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. 2015 Jul-Dec:33:211-238.
doi: 10.4054/DemRes.2015.33.8. Epub 2015 Jul 21.

Ideation and intention to use contraceptives in Kenya and Nigeria

Stella Babalola  1   2 , Neetu John  1 , Bolanle Ajao  1 , Ilene S Speizer  2
Affiliations

Ideation and intention to use contraceptives in Kenya and Nigeria

Stella Babalola et al. Demogr Res. 2015 Jul-Dec.

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.

Objectives: In this paper, we sought to identify the relevant dimensions of ideation and assessed 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 interactions 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. Both perceived self-efficacy and myths and rumors dimensions were significantly associated with contraceptive use intention in Kenya. In contrast, social interaction dimension and contraceptive awareness were not strongly associated with intention in Kenya.

Conclusion: 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 promote contraceptive self-efficacy and identify ways to correct prevailing myths and rumors.

Keywords: Ideation; Kenya; Nigeria; contraceptive intention; contraceptive use; urban women.

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Figure 1:
Ideation Model of Strategic Communication and Behavior Change
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References

    1. Abbasi-Shavazi MJ, McDonald P, and Hosseini-Chavoshi M (2009). The Fertility Transition in Iran: Revolution and Reproduction. New York: Springer
    1. Adegbola A, and Okunowo A (2007). Intended postpartum contraceptive use among pregnant and puerperal women at a university teaching hospital. Arch Gynecol Obstet 280:987–992 - PubMed
    1. Agha S (2010). Intentions to use contraceptives in Pakistan: implications for behavior change campaigns. BMC Public Health, 10, 450. - PMC - PubMed
    1. Agha S, and Van Rossem R (2004). Impact of a school-based peer sexual health intervention on normative beliefs, risk perceptions, and sexual behavior of Zambianadolescents. Journal of Adolescent Health, 34(5), 441–452. - PubMed
    1. Ahmed S, Li Q, Liu L, and Tsui AO (2012). Maternal deaths averted by contraceptive use: an analysis of 172 countries. The Lancet, 380(9837), 111–125. - PubMed

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