TY - JOUR
T1 - Effect of community health workers’ visits on uptake of modern contraception among rural women of reproductive age in Nigeria
AU - Olaolorun, Funmilola M.
AU - Tsui, Amy O.
N1 - Funding Information:
This manuscript was written with support from the PMA Plus Grant, received through the Bill & Melinda Gates Institute for Population and Reproductive Health, Johns Hopkins University.
Publisher Copyright:
© 2020, Women's Health and Action Research Centre. All rights reserved.
PY - 2020
Y1 - 2020
N2 - This paper assessed the effect of visits by Community Health Workers (CHW) in the prior 12 months on modern contraceptive use at the time of the survey using a national sample of women residing in rural communities in Nigeria. Cross-sectional data from 5072 rural women ages 15-49 years interviewed in the PMA2020 Survey in 6 states in Nigeria in 2018 were used. Descriptive analysis and generalized linear models were conducted in Stata 15.1 and average marginal effects calculated. Overall prevalence of modern contraceptive use was 14.8% (95% CI: 12.7%, 17.3%), varying from 2.1% in Kano to 22.7% in Nasarawa. Ten percent of women reported that they were visited by a community health worker in the 12-month period preceding the survey, ranging from 2.9% in Kano to 14.6% in Nasarawa. Women visited by a CHW had 50% higher odds of reporting modern contraceptive use, and these visits raised the probability of modern contraceptive use by an average of 6.4 percentage points overall. Local governments in rural Nigeria should invest in training, deploying and supervising CHWs in the provision of modern contraception through home visits to women who may otherwise have limited access to improve use.
AB - This paper assessed the effect of visits by Community Health Workers (CHW) in the prior 12 months on modern contraceptive use at the time of the survey using a national sample of women residing in rural communities in Nigeria. Cross-sectional data from 5072 rural women ages 15-49 years interviewed in the PMA2020 Survey in 6 states in Nigeria in 2018 were used. Descriptive analysis and generalized linear models were conducted in Stata 15.1 and average marginal effects calculated. Overall prevalence of modern contraceptive use was 14.8% (95% CI: 12.7%, 17.3%), varying from 2.1% in Kano to 22.7% in Nasarawa. Ten percent of women reported that they were visited by a community health worker in the 12-month period preceding the survey, ranging from 2.9% in Kano to 14.6% in Nasarawa. Women visited by a CHW had 50% higher odds of reporting modern contraceptive use, and these visits raised the probability of modern contraceptive use by an average of 6.4 percentage points overall. Local governments in rural Nigeria should invest in training, deploying and supervising CHWs in the provision of modern contraception through home visits to women who may otherwise have limited access to improve use.
KW - Community Health Workers (CHWs)
KW - Family Planning
KW - Modern contraception
KW - Rural Nigeria
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U2 - 10.29063/ajrh2020/v24i3.12
DO - 10.29063/ajrh2020/v24i3.12
M3 - Article
C2 - 34077133
AN - SCOPUS:85097140719
SN - 1118-4841
VL - 24
SP - 108
EP - 117
JO - African Journal of Reproductive Health
JF - African Journal of Reproductive Health
IS - 3
ER -