Association between plural legal systems and sexual and reproductive health outcomes for women and girls in Nigeria: A state-level ecological study


Autoři: Terry McGovern aff001;  Monique Baumont aff001;  Rachel Fowler aff001;  Valentina Parisi aff002;  Sonia Haerizadeh aff003;  Eka Williams aff004;  Samantha Garbers aff001
Působiště autorů: Heilbrunn Department of Population and Family Health, Columbia University Mailman School of Public Health, New York, New York, United States of America aff001;  Department of Sociomedical Sciences, Columbia University Mailman School of Public Health, New York, New York, United States of America aff002;  Independent consultant, São Paulo, Brazil aff003;  Independent consultant, Johannesburg, South Africa aff004
Vyšlo v časopise: PLoS ONE 14(10)
Kategorie: Research Article
doi: 10.1371/journal.pone.0223455

Souhrn

Nigeria has a plural legal system in which various sources of law govern simultaneously. Inconsistent and conflicting legal frameworks can reinforce pre–existing health disparities in sexual and reproductive health (SRH). While previous studies indicate poor SRH outcomes for Nigerian women and girls, particularly in Northern states, the relationship between customary and religious law (CRL) and SRH has not been explored. We conducted a state-level ecological study to examine the relationship between CRL and SRH outcomes among women in 36 Nigerian states and the Federal Capital Territory of Abuja (n = 37), using publicly available Demographic and Health Survey data from 2013. Indicators were guided by published research and included contraception use among married women, total fertility rate, median age at first birth, receipt of antenatal care, delivery location, and comprehensive knowledge of HIV. To account for economic differences between states, crude linear regression models were compared to a multivariable model, adjusting for per capita GDP. All SRH outcomes, except comprehensive knowledge of HIV, were statistically significantly more negative in CRL states compared to non–CRL states, even after accounting for state–level GDP. In CRL states in 2013, compared to non–CRL states, the proportion of married women who used any method of contraception was 22.7 percentage points lower ([95% CI: −15.78 –−29.64], p<0.001), a difference that persisted in a model adjusting for per capita GDP (b[adj] = −16.15, 95% CI: [−8.64 –−23.66], p<0.001.). While this analysis of retrospective state-level data found robust associations between CRL and poor SRH outcomes, future research should incorporate prospective individual-level data to further elucidate these findings.

Klíčová slova:

Antenatal care – Female contraception – HIV – Human families – Labor and delivery – Nigeria – Religion – Fertility rates


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