Influence of the Service Delivery Environment on Family Planning Outcomes in Nigeria
Population studies
31
Issue: 1
(11 - 2017)
Using linked data from a 2009 health facility and household survey and multilevel logit models, this
paper examined the association of the service delivery environment with contraceptive outcomes in
Nigeria. The findings showed significant positive associations of the number of modern contraceptive
methods provided and quality assurance systems used by health facilities in the Local Government Area
(LGA) with the odds of knowing three or more modern methods. These odds were significantly higher
among rural than urban residents. The LGA indices of provider training in FP and provider-client
interaction had significant positive associations, while a perceived need for more staff in FP health
facilities had a significant negative association with the odds of current use of a modern method. The
positive association between the index of FP provider-client interaction and current use of a modern
method was significantly stronger among women than men and in semi-urban than urban areas.
Keywords: family planning, method mix,
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