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Ideation and intention to use contraceptives in Kenya and Nigeria

Author

Listed:
  • Stella Babalola

    (Johns Hopkins Bloomberg School of Public Health)

  • Neetu John

    (Johns Hopkins University)

  • Bolanle Ajao

    (Johns Hopkins University)

  • Ilene Speizer

    (University of North Carolina at Chapel Hill)

Abstract

Background: Contraceptive use remains low to moderate in most African countries. Ideation, or the ideas and views that people hold, has been advanced as a possible explanation for differences in contraceptive use within and across countries. Objective: In this paper, we sought to identify the relevant dimensions of ideation and assess how these dimensions relate to contraceptive use intentions in two illustrative countries, Kenya and Nigeria. Methods: Using factor analysis, we first identified the relevant dimensions of ideation from a set of cognitive, emotional, and social interaction items. Subsequently, we examined the relationships of these dimensions with intention to use contraceptives. Results: The data revealed four dimensions of contraceptive ideation in both countries: perceived self-efficacy, myths and rumors related to contraceptives, social interactions and influence, and contraceptive awareness. All four dimensions of ideation are strongly associated with contraceptive use intention in Nigeria. Only perceived self-efficacy was significantly associated with contraceptive use intention in Kenya. Conclusions: The ideation model is relevant for contraceptive use research and programing. Programs seeking to increase contraceptive use and help women to attain their desired family size should prioritize promotion of contraceptive self-efficacy. In addition, in countries with low contraceptive prevalence, programs should seek to identify ways to correct prevailing myths and rumors, increase contraceptive awareness, and promote positive social interactions around contraceptive use.

Suggested Citation

  • Stella Babalola & Neetu John & Bolanle Ajao & Ilene Speizer, 2015. "Ideation and intention to use contraceptives in Kenya and Nigeria," Demographic Research, Max Planck Institute for Demographic Research, Rostock, Germany, vol. 33(8), pages 211-238.
    • Handle: RePEc:dem:demres:v:33:y:2015:i:8
    DOI: 10.4054/DemRes.2015.33.8
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    References listed on IDEAS

    as
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    3. Bosompra, Kwadwo, 2001. "Determinants of condom use intentions of university students in Ghana: an application of the theory of reasoned action," Social Science & Medicine, Elsevier, vol. 52(7), pages 1057-1069, April.
    4. Ron Lesthaeghe, 2010. "The Unfolding Story of the Second Demographic Transition," Population and Development Review, The Population Council, Inc., vol. 36(2), pages 211-251, June.
    5. Kincaid, D. Lawrence, 2000. "Social networks, ideation, and contraceptive behavior in Bangladesh: a longitudinal analysis," Social Science & Medicine, Elsevier, vol. 50(2), pages 215-231, January.
    6. Tomáš Sobotka & Kryštof Zeman & Vladimíra Kantorová, 2003. "Demographic Shifts in the Czech Republic after 1989: A Second Demographic Transition View," European Journal of Population, Springer;European Association for Population Studies, vol. 19(3), pages 249-277, September.
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    Citations

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    Cited by:

    1. Stella Babalola & Olamide Oyenubi, 2018. "Factors explaining the North–South differentials in contraceptive use in Nigeria: A nonlinear decomposition analysis," Demographic Research, Max Planck Institute for Demographic Research, Rostock, Germany, vol. 38(12), pages 287-308.
    2. Fausat M. Ibrahim & Oyedunni S. Arulogun, 2020. "Posterity and population growth: fertility intention among a cohort of Nigerian adolescents," Journal of Population Research, Springer, vol. 37(1), pages 25-52, March.
    3. Ruth Zielinski & Samia Abdelnabi & Georgina Amankwah & Vida A. Kukula & Veronica Apetorgbor & Elizabeth Awini & John Williams & Cheryl Moyer & Bidisha Ghosh & Jody R. Lori, 2024. "Knowledge, Acceptance, and Uptake of Family Planning: A Cluster Randomized Controlled Trial of Group Antenatal Care in Ghana," IJERPH, MDPI, vol. 21(8), pages 1-10, August.
    4. Jean François Régis Sindayihebura & Franklin Bouba Djourdebbé & Didier Nganawara & Emmanuel Barankanira & Désiré Manirakiza & Willy-Marcel Ndayitwayeko & Jean Nsabimana & René Manirakiza, 2024. "Towards the Exploration of Social Considerations against the Intention to Use the Modern Contraception among Women in Union in Burundi," International Journal of Research and Innovation in Social Science, International Journal of Research and Innovation in Social Science (IJRISS), vol. 8(3), pages 1265-1281, March.

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    More about this item

    Keywords

    contraceptive use; Kenya; Nigeria; ideation; contraceptive intention; urban women;
    All these keywords.

    JEL classification:

    • J1 - Labor and Demographic Economics - - Demographic Economics
    • Z0 - Other Special Topics - - General

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