Modern contraceptive use in Northwestern Region of Nigeria: Rural-Urban segmentation analysis

Background: Northwestern region of Nigeria has among the lowest modern contraceptive use, and the highest fertility rate in the country, whereas there are little or no disaggregated information at the rural-urban level to shed light on the reasons for low use.
Method: We analysed the 2013 Nigeria Demographic and Health Survey. The relationships between modern contraceptive use and predictors were examined using Chi-square and logistics regression.
Findings: Findings showed that common determinants of modern contraceptive use among rural and urban respondents were, state of residence, religion, and fertility preference. Determinants unique to rural respondents were; education, wealth status, number of siblings of respondents, and household had cable TV, and for urban respondents, unique determinants were, birth order of respondents, husband/partner’s education, household had radio, and mobile phone.
Conclusion: Policy and program interventions need to use these additional insights to increase uptake of modern contraceptive use in the region.

Keywords
Modern Contraceptive Use; Rural-Urban Segmentation; North-Western Region; Agents of Modernity; Fertility Behavior