Contraceptive uptake among women attending family planning clinic in a Nigerian tertiary health facility: a 6 year review (original) (raw)
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IOSR Journals , 2019
This study was carried out to determine factors influencing contraceptive use among women of reproductive age. This was a community based descriptive survey which took place in Owerri North, Imo State, Nigeria among women of reproductive age. Simple random sampling was used to select thirty percent of semi-urban and rural autonomous communities. A structured self-administered questionnaire which examined the socioeconomic characteristics, cultural factors, proportion of women on any method of contraceptive and health facility factors was administered to three hundred and ninety seven respondents. Data obtained was analyzed using Statistical Package for the social Sciences (SPSS) version 21. Frequencies were generated and Chi-square was used to test significance. Level of significance was set at 0.05. A total of three hundred and ninety six (396) questionnaires were retrieved. Findings of this study revealed that most respondents 72 (58.0%) who uses contraceptive method regularly were between the age range of 33-41 years and 69 (53.1%) in the age range of 24-32 compared to women in the age range of 15-23 who recorded low usage 129(20.3%). The commonest reason for 144(87.3%) respondents on low usage was that their husband/partner do not support them on any method of contraceptive. The study revealed that Condom (Female), prolonged breast feeding and periodic abstinence 126(61.8%) were the more commonly used current method of contraception compared to pills, intrauterine device and injectables which recorded 69 (33.8%). The findings revealed that a big portion 81(83.5%) of women don't get their contraceptive method as at when due while 50(89.35%) of women said the contraceptive methods were not affordable. Factors found to be significantly associated with contraceptive use were: age level, educational level, occupation, support from partners/husband , accessibility and availability of contraceptive methods and decision making by partners/husband. Re-education on the complications and benefits of contraceptive use should be carried out by health workers so as to improve contraceptive uptake. Female education and male involvement should also be advocated.
Open Access Journal of Contraception, 2016
The fertility rate in Nigeria is 5.7 children per woman. The contraceptive prevalence rate has been found to be low at 15% in 2013, compared to other countries such as the US and Pakistan. Objective: The study aimed to assess the contraceptive prevalence among women of reproductive age in Ogbomoso town, and determinants of use, with a view to make appropriate recommendations that will enhance the uptake of family planning services. Materials and methods: This is a descriptive cross-sectional study conducted with 560 respondents, using a multistage sampling technique. Data were retrieved using a semi-structured, pretested questionnaire. Results: All the respondents were aware of contraception; however, only 49.7% (271) had ever used any method, while 25.4% (69) of the number who had ever used contraception were currently using a method. The methods being used were the traditional type (four [5.9%]), natural type (two [3.0%]), and modern type (63 [91.1%]). The predictors of contraception use included the age group of 40-49 years (odds ratio [OR] 14.1; confidence interval [CI] 3.06-73.24; P=0.0001); the married women were approximately four times more likely to use contraception than the single women (OR 4.5; CI 3.03-6.72; P,0.0001). The women with tertiary level of education were three times more likely to use contraception than those without formal education (OR 3.1; CI 1.13-9.95; P=0.0268), and the odds ratio of respondents with a positive attitude to using contraception more than those with negative attitude was 2 (OR 2; CI 1.41-2.91; P,0.0001). Conclusion: In light of the advantages associated with contraception use, there needs to be a conscious effort, especially among health care workers, to educate women about contraception and encourage its use.
Contraception has proven to be an effective way of controlling fertility and spacing births. Studies have shown that contraception can avert high risk pregnancies and consequently reduce maternal deaths. Uptake of modern contraception is promoted as a mechanism to address the reproductive health needs of men and women, as well as the crucial challenge of rapid population increase. Therefore, this study was conducted to assess the factors affecting the uptake of modern contraception services among women of reproductive age in Oyo state, Nigeria. A cross sectional descriptive study using a two stage systematic sampling technique was used to select 530 women of reproductive age in five wards using sample size based on proportion to size in 20,000 households. Respondents were interviewed using a semi structured questionnaire which included questions on socio-demographic characteristics, awareness, knowledge, factors affecting the usage of modern contraceptives and perception of contraceptive use. Knowledge was assessed on a 5 point scale in which score of ≤ 2 were rated poor while perception was scored on a 36 point-scale in which scores ≤ 18 rated low. Data were analysed using descriptive statistics, Chi-square test and logistic regression at p=0.05. Age of respondents was 30.3 ±7.8 years and 73.0% were married. Sixty percent were muslims and 34.5% had secondary education. Seventy two percent of the respondents were self-employed. About 90% had good knowledge of contraception while 60.8% had ever used contraceptives. The commonest source of information about contraception was mass media (72.8%). Twenty six percent obtained husbands' approval before using contraceptives while 20.0% had used modern contraceptives before first birth. Fifty percent of the respondents agreed that contraception helps in improving standard of living and 64.7% had good perception about contraception. Factors that hindered effective uptake of contraceptive services included poor service providers' attitude (33.3%) and congestion at the service centers (4.5%). Respondents with non-use of contraceptive before first birth were less likely to subsequently use contraceptives (OR= 0.324, 95%CI= 0.1-0.5). Husband's approval of contraceptives use was the major determinant of women's contraceptive use (OR = 3.4, 95%CI = 1.3-8.7). About 42.0% of the respondents had family planning centers not more than 5 kilometers walking distance to their residence. Twenty-one percent of those who had to take transportation to the service venues did not use contraception services. Majority of the women in Ibadan North West were knowledgeable and aware of contraception services but husband's approval on the use of modern contraceptives remains poor. Programmes that enhance husbands' approval of modern contraception are thus recommended.
Journal of Drug Delivery and Therapeutics, 2022
Introduction: The use of contraceptives is very important in controlling high and unsustainable population growth thereby reducing its attendant problems of poor national economy and health outcomes of women and children. Methodology: The study was a community based cross-sectional study carried out among 600 inunion women of reproductive age living in suburban communities in Orlu, Imo State, Nigeria. They were selected using multistage sampling technique. Data was collected using a pre-tested, semistructured and interviewer administered questionnaire and was analyzed using EPI-INFO version 3.2.1. Descriptive statistics, Chi-square test and regression analysis were performed where necessary. A p-value of ≤ 0.05 was considered significant. Result: Contraceptive ever used and current use was 66.7% and 36.7% respectively. The commonest modern contraceptive type ever used and currently used was the oral Contraceptive pill (65% vs. 22.8%). Socio-demographic and economic factors found to influence contraceptive use among the women were; age of women (p=0.002), status of union(p˂0.0001), age at union (p = 0.043), duration of union (p = 0.002), level of education of women (p ˂ 0.0001), religion of women (p ˂ 0.0001), family size (p ˂ 0.0001), number of male children (p ˂ 0.0001), monthly income (p ˂ 0.0001) and previous use of contraceptives (p ˂ 0.0001). Conclusion: The use of contraceptive was low and the commonest reason for non-use was due to religious beliefs. Most of the factors influencing use can be modified by appropriate intervention programs. Thus there is need to institute intervention programs by relevant authorities of the state that can help increase contraceptive use among these women.
Background: Universal contraceptive access is one of the key strategies for achieving sustainable developments in any country. Yet, uptake has remained low in most developing nations like Nigeria. The reasons for low use must be contextually understood to aid effective contraceptive programming (Ajibola et al., n.d.). This study assessed sociodemographic characteristics and women attitude as determinants to practice modern contraceptives uptake as correlated among women of child bearing age in Jigawa state, Nigeria. Aim: This study assessed socio-demographic characteristics and women attitude as determinants to practice modern contraceptives uptake as correlated among women of child bearing age in Jigawa state, Nigeria. Methodology: A cross-sectional descriptive research was conducted on the respondents. The study population comprised all the eligible women of child bearing age within the study area, who were selected and agreed to participate in the study. Sample sizes of Four Hundred and four (404), respondents were recruited using a multistage sampling technique. Data was collected using Questionnaire Data collected was coded, entered, and analyzed using the Statistical Package for the Social Sciences (SPSS) version 22. Result: The relationship between socio-demographic characteristics and respondents' attitude to contraceptive uptake, statistically significant association was found between respondents' attitude to contraceptive uptake and marital status (χ2=9.1, p=0.036), age (χ2=3.9, p=0.041), religion (χ2=6.3, p=0.023), and level of educational (χ2=8.3, p=0.048) Respondents with no formal education were significantly less likely to have used contraception compared to their educated counterparts (AOR=0.414, 95%CI=0.173-0.861). Also, those with less than 29 years of age were significantly less likely to have used contraception than those with 30 years and above age (AOR=0.563, 95%CI=0.331-1.018). Likewise, those with poor knowledge and negative attitude had significantly lesser odds of modern contraceptive use (OR=0.411, 95%CI=1.131-1.857 and OR=0.147, 95%CI=0.151-0.763). Conclusions: The study revealed that significant number of women had poor knowledge and attitude towards FP. Multiple socio-demographic factors contributed to knowledge and attitude of FP. Therefore, the health sectors of the regions and other stakeholders should strengthen the health extension program to disseminate messages related to FP to improve the knowledge and attitude of women.
Ethiopian Journal of Health Sciences
BACKGROUND: Universal contraceptive access is one of the key strategies for achieving sustainable developments in any country. Yet, uptake has remained low in most developing nations like Nigeria. The reasons for low use must be contextually understood to aid effective contraceptive programming. This study assessed contraceptive use and its determinants among reproductive aged women in Ejigbo, Osun State, Nigeria.METHOD: A quantitative study involving 405 participants which were recruited using multi-stage sampling method was carried out. Data were collected using pretested semi-structured, intervieweradministered questionnaire. Chi-Square test and binary logistic regression analysis were used for inferential statistics.RESULTS: The mean age of the respondents was 28±6. The majority (92.8%) of the respondents were aware of family planning, 68.9% of them possessed good knowledge but only 53% of them demonstrated favorable contraceptive attitude. Less than half (33.0%) of those who ha...
Maternal health outcomes in Nigeria have continued to be of great concern. According to the 2018 NDHS, there were 512 maternal deaths per 100,000; live births, Maternal Mortality Ratio (MMR) is still high and the population growth is on high side when compared to the developed countries. The study investigated the determinants of modern contraceptives uptake among post-natal clinic attendees in Ikeja Local Government Area, Lagos State, Nigeria. The study adopted a descriptive survey design. Multi-stage sampling techniques was used to select three hundred and fort-eight participants (348) among post-natal attendees in Ikeja Local Government. The instrument was a self-report questionnaire and validated used to collect data in the study. Descriptive statistics of simple frequency and percentages, also correlational analysis and chi-square analysis was used test the hypotheses at <.05 level of significant. The results showed that the mean age of 30.77 ±7.48years. Larger percent of the respondents 124(58.5%) had fair knowledge about modern contraceptive, meanwhile, 84(24.1%) of the respondents had good knowledge and 63(18.1%) of the respondents with poor knowledge. Majority of the respondents 216(62.1%) had positive perception towards modern contraceptive use. Majority of the respondents 201(57.8%) reported poor perception of modern contraceptive use. Majority of the respondents 215(61.8%) had low level of modern contraceptive use, while 133(38.2%) of the respondents with high level. result revealed that there is significant relationship between respondents' knowledge and modern contraceptives (r=0.24; p=0.000). there was significant relationship between religion and the use of modern contraceptives. (X 2 = 13.00, df= 2, p=.002). The study concluded and recommended that the community health care provider, especially community health nurses should continue to create awareness on benefits of modern contraceptives which should involve all the women of reproductive age so as to ensure effective and efficient utilization of modern contraceptives use.
Central African Journal of Public Health, 2020
This study was designed to essentially determine the relationship between socio-demographic factors and contraceptive use. This was with the view of identifying existing barriers to contraceptive use in the county. The study adopted a community-based, descriptive cross-sectional study. The target population was women of reproductive age, 15 to 49 years living in Ijero Local Government Area of Ekiti State. Using the sample size calculation formula, a sample of 250 women was randomly selected for the study. Data was collected using questionnaires translated and back-translated between the English and the local Yoruba language. Data analysis was performed using SPSS version 20 to generate descriptive and inferential statistics such as contingency tables and bar charts. Chi square was used to find relationship between non parametric variables by testing for association at 5% (p=0, 05) level of significance. Key findings of the study reveals that respondents were young adults and largely in their reproductive age span, more than three-quarters were Christian, more than two-fifths have secondary school education; 76.8% of the sample were working; nine out of every ten women have heard about contraceptives, many respondents have used at least one type of conceptive method, Injections method was the most popular conceptive method among the respondents, and more than 30.4% of the respondents heard about contraceptives through television. Results further show that: women have considerable knowledge on different aspects of the modern contraceptives, 89.6% of women were of the view that modern contraceptive prevents unwanted pregnancy; 39.2% perceived modern contraceptive as something that can boost husband fidelity (39.2%); the most common negative effect of modern contraceptives reported is irregular menstruation among the users; and women in the study area have used injections (22%) and condoms (20.8%) more than any other modern contraceptive methods.
2013
Background Family planning reduces the number of unintended and unwanted pregnancies and thereby saving women from high risk pregnancies and unsafe abortions. Despite the persistent advocacy urging the use of modern contraceptive methods for family planning, the fertility rates in most subSaharan African countries still remain unacceptably high mostly due to poor uptake of contraception because of cultural, economic and political barriers. Evidence from the recent Nigeria Demographic and Health Survey indicates that only about 15 percent of sexually active women currently practice effective contraception. The objective of the study was to assess the knowledge of contraceptive and its uptake among women of reproductive age in Giring community in Jos South Local Government Area of Plateau State. Methods A cross sectional study designed was used to assess knowledge and uptake of contraceptive among 400 respondents selected by multi stage sampling technique in Giring community using ...