• Adaobi Uchenna Mosanya, Deborah Oyine Aluh, Chibueze Anosike, Maureen Ogochukwu Akunne, Chigozie Gloria Anene-Okeke, and Abdulmuminu Isah.
• Department of Clinical Pharmacy and Pharmacy Management, Faculty of Pharmaceutical Sciences, University of Nigeria, Nsukka, Nigeria. PMB 410001, Enugu State, Nigeria.
• Afr Health Sci. 2023 Sep 1; 23 (3): 798979-89.

BackgroundIncreased fertility awareness can help infertile couples to achieve pregnancy.ObjectivesThis study aimed to determine both the predictors and levels of fertility awareness among married Nigerian women of childbearing age.MethodsA nationwide cross-sectional survey. Data were collected via online and face to face questionnaires. Descriptive and inferential analysis were done with SPSS 25.ResultsMost respondents married between ages 24-29 years old (40%) and just over half had good fertility awareness (53%). The associated factors were age at menarche (X2 = 9.962, p = 0.007), geopolitical zone of residence (X2 = 17.301, p = 0.008), level of education (X2 = 64.843, p < 0.001), employment status (X2 = 9.319 p = 0.025) menstrual cycle charting (X2 = 66.392, p < 0.001), use of internet to increase awareness (X2 = 39.849, p < 0.001) and books (X2 = 58.855, p < 0.001). Fertility awareness was lower for those with secondary education than postgraduates (AOR=0.213, 95% CI 0.116-0.390, p < 0.001). Moreover, the odds of having good fertility awareness were less in those who did not chart their menstrual cycle (AOR=0.363, 95% CI 0.245-0.538, p < 0.001).ConclusionMenstrual cycle charting and level of education were predictors of fertility awareness.© 2023 Mosanya AU et al.

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