Barriers to family planning acceptance in Abakaliki, Nigeria
OUJ Umeora2017, Tropical Journal of Obstetrics and Gynaecology
Sign up for access to the world's latest research
checkGet notified about relevant papers
checkSave papers to use in your research
checkJoin the discussion with peers
checkTrack your impact
Abstract
Introduction: Family planning is very important and confers huge benefits to the woman, her family and country. It helps reduce maternal morbidity and mortality among other benefits. In spite of these obvious benefits of and the huge expenditure on it, uptake by women continues to be very low. We conducted this study to find out the reasons for this low uptake in our practice environment. Methodology: This is a cross sectional study where structured pre-tested questionnaires were administered to women in Abakaliki, the capital of Ebonyi State from February to April 2015. Results: Of the 354 questionnaires administered, 330 (93.2%) were complete and used for analysis. Majority of the respondents, 285 (86.4%) were in the 26 to 30 years age bracket. All of them were Ibos. Sixty two(18.8%) of the participants had one of their pregnancies unplanned and 19(5.7%) had at least one of their pregnancies unwanted. Though 300 (90.9%) had heard of family planning and was aware of it, only 180(54.5%) had used a family planning method before with majority, 105(58.2%) using natural family planning method. Only 22.7% of the participants was using a family planning method at the time of the study. In majority of the women,166(50.3%) ,their fears about family planning was the troublesome side effects followed by 110(33.3%) whose husbands objected to their using family planning. Twenty seven women (8.2%) respectively did not use family planning because it is against their culture and religion. Conclusion: Though some progress have been made in family planning, a lot more will be achieved if new programmes are designed to involve the men more actively and address other identified fears among women with regards to family planning.
Key takeaways
- [8] There is therefore an urgent need to find out the reasons for the low uptake of family planning services and commodities being witnessed presently in the country and her component parts despite the huge and proven benefits of family planning.
- Although majority 180 (54.5%) had used a family planning method before the study, a significant number 150 (45.5%) had never used a family planning method before.
- The greatest fears that prevented the majority of the women 166 (50.3%) from accepting family planning was fear of troublesome side effects followed by 110 (33.3%) women who did not use family planning because their husbands objected to it.
- women from using family planning.
- From the findings of this study, the women seek more information on family planning and they should be obliged.
Related papers
Awareness, Acceptability and Barriers to the Utilization of Modern Methods of Family Planning Among Women Attending Antenatal Clinic in Bayero University, Kano
BORNO MEDICAL JOURNAL
Background: Contraceptive prevalence rate (CPR) is generally very low in Nigeria, but particularly lowest in northern Nigeria. Barriers to access and utilization have been variously studied, but there is need to consider specific contexts. Objective: The aim of this study is to determine the level of awareness, acceptability, and barriers to the utilization of modern methods of family planning in Bayero University, Kano, Northwest , Nigeria. Methodology: This was a cross-sectional study conducted at the antenatal section of BUK staff clinic, among 152 pregnant women between May and October 2013. Ethical approval and informed consent were obtained. Descriptive statistics was used to report categorical variables. Results: Awareness of modern methods of contraception was high (86.18%) and the majority (86.19%) knew at least one method of family planning. The commonest methods known by the respondents were: Oral contraceptive pills (39.47%), injectables (22.37%) and condom (14.47%). Out of the152 respondents, 77(50.66%) accepted the use of modern methods of family planning and 39(25.65%) out of these number had ever used at least one method, while 38(25.00%) did not. Fear of side effects (42.11%), desire for more children (15.79%), and lack of awareness (13.82%), religious prohibition (10.53%) and opposition by male partners (7.89%) constituted the major barriers to the utilization of modern methods of family planning. Conclusion: The level of awareness was found to be high but acceptability and utilization were low, this is due to the existing barriers to utilization of modern methods of family planning. Effort should be made to allay the fear of side effects and to educate women on the implication of frequent childbirth.
SOCIO-CULTURAL FACTORS AFFECTING THE USE OF MODERN FAMILY PLANNING METHODS BY MARRIED MEN IN OMALA LOCAL GOVERNMENT AREA, KOGI STATE, NIGERIA
Journal of Advanced Research and Multidisciplinary Studies
The use of contraceptives is one of the modern family planning methods across the globe, but not free of the influence of sociocultural factors. Hence, this study examined the socio-cultural factors influencing the practice of family planning among married men in the Omala Local Government Area. The specific objectives of the study included ascertaining if married men in Omala LGA were aware of modern family planning methods, an investigation into the assessment and utilization of family planning methods, determining the perceived benefits of the practice of family planning methods, identifying the perceived hindrances to its usage and examined the strategies to improve on the practice of family planning among marked men in Omala LGA. Analysis of Variance (ANOVA) was used to test the research hypothesis. The theory of the Health Believe Model was used to buttress the study and by utilizing survey research design, a total of 306 copies of the questionnaire were distributed among the respondents of which 235 copies were completed and returned. The results showed that 51% of the married men in Omala LGA were not aware of modern family planning methods while 34% of the respondents had no access to the utilization of modern family planning methods. The results also revealed that the socio-cultural factors affecting modern family planning methods among married men in the study area were cross-cultural differences, religious beliefs and practices, gender roles, fertility desire and number of living children, childbearing practice, partner discussion and approval. It was found also that reduction in the economic and emotional burden of parenthood, improvements in maternal health and child survival etc were the perceived benefits of modern methods of Family Planning. It was also discovered that the perceived hindrances to the practice of family planning methods included lack of knowledge, limited supplies, high cost of contraceptives, cultural and personal objectives etc. The study further found that adequate sensitization programmes by both health workers and religious organisations should be carried out among their followers on the importance of family planning practice and thereby enhancing their reproductive health. The study concluded that there were significant socio-cultural factors influencing the practice of modern family planning methods in the study area and therefore recommended that the local government through healthcare centres should create awareness programmes as also suggested by the respondents on the use of modern family planning methods in the area.
Knowledge, Attitude and Acceptance of Modern Family Planning Method Among Women Attending Post–Natal Clinic in Ayeka Basic Health Centre in Okitipupa Local Government Area, Ondo State, Nigeria
BJSTR, 2017
Unintended or unplanned pregnancy poses a major economical, psychological, social, and/or religious challenge in women of reproductive age, especially in developing countries. Available data indicates that Nigeria currently has one of the highest rates of maternal mortality in the world. It is also in evidence that 40% of these maternal deaths are due to complications of unsafe abortions which often is a response to an unwanted pregnancy that could have been prevented by effective contraceptive programming. Yet Nigeria’s contraceptive prevalence rate is less than 13%. This was a descriptive cross sectional survey carried out amongst Women Attending Post-Natal Clinic in Ayeka Basic Health Centre in Okitipupa Local Government Area of Ondo State a simple questionnaire exploring Knowledge, Attitude and Acceptance of Modern Family Planning Method. Information obtained included bio data, knowledge and awareness information, practice. Data were analyzed using frequency and percentage counts statistics. A total 0f 200 women with 107 below 31, 78 were between age 31-40 and 15 were greater than 40). Majority 157 (78.5%) have heard about contraceptive while 55(27.5%) heard the information from government hospital/health care. Majority could identify contraceptive method. The major barrier to the usage of contraceptive was husband’s refusal. This study concluded that there is high level of awareness of contraceptive among women attending Post Natal Clinic in Ayeka Basic Health Centre in Okitipupa Local Government area. There is a low level of Spousal communications among the respondents as only 43.5% of respondents discuss contraceptive with spouses and partners.
Factors Influencing Acceptability of Family Planning among Women in Rural Communities in Ife Central Local Government Area, Osun State, Nigeria
Family planning has been proven to save and enhance the lives of women and children. However, sub-Saharan Africans living in rural areas tend to use fewer contraceptives and have more children than their urban counterparts. Moreover, there is gap between awareness and use of modern contraceptive. This study, therefore, investigated the factors that may influence acceptability and consequent use of family planning among rural women in two communities in Ife Central Local Government Area, Osun State, Nigeria. A survey of 400 consenting women was done using a pretested self-administered questionnaire, which included questions on awareness on family planning and factors which are likely to predict its use. Data were analyzed using descriptive statistics, Chi-square test of association and logistic regression. The age of the respondents was 21.1±9.0 years and there were more Christians (94.2%) than Muslims and other religious groups. A large majority (79.0%) were currently married, with most respondents possessing junior secondary certificate. Almost all (96.4%) respondents had heard about family planning. However, only 20.0% were aware of the place where the services are available in their communities. Most of them (61.5%) noted that they were influenced to use family planning through organisations, which did social marketing of the products. Twenty-one percent respondents opined that their spouses would not approve of the use of family planning. Forty-three percent desired to have at least four children. Factors predictive of uptake of family planning were number of children (HR=1.74, 95% CI 1.15–2.53) and level of education (HR=2.12, 95% CI 1.43–3.22). A total of 35% of the respondents agreed to accept the method but practice and acceptance of family was very low. Interventions such as reproductive/family planning health education, social marketing, awareness and campaign targeting this population must be intensified in order to derive the maximum benefits of family planning to individuals and the nation, ultimately.
Perception, pattern of use, partner support and determinants of uptake of family planning methods among women in rural communities in Southeast Nigeria
Contraception and Reproductive Medicine
Background: Family planning is a cost-effective strategy for achieving population development. Family planning uptake is low in sub-Saharan Africa, including Nigeria. We assessed the perception, pattern of use, partner support and determinants of uptake of family planning methods among married women of reproductive age in rural communities of Ebonyi state. Methods: This is part of a baseline report of a quasi-experimental study. A total of 484 married women of reproductive age were recruited using multistage sampling method. Four focus group discussions (men and women) and pretested semi-structured interviewer-administered questionnaires were used to collect information from the participants. Data were analysed using Statistical Package for Social Sciences (SPSS) version 20 software and thematic analysis. Chisquare test and logistic regression were carried out at 5% significance level. Results: Only 26.2% of respondents were currently using any method of family planning. The most commonly used method was the natural method (57%). Amongst those who reported using artificial methods, 32.7% used condoms, 27.3% used implant while 23.64 and 16.4% used injectables and pills respectively. Predictors of current use of any family planning method were: older age (AOR = 1.7, 95%CI = 1.01-3.00), having more than five children (AOR = 1.7, 95%CI = 1.05-2.83), minimum of secondary level of education for respondent (AOR = 3.3, CI = 1.60-6.96) and their husband/partner (AOR = 2.0, 95%CI = 1.05-3.92). Qualitative findings showed that only few families were using a method of family planning and those who did not practice family planning perceived it to interfere with God's plan for fruitfulness and to be counter-productive to household income due to decreased manpower for agricultural activities. Poor partner involvement and support for family planning was also cited as a deterrent by both male and female participants.
Socio-demographic Factors Associated with Knowledge and Uptake of Family Planning Among Women of Reproductive Age in a Rural Community of Abuja, Nigeria
Jurnal sains kesihatan Malaysia =, 2018
Nigeria has a population of about 180 million, estimated to double in 22 years due to low uptake of family planning services. Low utilization of family planning is the major factor associated with high fertility pattern in Nigeria. This trend is higher among rural women in Northern Nigeria. Without a thorough understanding of, and due attention to the local context, utilization of family planning may continue to be low. Identification of correlates of family planning would be invaluable in designing strategies for ultimately improving uptake of family planning services. This study became relevant as no previous study on family planning has been carried out in Ushafa Community. The study was conducted at Ushafa community, a rural community, located in Bwari Area Council on the northern axis of the Federal Capital Territory (FCT) of Nigeria. The study was a descriptive cross-sectional study, conducted among women of reproductive age (15-49 years) who were permanent resident of Ushafa Community. Using proportion of contraceptive usage of 16% from a previous study, 240 women were recruited into the study by systematic sampling technique. Data was collected by means of a structured interviewer administered questionnaire, data was entered and analysed using statistical package for social sciences (SPSS) version 20. All tests were conducted using 2 tails while level of significance was set at 0.05. About a quarter of respondents (26.3%) knew that amenorrhoea could be a side effect of oral contraceptive pills, 51.1% knew that oral contraceptive pills must be taken daily, 58% were not using any form of family planning. Age (χ 2 = 8.382, p = 0.01) and marital status (χ 2 = 8.915, p = 0.01) were significantly associated with family planning knowledge. Level of education was significantly associated with current use of family planning (χ 2 = 10.78, p = 0.03). Educational status was significantly associated with likelihood of using family planning in the future (χ 2 = 8.64, p = 0.04). Although the respondents had fairly good knowledge of family planning, the study observed some misconceptions especially with respect to side effects and methodology of use of the commodities. Low uptake of family planning was observed among the respondents. Age and marital status were significantly associated with family planning knowledge; level of education was significantly associated with current use of family planning. There is need for incorporation of facts on usage and side effects of family planning in message disseminated by health workers in health facilities in Ushafa Community so as to correct misconceptions.
Community perceptions, beliefs and factors determining family planning uptake among men and women in Ekiti State, Nigeria: finding from a descriptive exploratory study
BMJ open, 2024
Objectives To examine family planning through the community's perception, belief system and cultural impact; in addition to identifying the determining factors for family planning uptake. Design A descriptive exploratory study. Setting Three communities were selected from three local government areas, each in the three senatorial districts in Ekiti State. Participants The study was conducted among young unmarried women in the reproductive age group who were sexually active as well as married men and women in the reproductive age group who are currently living with their partners and were sexually active. Main outcome measures Eight focus group discussions were conducted in the community in 2019 with 28 male and 50 female participants. The audio recordings were transcribed, triangulated with notes and analysed using QSR NVivo V.8 software. Community perception, beliefs and perceptions of the utility of family planning, as well as cultural, religious and other factors determining family planning uptake were analysed. Results The majority of the participants had the perception that family planning helps married couple only. There were diverse beliefs about family planning and mixed reactions with respect to the impact of culture and religion on family planning uptake. Furthermore, a number of factors were identified in determining family planning uptake-intrapersonal, interpersonal and health system factors. Conclusion The study concluded that there are varied reactions to family planning uptake due to varied perception, cultural and religious beliefs and determining factors. It was recommended that more targeted male partner engagement in campaign would boost family planning uptake. ⇒ This study used exploratory methods of data collection to provide a better understanding of family planning usage through the lens of the community. ⇒ This study provided better insight into the impact of religious and cultural beliefs on family planning uptake. ⇒ The effects of intrapersonal, interpersonal and health system factors on family planning uptake were also explored. ⇒ This study was conducted among a limited number of participants from the community. ⇒ It may be difficult to form a causal association in this study as a longitudinal study design was not used and participants were not followed up.
Socio-Demographic Characteristics and Acceptance of Family Planning Methods among Married Persons in Ebonyi State, Nigeria
Journal of Biology, Agriculture and Healthcare, 2016
Family planning acceptance remains a global health challenge especially in Sub-Saharan Africa where culture, religion, lack of knowledge and ignorance determine FPMs acceptance. The study investigated the differences in levels of acceptance of family planning methods among married persons in Abakaliki Education Zone of Ebonyi State by socio-demographic variables of education, gender, religion and location. Multi-stage sampling procedure was used to select four Local Government Areas from Abakaliki education zone (2 urban, 2 rural) and 1,098 married persons for the study. Data were collected using a structured questionnaire titled Acceptance of Family Planning Methods Questionnaire (AFPMQ). The instrument was subjected to face validity. The reliability score of the instrument was 0.75 using Cronbach alpha. Data were collated and analyzed using mean and standard deviation, criterion mean score of 2.50. Inferential statistics of t-test and Analysis of Variance (ANOVA) statistics were ...
Empirical Investigation of Non-utilization and Implications of Family Planning among Married Women of Dala L.G.A, Kano State, Nigeria
Jalingo Journal of Social and Management Sciences, 2021
The adoption and utilization of family planning services are crucial to the overall maternal and child health outcomes. Despite the increased efforts to mainstream family planning services by the federal government and other international partners in Nigeria, the poor utilization of family planning services remains a challenge. This study examined the factors influencing non-utilization of family planning and its implications among married women in Dala Local Government Area, Kano State, Nigeria. The descriptive study employed both quantitative and qualitative methods to source for data from couples in Dala LGA. While quantitative data were analyzed with descriptive statistics, qualitative data were content-analyzed. Findings of the study revealed that a majority of respondents were not using any family planning methods. Regardless of the widespread nonutilization of family planning services, most of the respondents were conversant with the various advantages attributed to the use of family planning services: reduction in poverty good health for parents socioeconomic and national development prevention of sexually transmitted diseases and good health for children. Non-awareness, proximity to medical centers, religion, low education, culture, low level of exposure and so on inhibited the adoption and utilization of family planning in Dala LGA of Kano. The study recommended among others that more awareness programs should be created by government and health authorities to enhance education and orientation of couples about family planning.
KNOWLEDGE, ATTITUDES AND PRACTICES TOWARDS FAMILY PLANNING AMONG MEN IN LAGOS STATE
Akinrinade Samuel Adewuyi, 2023
The Family Planning Programme in Kenya has always approached the issue of fertility regulation with females as the target group, while ignoring men who are equally involved in the process of reproduction/procreation, and who in many communities are the main decision-makers. In the same tradition, most studies that have been conducted or, the level of awareness and practice of family planning have focused on women, rather than on both gender. As a result, men's knowledge and attitude of family planning is often misunderstood and shrouded in uncertainty (where people act on rumours and wrong perceptions of methods). This study set out to investigate men's knowledge, attitude and practice of family planning in Lagos state, and how they are influenced by various demographic, socioeconomic and socio-cultural factors namely age, marital status, current family size, education, preferred family size, exposure to mass media, place of residence, religion and type of marital union. The ultimate aim is to generate information that can form the basis of programmes to improve men's awareness, approval and acceptance, and consistent use of family planning methods. Data for the study was drawn from a carefully sampled field survey and the 2023 Lagos Demographic and Health Survey (the male questionnaire component), which covered 500,575 men, aged 30-54 years. The sample was national in scope, based on the national master plan maintained by the Central Bureau of Statistics (CBS). Analysis was undertaken using three statistical methods namely frequency distribution and percentages, cross-tabulation and Taro Yame method was applied. Major findings of the study indicated that there is high level of knowledge (awareness) of family planning methods and source and favourable attitude among men in Lagos state, but limited readiness to use both as clients and supportive partners. The most widely known methods were the condom (94.5%), the pill (92.9%), female sterilization (86.3%), and periodic abstinence (84.2%). There was an almost universal approval as 90.8% of the men interviewed approved of family planning. However, this reported high knowledge and considerably favourable attitude has not been translated into practice. While about 50 percent of the respondents reported current use of "any" method, further analysis of practice of specific modern methods revealed that, a part from the condom (12.4%), less than 10 percent of men were actually practicing any specific method. Based on the findings, a number of relevant recommendations for policy and areas of further research are suggested. There should be increased use of radio and newspapers as a channel for disseminating family planning information; family planning education should be introduced in primary school education curriculum, possibly in Home science lessons; there should also be deliberate programs to change men's preferred family sizes, which is still high (over four children). Further research should address the gap between high knowledge, positive attitude on one hand, and very low use on the other hand, and between ever-use and current use of specific methods. Keywords: Male Contraception, Family Planning, Attitudes, Knowledge, Practices, Lagos Nigeria.
Related topics
Related papers
To Utilization of Modern Methods of Family Planning Amongst Women in a Community South-South of Nigeria
2013
Background: Access to safe, effective and affordable contraception is recognized by the world health organization (WHO) as a universal human right. Objective: This study is aimed at determining awareness, acceptability and barriers to the utilization of modern methods of family planning amongst the women in south-south Nigeria. Subjects and Methods: This was a cross-sectional study using structured interviewer administered questionnaires to 145 pregnant women at the antenatal booking clinic in Sacred Heart Hospital, Obudu, Cross-Rivers State, Nigeria from June to September 2010. Results: Majority (98.6%) of the respondents knew at least one method of family planning. The commonest known methods included; Condom (35.2%), periodic abstinence (26.2%) and oral contraceptive pills (16.6%). Out of the 145 respondents, 118(81.4%) accepted family planning. Out of these number, 85(72.0%) have ever used any method while 33 (28%) had not. Barriers to usage of modern methods of family planning ...
Assessing the knowledge, attitude and practice of family planning among women living in the Mbouda health district, Cameroon
Reproductive Health, 2015
Background and objective: Promotion of family planning has been shown to reduce poverty, hunger, maternal and infant mortality, and contribute to women's empowerment. But many resource-limited countries still have very low rates of contraceptive use. The present study aimed to assess the knowledge, attitude and practice of family planning among women living in a resource-poor rural setting. Methods: We conducted a cross-sectional study in January 2010 in the Mbouda Health District, Cameroon. After a multistage random selection, 120 households were selected. Participants were women aged at least 15 years old, sexually active, and who volunteered to participate in the study. Data were collected during an anonymous interview using a structured pre-tested questionnaire. Results: A total of 101 women were enrolled, their ages ranging from 18-58 years with a mean of 31.7 ± 8.8 years. Ninety-six percent of these women had already heard about family planning. Almost all respondents (98 %) were aware of at least one contraceptive method, the most cited being the male condom (96 %), the safe period (86.1 %), injectables (76.2 %) and oral pills (75.2 %), Sixty-six women (65.3 %) were currently practicing at least one contraceptive method, and the three prevailing methods used were: the safe period (50 %), the male condom (34.8 %), and injectables (12.1 %). The main reasons precluding women from practicing contraception were lack of knowledge (31.4 %), uselessness (31.4 %) and unbearable side effects (8.6 %). Fourteen of these women (42.4 %) expressed the willingness to start practicing contraception if they received more information about the subject. Decision on the number of children to have was made by both the man and the woman in 59.5 % of cases. The practice of contraception had been decided by the couple in 39.6 % of cases, and 9.4 % of men were not aware that their wives were currently practicing contraception. Conclusion: Although the level of awareness about family planning and contraceptive methods is quite satisfactory, the level of contraceptive use is not optimal in our setting. Consequently, more adapted educational and counseling interventions should be undertaken among women, and family planning messages directed to men need to be included too.
Unmet needs for family planning and its determinants among women of reproductive age in Ilesha Southwest Nigeria: A cross-sectional study
Background: A high rate of unintended pregnancy is said to be driving population growth, particularly in Sub-Saharan Africa, where approximately half of all pregnancies are unintended, coming too soon or even unwanted. Most of these unintended pregnancies could have been prevented with effective family planning services. There, however, remains an unmet gap between the women's reproductive intention and their contraceptive behaviour. Objectives: This study determined the prevalence of unmet needs for family planning and examined its determinants among women of reproductive age group at a tertiary health facility in Southwest Nigeria. Design: This was a hospital-based cross-sectional study. Methods: Two hundred eighty-five sexually active women were recruited using a pre-tested, semi-structured, validated, interviewer-administered questionnaire. The questionnaire assessed the respondent's socio-demographic characteristics, obstetrics and gynaecological history, and contraceptive history. Relevant clinical parameters were measured and recorded. Data were analysed using SPSS version 21. Multivariable logistic regression analysis was done using a 5% significance level to identify the determinants of unmet needs for family planning. Results: The prevalence of unmet family planning needs for prevention, spacing and limiting were 28.8%, 33.1% and 38.1%, respectively, with 58.2% overall prevalence of unmet needs. The commonest reason for the non-uptake of contraceptives among those with unmet need was the fear of side effects (66.3%). The odds of having unmet needs for family planning were higher for respondents with four or fewer children (adjusted odds ratio (AOR): 7.731; 95% confidence interval (CI): 28.504-2.907, p = 0.002) and those with one partner (AOR: 2.008; 95% CI: 3.669-1.090, p = 0.025). Conclusion: A high rate of unmet family planning needs was found in the study. This requires specific interventions and policies towards increasing contraceptive uptake, such as intensified health education aimed at allaying fears related to the side effects.
Factors Affecting the Utilization of Family Planning among Women Attending Selected Health Centers in Ile Ife, Osun State, Nigeria
Many unintended pregnancies and illegal abortions contributes significantly to the high mortality rate in Nigeria, which signifies the unmet needs for family planning among women of reproductive age, which could be affected by myriads of factors. Hence, this study assesses factors influencing the utilization of family planning methods among women attending selected health centers in Ile Ife. Osun State. Nigeria. Findings showed that more than two-third (68.6%) had ever used a family planning method. Meanwhile, about two-third (60.4%) were currently using a family planning method, while 39.6% were not using any method. Majority (26.3%) rated condom as the most effective method of contraception. Factors identified as militating against the utilization of contraceptive use were; fear of side effects (80.2%), personal dislike (71.7%), opposition of spouse (63.5%) and unwelcoming attitude of health workers (61.1%) and non-effectiveness of family planning services (54.3%). Hypothesis testing revealed a strong relationship between fear of side effects and utilization of family planning services (X 2 = 26.091, df = 1 and p = 0.001 at 0.05 significant value). However, there is no significant relationship between spouse opposition and utilization of family planning services (X 2 = 1.171, df = 1, p = 0.279 at 0.05 significant value). In conclusion, although a good number of the respondents were using a family planning method, some of them were not still using it. Hence, the need for health care provider to educate based on isolated factors such as side effects, preference, spousal opposition that influence contraceptive use among women of child bearing age.
Factors Influencing the Use of Family Planning Methods among Women of Child Bearing Age in Ogbomoso North Local Government of Oyo State, Nigeria
Background: The need for appropriate choice of family planning method is very crucial among women of child bearing age in Nigeria. Several governmental and nongovernmental organizations are making serious efforts towards discouraging the use of all harmful and ineffective traditional methods of family planning. The researcher observed that the choice of family planning methods is under a lot of influences which often result in the use of inappropriate method. Surprisingly, the acceptability of many methods of modern contraceptive is still low in many societies in Nigeria. In this study the researcher intends to find out some of those factors that influence the choice of family planning methods among women of child bearing age. Materials and Methods: The research design adopted in this study is the descriptive research design of survey type. The target populations were the pregnant women attending antenatal clinic in the two teaching hospitals during the periods of this study. Two hundred (200) respondents were purposively selected during their weekly antenatal clinic days. This includes 140 respondents from Ladoke Akintola University Teaching Hospital and 60 respondents from Bowen University Teaching Hospital. A structured questionnaire which was validated by experts in the field of the study was administered to them by the researcher and some trained research assistants. The reliability index using Cronbach's alpha coefficient was found to be 0.85. Five research questions and five hypotheses were raised and tested. Descriptive statistics of frequency count and percentage were used to analyze the demographic data of the respondents while Chi square was used to test the hypothesis at 0.05 level of significance. Results: The study revealed a significant influence between the use of family planning methods and religion (X² = 151.2), health risk (X² = 139), partner's involvement (X² = 116.4), effectiveness (X² = 48.2) and cultural norms (X² = 145.3) when the critical value is 16.92. Conclusion: The study concluded that religion, health risk, partner's involvement, effectiveness and cultural norms have significant influence on the use of family planning methods among women of child bearing age in Ogbomoso North Local Government, Oyo State Nigeria.
Factors Affecting Uses of Different Family Planning Methods among Women from Different Social Levels at Minia University
2017
Family planning plays a pivotal role in population control and human development. Aim of this study was to assess the factors affecting acceptance and uses of family planning methods among women from different social levels at Minia University. Design was descriptive explanatory. Sample: purposive sample of 488 women in reproductive age from eight Minia University Faculties and hospitals. Tools: A structured interviewing questionnaire was used including, Part I: Personal and demographic data, part II: assessment acceptance level about family planning services, part III: assessment used Family planning methods, part IV: knowledge about other different family planning methods. Results: The majority of participants was Muslims; above half of participant received family planning methods from governmental units and (31.4%) deliver it from private clinics. Satisfaction of services provided by the Family Planning Clinics was insignificance. Participants who used Family planning methods had significantly lower age than those who do not and significantly higher educational level, there were no significant differences between participants who used Family planning methods and who did not use in obstetric history. , husband did not agree to use contraception was Significance. Conclusion: The acceptance of family planning influenced by many socio-cultural and demographic factors at levels of individual, family and society. Among these different factors, education is considered to exert an almost profound effect on family planning acceptance and fertility. Recommendations Facilitate women awareness in Family planning methods in an early marital age that can increase their use of these different methods.
UNMET NEED FOR FAMILY PLANNING: A CHALLENGE TO PUBLIC HEALTH
National Journal of Community Medicine, 2014
Introduction: Unmet need for family planning refers to gap between some women’s reproductive intention and their contraceptive behaviour. This poses a challenge to the family planning programme. Objectives: To find out the extent of unmet need, associated socio-demographic factors and possible reasons for unmet need among pregnant women. Methods: A descriptive cross-sectional study was conducted among 523 pregnant women attending antenatal clinic of Primary health center attached to a medical college in Bangalore for a period of 7 months using pretested semi-structured questionnaire by interview. Descriptive statistics was used for summarization of the data. Statistical association was determined using chi-square test. Results: In the present study the extent of unmet need among pregnant women was 122(23.3%), 99(19.0 %) for spacing the birth and 23(4.3%) for limiting the birth. Unmet need was significantly associated with socio-economic status, number of living children. The main reason for unmet need for family planning was opposition by family members (n=59, 48.3%). Conclusion: The study found that women cited a range of reasons that prevented them from using contraceptives. To address these issues needs various measures like imparting proper family planning education by conducting awareness programmes at the community level, removing misconceptions regarding family planning etc.
Factors Influencing the Uptake of Family Planning Among Women Aged 15 to 49 Years Old in the Sawaba Community in the Northern Region of Ghana
Zenodo (CERN European Organization for Nuclear Research), 2023
Background: Family planning (FP) has been classified by the World Health Organization (WHO) as one of the essential sexual health measures necessary to encourage safe childbearing by reducing maternal and newborn death (United Nations, 2014). Method: A cross-sectional study with a quantitative approach was used to carry out this research. This approach was used to measure both the outcome (uptake of family planning) and exposures (socio-demographic characteristics, knowledge, and attitude of women towards family planning) concurrently. Result: The result of the study showed that 88(34.1%) of the respondents were between the age of 31 to 35 years. The mean age of the respondents was 30.67 years with a standard deviation of 6.162 years. The results also showed that the majority of the respondents (98.1%) were aware of family planning. Also, 76.4% and 77.1% of the study participants had good knowledge and a good attitude toward family planning respectively. The uptake of family planning among the respondents was 78.7%. Conclusion: Study participants' age, marital status, ethnicity, number of children, and knowledge were associated with FP uptake among women of reproductive age. Recommendation: Family planning education should be based on isolated factors such as side effects, preference, and spousal opposition that influence contraceptive use among women of childbearing age.
Why people don’t use family planning: how different methods of enquiry elicit different responses
Journal of Family Planning and Reproductive Health Care, 2016
Background Engaging community, government and non-governmental organisation (NGO) stakeholders in the design of family planning (FP) programmes is best practice. Stakeholders can provide local insights on barriers to FP. However, it can be difficult to know whether there may be limited programme perceptions if only one method of enquiry is used. Aim This study aimed to validate the perceptions of stakeholders on barriers to FP in Malawi. Methods The study was conducted in a rural area in Lilongwe District, Malawi and employed a mixed-methods exploratory design. Five focus groups were run with community, government and NGO stakeholders to identify barriers to using modern FP. The results of the qualitative phase were then compared using a quantitative survey of 960 women who had at least one child aged under 5 years. Results The qualitative phase identified a range of barriers to FP, including lack of awareness, lack of access, religious beliefs, myths, and opposition by husbands. However, the quantitative survey found that these issues are not a concern for the majority of women. The main reasons given by women for not using FP were that were not currently having sex or had a child recently, and so they felt they did not need to use it. Conclusions Perceptions of stakeholders from a qualitative approach do not necessarily reflect the perspectives of the population as documented in a quantitative survey. When involving stakeholders it is important to recognise that different approaches may elicit different responses, particularly with regard to sensitive issues or issues that apply to particular subgroups. Consequently, a deeper understanding is likely to be obtained by using a multimethod approach.
Attitude and Behaviour of Married Males towards Family Planning Uptake of their Spouses in Ado-Ekiti, Nigeria
Objective-To determine the attitude and behaviour of married males towards family planning uptake of their spouses in Ado-Ekiti, Nigeria. Study design-This is a descriptive cross-sectional study design which utilized a semi-structured, self-administered, questionnaire. Participants-Four hundred and three voluntary participants who were married males, residing within Ajilosun area of Ado-Ekiti metropolis. Method-Across-sectional study was employed in this research to enable any desired data to be collected at one point in time using a semi-structured questionnaire administered to participants who also consented to the survey. Results – There were 403 returned and analyzable questionnaires out of 410 questionnaires administered. The modal age group was 41-50 years (35.0%). A total number of 23(5.7%) respondents only had primary education, 179(44.5%)secondary education, 161(39.9%)tertiary, while 40(9.9%)had no formal education. The majority of respondents, 202(50.1 %), desired to have 1-4 children, while 121(30.0%)opted for 5-8 children. Only a smaller fraction, 38(9.4%), depends on God for the size of their family. Although most of the respondents in the study, 265(65.5%), admitted that decisions on family planning practice should be jointly reached by both spouses, 198(49.1 %)reminded their wives to use contraceptives, but only 58(14.4%) attended family planning clinics with their wives. Conclusions – This study highlighted that a far greater number of respondents desired small sized family and also encouraged their wives to use their chosen contraceptives, but majority were not very willing to attend Family planning clinics with their spouses. Strategies to encourage married males to adequately key into family planning programmes should be devised.
Loading Preview
Sorry, preview is currently unavailable. You can download the paper by clicking the button above.