Title: Appraisal of Gender Disparities in Decision-Making on Fertility control measures in Okpokwu Local Government Area, Benue State, Nigeria
Authors: Ejeh Benedict, Aduke Olufunmilayo Bello Adenike Saliu Morilat, Angela Uwanuakwa
Volume: 9
Issue: 4
Pages: 35-44
Publication Date: 2025/04/28
Abstract:
The study examines the knowledge, use, and decision-making processes regarding contraceptive methods among men and women in rural and semi-urban areas. The findings indicate a high level of awareness about contraceptives, with 89.9% of respondents reporting knowledge of at least one contraceptive method. Among the respondents, 44.3% of men and 45.6% of women acknowledged knowledge of contraceptives. Despite the high awareness, the actual use of modern contraceptives was notably low, with only 12.2% of respondents using them. The study also identifies the main sources of contraceptive information, with electronic media being the dominant source (39.9%), followed by family members (26.8%). A gender disparity in the use of contraceptives was observed, with men in semi-urban areas more likely to use modern methods than their rural counterparts, possibly due to higher socio-economic status. The decision-making process concerning contraceptive use was found to be predominantly male-driven, with 64.3% of respondents indicating that husbands were the primary decision-makers. A smaller proportion (26.8%) reported joint decision-making, while only 5.5% of women indicated that they made the decisions independently. The study also highlights cultural and religious factors that restrict women's contraceptive choices, particularly in rural areas, where spousal approval is a major determinant. These findings suggest that while knowledge of contraceptive methods is widespread, significant barriers remain in the uptake and decision-making processes, particularly for women. The study underscores the need for targeted interventions that promote shared decision-making and empower women to have greater control over their reproductive health. The Gender and Development (GAD) and Women, Culture, and Development (WCD) frameworks offer a valuable lens through which to understand these gendered dynamics and the unequal distribution of reproductive power within households.