Sexual Behaviour and Contraceptive Use Among Women of Reproductive Age During the COVID-19 Pandemic in Ile-Ife, Osun State, Nigeria
Abstract
The COVID-19 pandemic disrupted Sexual and Reproductive Health (SRH) services across Nigeria. There was an enforced lockdown which altered household dynamics and contraceptive access, yet community-level evidence from southwestern Nigeria remained sparse. A cross-sectional study was conducted among 350 women of reproductive age (15–45 years) in Ile-Ife, Osun State. A structured questionnaire was administered. Contraceptive use, sexual activity frequency, and perceived COVID-19 consequences were measured across three periods: before, during, and after the lockdown. Univariate, bivariate (chi-square), and multinomial logistic regression analyses were performed using SPSS version 23. Statistical significance was set at p < 0.05. Respondents were predominantly married (68.9%), aged 20–24 years (24.0%), and Muslim (50.3%). Contraceptive use rose from 32.9% before the lockdown to 41.4% during the lockdown and 42.9% during the COVID-19 era. Overall, 55.4% (n=194) reported a change in their rate of sexual activity. Women who often used contraceptives were five times more likely to experience a mild rather than a strong impact on sexual activities (Odds Ratio (OR): 5.00; 95% Confidence Interval (CI): 2.09–8.96; p<0.05). Mild contraceptive use was associated with a milder income effect (OR: 8.65; 95% CI: 1.06–70.0; p=0.04). Women engaging in sexual activity 2–4 times weekly were more likely to report a mild health impact (OR: 1.31; 95% CI: 0.84–5.64; p<0.05). The COVID-19 lockdown measurably altered contraceptive use and sexual behaviour in Ile-Ife, with modest increases in contraceptive uptake alongside supply-side disruptions. Strengthening community-level contraceptive distribution and SRH communication during health emergencies is essential.
Keywords:
COVID-19, Contraceptive use, Sexual behaviour, Sexual and reproductive health, Women of reproductive age, Nigeria, Osun stateReferences
- [1] NPC, & ICF. (2019). Nigeria demographic and health survey 2018: Key indicators report. https://dhsprogram.com/pubs/pdf/FR359/FR359.pdf
- [2] Adebowale, A. S., Gbadebo, B., & Afolabi, F. R. (2016). Wealth index, empowerment and modern contraceptive use among married women in Nigeria: Are they interrelated? Journal of public health, 24(5), 415–426. https://doi.org/10.1007/s10389-016-0738-3
- [3] Alayande, A., Bello Garko, B., Umeh, G., & Nuhu, I. (2019). Access to contraceptives for adolescents in Northern Nigeria-a cross-sectional study from three secondary health facilities in Kaduna metropolis, Kaduna. Gates open research, 3, 1476. https://doi.org/10.12688/gatesopenres.12968.1
- [4] Nigeria Centre for Disease Control (NCDC). (2020). COVID-19 situation reports. https://ncdc.gov.ng/themes/common/files/sitreps/e15260e385285b02e2f350e8e24514df.pdf?utm
- [5] Obokoh, A. (2020). Nigeria’s contraceptive supply chain obstructed by COVID-19 pandemic. https://businessday.ng/health/article/nigerias-contraceptive-supply-chain-obstructed-by-covid-19-pandemic-experts/
- [6] United Nations Population Fund (UNFPA). (2021). Impact of COVID-19 on family planning: What we know one year into the pandemic. Technical Note. https://www.unfpa.org/sites/default/files/resource-pdf/COVID_Impact_FP_V5.pdf
- [7] Camara, B. S., Delamou, A., Diro, E., Béavogui, A. H., El Ayadi, A. M., Sidibé, S. (2017). Effect of the 2014/2015 Ebola outbreak on reproductive health services in a rural district of Guinea: An ecological study. Transactions of the royal society of tropical medicine and hygiene, 111(1), 22–29. https://doi.org/10.1093/trstmh/trx009
- [8] Riley, T., Sully, E., Ahmed, Z., & Biddlecom, A. (2020). Estimates of the potential impact of the COVID-19 pandemic on sexual and reproductive health in low-and middle-income countries. International perspectives on sexual and reproductive health, 46, 73–76. https://doi.org/10.1363/46e9020
- [9] Karp, C., Wood, S. N., Guiella, G., Gichangi, P., Bell, S. O., Anglewicz, P., & Moreau, C. (2021). Contraceptive dynamics during COVID-19 in sub-Saharan Africa: Longitudinal evidence from Burkina Faso and Kenya. BMJ sexual & reproductive health, 47(4), 252–260. https://doi.org/10.1136/bmjsrh-2020-200944
- [10] Mmeje, O. O., Coleman, J. S., & Chang, T. (2020). Unintended consequences of the COVID-19 pandemic on the sexual and reproductive health of youth. Journal of adolescent health, 67(3), 326–327. https://doi.org/10.1016/j.jadohealth.2020.06.019
- [11] Fakeye, O., & Babaniyi, O. (1989). Reasons for non—use of family planning methods at Ilorin, Nigeria: Male opposition and fear of methods. Tropical doctor, 19(3), 114–117. https://doi.org/10.1177/004947558901900307
- [12] Olaleye, A., Orji, E., Akintayo, A., & Imaralu, J. (2015). Perception and uptake of contraception among health workers in Ile-Ife, South-Western Nigeria. Babcock university medical journal (BUMJ), 1(1), 21–28. https://doi.org/10.38029/bumj.v1i1.22
- [13] Cochran, W. G. (1977). Sampling techniques. Johan Wiley & Sons Inc. https://www.scirp.org/reference/ReferencesPapers?ReferenceID=1390266
- [14] Idowu, A., Ukandu, G. C., Mattu, J., Olawuyi, D., Abiodun, A., Adegboye, P. (2020). Modern contraception: Uptake and correlates among women of reproductive age-group in a rural community of Osun State, Nigeria. Ethiopian journal of health sciences, 30(4), 531–540. http://dx.doi.org/10.4314/ejhs.v30i4.8
- [15] Bulatao, R. A. (1984). Reducing fertility in developing countries. A review of determinants and policy levers, 14–17. https://documents1.worldbank.org/curated/en/201041468764702288/pdf/multi0page.pdf
- [16] Ogundipe, S. (2020). COVID-19: Amid lockdown, sexual activity spikes. https://www.vanguardngr.com/2020/06/covid-19-amid-lockdown-sexual-activity-spikes/?utm
- [17] Wang, W., Staveteig, S., Winter, R., & Allen, C. (2017). Women’s marital status, contraceptive use, and unmet need in sub-Saharan Africa, Latin America, and the Caribbean. ICF International. https://dhsprogram.com/publications/pdf/CR44/CR44.pdf
- [18] Akinyemi, J. O., Odimegwu, C. O., & Adebowale, A. S. (2017). The effect of internal migration, individual and contextual characteristics on contraceptive use among Nigerian women. Health care for women international, 38(10), 1075–1094. https://doi.org/10.1080/07399332.2017.1345908
- [19] Wani, R. J., & Paprikar, S. S. (2020). COVID-19 and women’s health. The Indian practitioner, 73(5), 48–54. https://www.researchgate.net/profile/Reena-Wani/publication/350122941
- [20] Odusina, E. K., Ayotunde, T., Kunnuji, M., Ononokpono, D. N., Bishwajit, G., & Yaya, S. (2020). Fertility preferences among couples in Nigeria: A cross sectional study. Reproductive health, 17(1), 92. https://doi.org/10.1186/s12978-020-00940-9
- [21] Coombe, J., Kong, F. Y. S., Bittleston, H., Williams, H., Tomnay, J., Vaisey, A. (2021). Love during lockdown: Findings from an online survey examining the impact of COVID-19 on the sexual health of people living in Australia. Sexually transmitted infections, 97(5), 357–362. https://doi.org/10.1136/sextrans-2020-054688