Volume 6, Issue 5, October 2018, Page: 103-112
Migrant Women’s Use of Modern Contraception in Cotonou, Benin Republic
Boladé Hamed Banougnin, Pan African University, Life and Earth Sciences Institute (Including Health and Agriculture), University of Ibadan, Ibadan, Nigeria
Adeyemi Olu Adekunle, University College Hospital, Department of Obstetrics and Gynaecology, University of Ibadan, Ibadan, Nigeria
Adesina Oladokun, University College Hospital, Department of Obstetrics and Gynaecology, University of Ibadan, Ibadan, Nigeria
Mouftaou Amadou Sanni, Graduate School of Statistics and Demography, University of Parakou, Parakou, Benin Republic
Received: Oct. 9, 2018;       Accepted: Oct. 24, 2018;       Published: Nov. 10, 2018
DOI: 10.11648/j.ajbls.20180605.12      View  194      Downloads  7
Abstract
Evidence shows that migration, especially from rural areas and small cities to large cities, has critical consequences for sexual and reproductive health services utilization. Very few studies address the issue of contraceptive use among internal migrants in cities of sub-Saharan Africa countries, partly because of the limitations of available data. This study aimed to investigate the associations between migration status and modern contraceptive use and to examine whether and how the effect of migration status changes when it is disaggregated by length of residence, and reason for migration. Data from a survey conducted in Cotonou, the largest city of Benin Republic, from March-May 2018 were used. The study enrolled 792 (1,068 weighted) sexually active women, with the exception of those who reported being pregnant at the time of the survey. The socio- economic and demographic characteristics of the sample were described—this include the percentage of migrants, the length of residence and whether the migration was for school or job reason. Finally, a set of three logistic regression models were computed. These models present: (i) the crude effect of migration on modern contraceptive use, (ii) the effect of migration on modern contraceptive use after adjusting for socio- economic and demographic characteristics, and (iii) the joint effect of migration and reason for migration on modern contraceptive use—while still controlling for socio- economic and demographic characteristics. The results firstly show that there was non-significant association between internal migration and modern contraceptive use. Then, statistically significant differences emerged when migration status is interacted with reason for migration. Migrants in Cotonou for school or work motive had the highest probability of using modern contraception (32%), compared with the other groups (predicted probability values ranging from 17% to 21%). In conclusion, disaggregating migration status by reason for migration leads to better understanding of the effect migration status has on modern contraceptive use.
Keywords
Internal Migration, Contraception, Cotonou, Benin Republic
To cite this article
Boladé Hamed Banougnin, Adeyemi Olu Adekunle, Adesina Oladokun, Mouftaou Amadou Sanni, Migrant Women’s Use of Modern Contraception in Cotonou, Benin Republic, American Journal of Biomedical and Life Sciences. Vol. 6, No. 5, 2018, pp. 103-112. doi: 10.11648/j.ajbls.20180605.12
Copyright
Copyright © 2018 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Reference
[1]
Mberu, B., D. Béguy, and A. C. Ezeh, Internal Migration, Urbanization and Slums in Sub-Saharan Africa, in Africa's Population: In Search of a Demographic Dividend. 2017, Springer. p. 315-332.
[2]
Beguy, D., et al., Changes in Use of Family Planning among the Urban Poor: Evidence from Nairobi Slums. Population and Development Review, 2017. 43(S1): p. 216-234.
[3]
Okigbo, C., et al., A multilevel logit estimation of factors associated with modern contraception in Urban Nigeria. World Medical & Health Policy, 2017. 9(1): p. 65-88.
[4]
Berhanu, B., Fertility and Contraceptive use in rural Dalle, southern Ethiopia. The Ethiopian Journal of Health Development (EJHD), 2017. 8(1).
[5]
Gueye, A., et al., Belief in family planning myths at the individual and community levels and modern contraceptive use in urban Africa. International perspectives on sexual and reproductive health, 2015. 41(4): p. 191.
[6]
Chintsanya, J., Trends and correlates of contraceptive use among married women in Malawi: Evidence from 2000-2010 Malawi Demographic and Health Surveys, in DHS Working Papers No. 87. 2013, ICF International: Calverton, Maryland, USA.
[7]
Bocquier, P., Analyzing urbanization in sub-Saharan Africa, in New Forms of Urbanization. 2017, Routledge. p. 133-150.
[8]
Choudhury, S., J. T. Erausquin, and M. Withers, Global Perspectives on Women's Sexual and Reproductive Health Across the Lifecourse. 2018: Springer.
[9]
World Health Organization, World health statistics 2017. Monitoring health for SDGs (sustainable development goals), 2017.
[10]
Cleland, J. and K. Machiyama, The Challenges Posed by Demographic Change in sub‐Saharan Africa: A Concise Overview. Population and Development Review, 2017. 43(S1): p. 264-286.
[11]
Mbacké, C., The Persistence of High Fertility in sub‐Saharan Africa: A Comment. Population and Development Review, 2017. 43(S1): p. 330-337.
[12]
INSAE, Principaux Indicateurs Socio démographiques et Économiques du Bénin, (RGPH-4, 2013). 2016.
[13]
ICF International, The DHS Program STATcompiler. Funded by USAID. STATcompiler. Available from: http://www.statcompiler.com/en/. 2018.
[14]
INSAE and ICF International, Enquête Démographique et de Santé Bénin 2011-2012. 2013, INSAE/Bénin and ICF International: Calverton, Maryland, USA.
[15]
United Nations, World Urbanization Prospects The 2014 Revision. 2014.
[16]
Engel, E., D. Richter, and J. Schüring, Bénin: vers une transformation rurale inclusive et durable. 2017.
[17]
Anglewicz, P., J. Corker, and P. Kayembe, The fertility of internal migrants to Kinshasa. Genus, 2017. 73(1): p. 4.
[18]
Akinyemi, J. O., C. O. Odimegwu, and A. S. Adebowale, The effect of internal migration, individual and contextual characteristics on contraceptive use among Nigerian women. Health care for women international, 2017. 38(10): p. 1075-1094.
[19]
Subaiya, L., Internal migration and the use of reproductive and child health services in Peru, in DHS Working Papers No. 38. 2007, Macro International: Calverton, Maryland, USA.
[20]
Khanal, M. N., et al., Impact of male migration of contraceptive use, unmet need, and fertility in Nepal: Further analysis of the 2011 Nepal Demographic and Health Survey, in DHS Further Analysis Reports No. 74. 2013, ICF International: Calverton, Maryland, USA.
[21]
Cau, B. M., Female migration, local context and contraception use in urban Mozambique. African Journal of Reproductive Health, 2016. 20(1): p. 52-61.
[22]
Shittu, S. B. and A. I. Akinyemi, Determinants of contraceptive use among Hausa migrants in selected urban communities of Osun State, Nigeria. IFE PsychologIA: An International Journal, 2017. 25(1): p. 266-285.
[23]
Lindstrom, D. P. and C. H. Hernández, Internal migration and contraceptive knowledge and use in Guatemala. International family planning perspectives, 2006: p. 146-153.
[24]
Measure DHS, Description of the demographic and health surveys individual recode data file. Calverton, MD USA: Measure DHS, 2008.
[25]
Brockerhoff, M., Fertility and family planning in African cities: The impact of female migration. Journal of Biosocial Science, 1995. 27(03): p. 347-358.
[26]
Sevoyan, A. and V. Agadjanian, Contraception and abortion in a low-fertility setting: the role of seasonal migration. International perspectives on sexual and reproductive health, 2013: p. 124-132.
[27]
Ochako, R., et al., Modern contraceptive use among migrant and non-migrant women in Kenya. Reproductive health, 2016. 13(1): p. 67.
[28]
Wang, F., Is Rapid Fertility Decline Possible? Lessons from Asia and Emerging Countries, in Africa's Population: In Search of a Demographic Dividend. 2017, Springer. p. 435-451.
[29]
Kamruzzaman, M. and M. A. Hakim, Family Planning Practices among Married Women attending Primary Health Care Centers in Bangladesh. International Journal of Bioinformatics and Biomedical Engineering, 2015. 1(3): p. 251-255.
[30]
Uprety, S., et al., Access to family planning services by migrant couples in Nepal–barriers and evidence gaps. 2016.
[31]
Marcén, M., J. A. Molina, and M. Morales, The effect of culture on the fertility decisions of immigrant women in the United States. 2016.
[32]
Chattopadhyay, A., M. J. White, and C. Debpuur, Migrant fertility in Ghana: Selection versus adaptation and disruption as causal mechanisms. Population studies, 2006. 60(2): p. 189-203.
[33]
Rokicki, S., L. Montana, and G. Fink, Impact of migration on fertility and abortion: evidence from the household and welfare study of Accra. Demography, 2014. 51(6): p. 2229-2254.
[34]
De Brauw, A., V. Mueller, and H. L. Lee, The role of rural–urban migration in the structural transformation of Sub-Saharan Africa. World Development, 2014. 63: p. 33-42.
[35]
Khan, R., et al., The men are away: pregnancy risk and family planning needs among women with a migrant husband in Barisal, Bangladesh, in DHS Further Analysis Reports No. 98. 2016, ICF International: Rockville, Maryland, USA.
[36]
Bongaarts, J. and R. G. Potter, Fertility effect of seasonal migration and seasonal variation in fecundability: Test of a useful approximation under more general conditions. Demography, 1979. 16(3): p. 475-479.
[37]
Goldstein, S. and P. Tirasawat, Fertility of migrants to urban places in Thailand. 1977.
[38]
Moreno, L., Residential mobility and contraceptive use in northeastern Brazil. 1993.
[39]
Rutstein, S. O. and G. Rojas, Guide to DHS statistics. Calverton, MD: ORC Macro, 2006.
[40]
Garcia, A. J., et al., Modeling internal migration flows in sub-Saharan Africa using census microdata. Migration Studies, 2015. 3(1): p. 89-110.
[41]
Adebowale, S. A. and M. E. Palamuleni, Determinants of unmet need for modern contraception and reasons for non-use among married women in rural areas of Burkina Faso. Etude de la Population Africaine, 2014. 28(1): p. 499.
[42]
Nair, P. S. and K. Navaneetham, Patterns and determinants of modern contraceptive use in Southern Africa. 2015, Department of population studies, university of Botswana.
[43]
Ochako, R., et al., Determinants of modern contraceptive use among sexually active men in Kenya. Reproductive health, 2017. 14(1): p. 56.
[44]
Decat, P., et al., Determinants of unmet need for contraception among Chinese migrants: a worksite-based survey. The European Journal of Contraception & Reproductive Health Care, 2011. 16(1): p. 26-35.
[45]
Filmer, D. and L. H. Pritchett, Estimating wealth effects without expenditure data—or tears: an application to educational enrollments in states of India. Demography, 2001. 38(1): p. 115-132.
[46]
Kulu, H. and N. Milewski, Family change and migration in the life course: An introduction. Demographic Research, 2007. 17: p. 567.
[47]
Andersson, G., Childbearing after Migration: Fertility Patterns of Foreign-born Women in Sweden. International Migration Review, 2004. 38(2): p. 747-774.
[48]
Sargent, C. and D. Cordell, Polygamy, disrupted reproduction, and the state: Malian migrants in Paris, France. Social science & medicine, 2003. 56(9): p. 1961-1972.
[49]
Rutayisire, P. C., Disruptive Events and Demographic Behaviour: Explaining the Shifts in Fertility in Rwanda. 2015: Utrecht University.
[50]
Brockerhoff, M. and A. E. Biddlecom, Migration, sexual behavior and the risk of HIV in Kenya. International migration review, 1999: p. 833-856.
[51]
Unger, J. B., Acculturation and attitudes about contraceptive use among Latina women. Health Care for Women International, 2000. 21(3): p. 235-249.
[52]
Afulani, P. A. and J. Asunka, Socialization, adaptation, transnationalism, and the reproductive behavior of sub-Saharan African migrants in France. Population Research and Policy Review, 2015. 34(4): p. 561-592.
[53]
Sudhinaraset, M., N. Astone, and R. W. Blum, Migration and unprotected sex in Shanghai, China: correlates of condom use and contraceptive consistency across migrant and nonmigrant youth. Journal of Adolescent Health, 2012. 50(3): p. S68-S74.
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