan-Ning, Y., Rui, Z., Ying, Z., Yi-Ran, L., Jun-Guo, Z., & Meng-Hua. (2014). Association between factors related to family planning sexual and reproductive health and contraceptive use as well as consistent condom use among international migrant population of reproductive ages in three cities in china, based on heckprobit selection models. BMJ, 8(11). [Google Scholar] [Crossref]

38. Sunhee, K., & Seoyong, K. (2020). Analysis of the impact of Health beliefs and resources factors on preventive behaviours against the COVID 19pandemic. International Journal of Environmental Research and Public Health, 17. [Google Scholar] [Crossref]

39. Ukoji, V. U., Anele, P. O., & Imo, C. K. (2022). Assessing the relationship between knowledge and the actual use of contraceptives among childbearing women in southeast Nigeria: Evidence from the 2018 Nigeria demographic and health survey. Journal of BMC Public Health. [Google Scholar] [Crossref]

40. World Health Organization. (2011). Bulletin of the W.H.O past issue. WHO Bulletin, 777–852. [Google Scholar] [Crossref]

41. World Health Organization. (2015). Family planning/contraception method of family planning. . WHO Fact Sheet, Media Center. http://www.whoint/ mediacenter/factsheet-if535/ent-. worldometer. (2024). Nigeria population present and historical. Www.Worldometers.Info. [Google Scholar] [Crossref]

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