Date of Conferral

2023

Degree

Doctor of Public Health (DrPH)

School

Health Services

Advisor

Nancy Rea

Abstract

In Northern Nigeria, inadequate information on family planning contributes to high mortality and morbidity rates in women of reproductive age due to multiple childbirths yearly. This study aimed to examine the relationship between the community-based distribution (CBD) strategy, religion, and attitudes toward family planning methods. Rosenstock’s health belief model, which can be an instrumental anchor for health promotion programs, was the theoretical framework for the quantitative cross-sectional study design. The data source was survey questionnaires administered by the U.S. Agency for International Development to 809 reproductive-age Nigerian women after implementing a CBD intervention. A multinomial logistics regression analysis showed that CBD strategy and attitude (perception) influenced the practice of family planning methods in women of reproductive age (p = .001). The age group (20 to 29 years) exhibited higher odds of practicing various family planning methods (p < 0.021). In comparison, age groups 30 to 39 years and 40 to 49 years were associated with lower odds (p < .001 and p < .003), respectively. Quranic education and the occupation of a housewife were significant predictors, indicating higher odds of practice (p < 0.016 and p < 0.014), respectively. Additionally, the CBD strategy and attitude significantly predicted the practice of different family planning methods. The study findings support the development of targeted community-based educational programs and interventions for specific age groups, education levels, and occupations. Doing so may promote positive social change toward family planning and increase family planning uptake among women of reproductive age.

Download

Share

 
COinS