Culture and Contraceptive Choices among Mothers Attending Primary Health Care Centre in Akure, Ondo-State, Nigeria

Abstract

Contraceptive use is essential in achieving reproductive health goals, yet cultural beliefs and practices remain significant barriers, especially in low- and middle-income countries. This study aimed to examine the cultural influences on contraceptive choices among mothers attending Primary Health Care Centre in Akure, Nigeria. Using a descriptive research design with a cross-sectional survey, data were collected from mothers who had attended the clinic for the past six months through convenience sampling and the Taro Yamane formula. Statistical analysis, including frequency tables, percentages, mean scores, and Chi-square tests, were generated using SPSS software version 26.

The results revealed that cultural beliefs moderately influence contraceptive choices. A slight majority of respondents did not believe cultural beliefs influenced contraceptive use (54.1%), but most disagreed with the notion that contraception is against cultural or religious beliefs (66.1%). Traditional family planning methods, such as withdrawal and herbal remedies, were moderately used by respondents, with growing acceptance of modern contraception (71.6%). Statistical analysis confirmed significant associations between cultural beliefs and contraceptive use (P-values of 0.000 and 0.019).

Cultural beliefs were found to impact perceptions of contraceptive safety and effectiveness, with some respondents expressing concerns about long-term health effects (40%) and cultural myths (39%). The findings suggest the need for community-based education campaigns to dispel myths and increase awareness about the safety and effectiveness of modern contraceptives. These interventions could foster greater acceptance and utilization of contraceptive methods among mothers in the community.