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ORIGINAL ARTICLE
Open Access

Effects of a Community-Based Program on Voluntary Modern Contraceptive Uptake Among Young First-Time Parents in Cross River State, Nigeria

Gwendolyn Morgan, Anjala Kanesathasan and Akinsewa Akiode
Global Health: Science and Practice December 2020, 8(4):783-798; https://doi.org/10.9745/GHSP-D-20-00111
Gwendolyn Morgan
aInternational Business & Technical Consultants, Inc., Vienna, VA, USA.
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  • For correspondence: gwendolyn.morgan99{at}gmail.com
Anjala Kanesathasan
bIndependent consultant, Washington, DC, USA.
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Akinsewa Akiode
cResearch & Communication Services, Abuja, Nigeria.
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Figures & Tables

Figures

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  • FIGURE 1.
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    FIGURE 1.

    Percentage of First-Time Parents Who Do Not Want Another Child or Who Wish to Wait 3 Years or Longer to Have Their Next Child, Cross River State, Nigeria

  • FIGURE 2.
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    FIGURE 2.

    Percentage of First-Time Parents Who Can Name at Least 3 Modern Contraceptive Methods, Cross River State, Nigeria

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    FIGURE 3.

    Percentage of First-Time Parents Who Agree That Using Contraceptives May Negatively Affect One’s Ability to Have Children in the Future, Cross River State, Nigeria

  • FIGURE 4.
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    FIGURE 4.

    Percentage of First-Time Parents Who Have Discussed Family Planning With Their Partner as a Way to Space Children in Past 3 Months, Cross River State, Nigeria

  • FIGURE 5.
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    FIGURE 5.

    Current Use of a Modern Contraceptive Method (Among First-Time Parents Not Currently Pregnant), Cross River State, Nigeria

  • FIGURE 6.
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    FIGURE 6.

    Current Modern Contraception Method Used Among First-Time Mothers Not Currently Pregnant (Multiple Responses Possible), Cross River State, Nigeria

    * P<.000.

    ** P<.01.

Tables

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    TABLE 1.

    Criteria for Selection of Respondents and Achieved Sample Size Among Young First-Time Parents, Cross River State, Nigeria

    Selected ParticipantsBaselineEndline
    IkomObubraIkomObubra
    First-time mothers
    At least 10 FTM members were randomly sampled at both baseline and endline from each of the selected peer groups in both LGAs
    15 of 24 peer groups randomly selected at baseline; 150 FTMs randomly selected from each of the 15 groups17 of 26 peer groups randomly selected at baseline; 188 FTMs randomly selected from each of the 17 groupsThe same 15 peer groups selected at baseline were interviewed at endline; 149 FTMs randomly selected from each of the 15 groupsThe same 17 peer groups selected at baseline were interviewed at endline; 190 FTMs randomly selected from each of the 17 groups
    Male partners of FTMs
    All male partners participating in peer groups in both LGAs were selected for the study and interviewed
    All (census) 10 peer groups selected at baseline; all members of each group interviewed at baseline; 123 male partners interviewedAll (census) 10 peer groups selected at baseline; all members of each group interviewed at baseline; 122 male partners interviewedAll (census) 10 peer groups selected at baseline; all members of each group interviewed at endline; 114 male partners interviewedAll (census) 10 peer groups selected at baseline; all members of each group interviewed at endline; 111 male partners interviewed
    • Abbreviations: FTM, first-time mother; LGA, local government area.

    • View popup
    TABLE 2.

    Percentage Distribution of Age, Marital Status, Local Government Area, and Education Level by Participant Group and Baseline/Endline Among Young First-Time Parents, Cross River State, Nigeria

    First-Time MothersMale Partners
    Baseline (n=338)Endline (n=339)Baseline (n=224)Endline (n=224)
    Age, %
     15–19 years28.728.3a1.30.9
     20–24 years62.767.8a28.630.4
     25–29 years1.22.7a40.238.8
     30 years plus0.00.3a29.929.9
     Don’t know/missing7.40.9a0.00.0
     Mean age, years20.621.1b27.527.4
    Local government area, %
     Ikom44.444.050.950.9
     Obubra55.656.049.149.1
    Marital status, %
     Never married62.753.1b30.431.7
     Living with partner/married37.345.4b69.668.3
     Divorced/separated/widowed0.01.5b0.00.0
    No. of living children, %
     014.57.7b9.84.5
     185.592.0b85.390.2
     20.00.3b4.95.4
    Age of youngest child (among participants with at least 1 child)
     Mean age of youngest child (months)6.9 months (n=289)8.7a (n=312)8.8 months (n=199)10.9 months (n=214)
    Residential arrangement, %
     Currently lives with partner45.043.475.472.8
    Education level, %
     Primary13.910.93.64.0
     Junior Secondary (completed)35.236.69.810.3
     Secondary (completed)47.645.467.967.0
     Polytechnic1.82.94.03.1
     University1.54.114.715.6
    Works to earn money, %
     Yes36.156.9a84.886.6
    • ↵a Chi-square P<.000.

    • ↵b Chi-square P<.05.

    • View popup
    TABLE 3.

    Percentage Distribution of Partner Support for Family Planning by Participant Group and Baseline/Endline

    VariableFirst-Time MothersMale Partners
    Baseline, %(n=338)Endline, % (n=339)Baseline, % (n=224)Endline, % (n=224)
    Agrees that husband/partner would approve of using family planning to space next child66.979.6a90.693.8
    Would give wife/partner money to seek services if she wanted to use family planning to space her next birth87.993.8b
    • ↵a Chi-square P<.000.

    • ↵b McNemar’s test P<.05.

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Global Health: Science and Practice: 8 (4)
Global Health: Science and Practice
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December 23, 2020
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Effects of a Community-Based Program on Voluntary Modern Contraceptive Uptake Among Young First-Time Parents in Cross River State, Nigeria
Gwendolyn Morgan, Anjala Kanesathasan, Akinsewa Akiode
Global Health: Science and Practice Dec 2020, 8 (4) 783-798; DOI: 10.9745/GHSP-D-20-00111

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Effects of a Community-Based Program on Voluntary Modern Contraceptive Uptake Among Young First-Time Parents in Cross River State, Nigeria
Gwendolyn Morgan, Anjala Kanesathasan, Akinsewa Akiode
Global Health: Science and Practice Dec 2020, 8 (4) 783-798; DOI: 10.9745/GHSP-D-20-00111
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