Abstract

Reproductive health and family planning are essential to women’s wellbeing and socioeconomic progress, with contraceptive use serving as a key indicator of healthcare access, reproductive health status, and women’s autonomy in decision-making. The study assessed the determinants of contraceptive use patterns among women of reproductive age in Iwaya Community, Yaba LCDA, Lagos State, Nigeria. A quantitative descriptive cross-sectional survey was conducted among 117 women aged 15–49 in Iwaya, Lagos, to assess contraceptive use and influencing factors. Participants were selected using structured sampling, and data were collected via an administered questionnaire covering socio-demographics, contraceptive history, knowledge, and accessibility. The instrument was validated by experts and pilot-tested for reliability. Data were analysed using SPSS v25 with descriptive and Chi-square statistics.  The study revealed a high contraceptive use prevalence, with 90.6% of respondents having ever used contraception and 84.6% currently using a method. Most began use between ages 20–24, and 59.4% reported very consistent use. Common methods used in the past year included implants, IUDs, and condoms. Knowledge was generally good (67.5%, mean score 12.67±2.02), with healthcare providers as the main information source. Accessibility was favourable, though 35.9% experienced stock-outs. There was relationship between the respondents level of knowledge and contraceptive use (r=0.41; P=0.001). The study found high contraceptive use and good knowledge among respondents, with implants, IUDs, and condoms most used. Despite favourable access, myths persist, highlighting the need for improved education, consistent supply, provider training, and extended clinic hours to enhance informed contraceptive choices.

Keywords: Reproductive health, Contraceptive use, Prevalence, Knowledge, Demographic factors, Accessibility,

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