The Nigerian Urban Reproductive Health Initiative: a decomposition analysis of the changes in modern contraceptive use

Oludamilola Adeyanju (), Sandy Tubeuf and Tim Ensor
Additional contact information
Oludamilola Adeyanju: Academic Unit of Health Economics, Leeds Institute of Health Sciences, University of Leeds
Tim Ensor: Leeds Institute of Health Sciences, University of Leeds

No 1704, Working Papers from Academic Unit of Health Economics, Leeds Institute of Health Sciences, University of Leeds

Abstract: Despite the implementation of several family planning (FP) programmes, uptake and use of modern contraception in Nigeria remains constrained by a limited access and weak service delivery especially among the poorest. Between 2009 and 2014 the Nigerian Urban Reproductive Health Initiative (NURHI) was initiated among urban Nigerian women in 6 states with the aim of increasing the use of modern contraceptive. The objective of this paper is to assess the changes in modern contraceptive use within the NURHI programme participants and understand the characteristics explaining the changes. We use data collected before and after the programme and apply the Fairlie decomposition method to evaluate the contribution of socioeconomic and other individual factors to the changes in contraceptive use over time. Results show an increase in modern contraceptive use in the programme areas over time. While wealth and education are important determining factors of modern contraceptive use pre-programme, their contribution post-programme reduces substantially. Pre-programme it is mainly women with higher education who use modern contraception because of greater autonomy, financial ability, social interaction and access to FP services however the programme appears to help close the socioeconomic gaps in modern contraceptive use over time. In particular, the NURHI reduces the strength of the link between contraceptive use, and education and wealth, and increases women’s empowerment and decision-making regarding contraception.

Keywords: Modern Contraceptive use; Family Planning; Fairlie Decomposition; Nigeria (search for similar items in EconPapers)
JEL-codes: I12 I14 J13 (search for similar items in EconPapers)
Pages: 25 pages
Date: 2017
New Economics Papers: this item is included in nep-dev and nep-hea
References: Add references at CitEc
Citations:

Downloads: (external link)
http://medhealth.leeds.ac.uk/downloads/download/1283/auhe_wp1704 First version, 2011 (application/pdf)
Our link check indicates that this URL is bad, the error code is: 500 Can't connect to medicinehealth.leeds.ac.ukdownloads:443 (No such host is known. ) (http://medhealth.leeds.ac.uk/downloads/download/1283/auhe_wp1704 [301 Moved Permanently]--> https://medicinehealth.leeds.ac.ukdownloads/download/1283/auhe_wp1704)

Related works:
This item may be available elsewhere in EconPapers: Search for items with the same title.

Export reference: BibTeX RIS (EndNote, ProCite, RefMan) HTML/Text

Persistent link: https://EconPapers.repec.org/RePEc:lee:wpaper:1704

Access Statistics for this paper

More papers in Working Papers from Academic Unit of Health Economics, Leeds Institute of Health Sciences, University of Leeds Contact information at EDIRC.
Bibliographic data for series maintained by Judy Wright ().