Why Are Grand Multiparous Women in Niger Not Using Modern Contraceptive? An Analysis of Demographic and Health Survey Data.

Oluwatobi Alawode, Department of Sociology, University of Florida
Chima Victor, Obafemi Awolowo University
Abayomi Awoleye, Obafemi Awolowo University

Across the world, fertility rate is highest in Niger, also, grand multiparity is high but contraceptive prevalence is low. Studies have found that grand multiparity is associated with adverse maternal and child health outcomes. Identifying the predictors of modern contraceptive non-use among these women will inform plans and strategies to increase usage among women with high fertility propensity to avoid adverse maternal outcomes. The study examined the predictors of non-use of modern contraceptive among grand multiparous women. Data from 2012/13 Niger Demographic and Health Survey (n=3157) was analyzed using the binary logistic regression and result showed that age, level of education, type of place of residence, wealth index, work status, exposure to family planning messages, fertility preference and husband’s children desire significantly predict modern contraceptive nonuse among grand multiparous women. Strategic focus directed towards select population should be considered if the FP2020 goals of the country is to be attained.