Awareness, Acceptance and Utilization of Family Planning Services Among Women of Reproductive Age in Benin City Nigeria

International Journal of Nursing and Health Science

© 2023 by SSRG - IJNHS Journal

Volume 9 Issue 2

Year of Publication : 2023

Authors : Osunde Rosemary Ngozi, Chukwuka Lucy O, Oderinde Mary Osalumese, Atsikidi Gloria Airemiogho, Ona Patience

10.14445/24547484/IJNHS-V9I2P103

How to Cite?

Osunde Rosemary Ngozi, Chukwuka Lucy O, Oderinde Mary Osalumese, Atsikidi Gloria Airemiogho, Ona Patience, "Awareness, Acceptance and Utilization of Family Planning Services Among Women of Reproductive Age in Benin City Nigeria," SSRG International Journal of Nursing and Health Science, vol. 9,  no. 2, pp. 26-33, 2023. Crossref, https://doi.org/10.14445/24547484/IJNHS-V9I2P103

Abstract:

Background: With the high rate of maternal death recorded each year, the use of family planning services may be able to assist in reversing the trend. This study looked at women of reproductive age at the University of Benin Teaching Hospital in Benin City, Nigeria, to see how they perceived, accepted, and used family planning methods.
Materials and method: This cross-sectional descriptive study with a sample size of 287 uses a structured questionnaire as the data collection tool. Cronbach alpha reliability provided a coefficient of 0.775, considered significant for the investigation. The data was analyzed using SPSS version 22, and hypotheses were tested using the Person Chi-square test at a significance level of 0.05%.
Results: This present data found that the respondents' mean SD age was 32.61 6.425, that the majority are educated, with 127 (45.4%) having higher education, and that 276 (98.6%) have heard about family planning and are aware of various methods. Health workers are an important source of information about family planning and its methods, accounting for 188 (68.1%). Only 218 people (77.9%) had ever tried any form of family planning. The failure rate of contraception was 12 (5.5%), whereas the discontinuation rate was 200 (91.7%). Now, 192 (68.6%) were using family planning, while (68.2%) of those who are not using contraception intended to utilize one of the methods in the near future. Economic status was connected with family planning utilization (P = 0.009). The desire for additional children 22(35.5%), fear about side effects 12(19.4%), husband disapproval 10(16.1%), financial restrictions 4(6.5%), and religious belief 14(22.5%) are all barriers to acceptance.
Conclusion: Although respondents are aware of family planning methods, acceptance is relatively low due to a desire for additional children, fear of side effects, husband disapproval, financial constraints, and religious beliefs, all of which must be considered to have a successful implementation of family planning in Nigeria.

Keywords:

Awareness, Acceptance, Utilization, Family Planning Methods.

References:

[1] World Health Organization, Family Planning/Contraception Methods, 2020. [Online]. Available: https://www.who.int/news-room/factsheets/detail/family-planning-contraception
[2] The Partnership for Maternal Newborn and Child Health, 2019. [Online]. Available: https://www.healthynewbornnetwork.org/partner/partnership-maternal-newborn-child-health-pmnch/
[3] United Nations, Family Planning and the 2030 Agenda for Sustainable Development, Data Booklet, 2021. [Online]. Available: https://www.un.org/en/development/desa/population/publications/pdf/family/familyPlanning_DataBooklet_2019.pdf
[4] United Nations Population Fund, Family planning, 2019. [Online]. Available: https://www.unfpa.org/family-planning
[5] Family Planning: A Global Handbook for Providers, World Health Organization, 2018. [Online]. Available: https://apps.who.int/iris/bitstream/handle/10665/260156/9780999203705-eng.pdf?sequence=1
[6] World Health Organization Department of Reproductive Health and Research (WHO/RHR) Public Health Center for Communication Programs, Knowledge for Health Project, 2018. [Online]. Available: https://apps.who.int/iris/bitstream/handle/10665/260156/9780999203705-eng.pdf?sequence=1
[7] Funke Fayehun, “Contraceptive Use in Nigeria is Incredibly Low, a Lack of Knowledge May Be Why,” The Conversation Newsletter, 2017.
[Google Scholar] [Publisher Link]
[8] National Population Commission, Nigeria and ICF, Nigeria Demographic and Health Survey 2018, Abuja and Rockville, 2019. [Online]. Available: https://www.dhsprogram.com/pubs/pdf/FR359/FR359.pdf
[9] Taro Yamane, Statistics An Introductory Analysis, 2nd Edition, New York, Harper and Row, 1967.
[Publisher Link]
[10] Innocent Alenoghena, Sunday Yerumoh, and A. M. Momoh, “Knowledge, Attitude and Uptake of Family Planning Services Among Women of Reproductive Age Group Attending Outpatient Clinic at a Tertiary Health Institution in Edo State, Nigeria,” Journal of Public Health and Epidemiology, vol. 11, no. 3, pp. 63-70, 2019.
[CrossRef] [Google Scholar] [Publisher Link]
[11] E.O. Ogboghodo, V.Y. Adam, and V.A. Wagbatsoma, “Prevalance and Determinats of Contraceptive Use Among Women of Child-Bearing Age in a Rural Community in Southern Nigeria,” Journal of Community Medicine and Primary Health Care, vol. 29, no. 2, pp. 99-107, 2016.
[Google Scholar] [Publisher Link]
[12] Adewale Olufemi Ashimi et al., “Awareness, Practice and Utilization of Family Planning by Pregnant Women Attending a Teriary Hospital in a Semi-Rural Community Of North-West Nigeria,” Journal of Basic and Clinical Reproductive Sciences, vol. 5, no. 1, 2016.
[Google Scholar] [Publisher Link]
[13] Mengesha Ngusu et al., “Knowledge, Attitude and Practice of Family Planning Methods Among Labouring Mothers in Adama Hospital, Oromia Region, Ethiopa,” Journal Women’s Health Issues Care, vol. 4, no. 3, 2015.
[CrossRef] [Google Scholar] [Publisher Link]
[14] Deliverance Brotobor et al., “Knowledge and Attitudes towards Family Planning Acceptance among Women,” SSRG International Journal of Nursing and Health Science, vol. 7, no. 2, pp. 20-24, 2021.
[CrossRef] [Publisher Link]
[15] Dibya Sharma, and Ramchandra Kafle, “An Exploratory Study on Knowledge and Practice Regarding Family Planning and Immunization Among Women Attending MCH Clinic,” International Journal of Scientific Reports, vol. 3, no. 6, pp. 156-165, 2017.
[CrossRef] [Google Scholar] [Publisher Link]
[16] Ejiro Carol Iwuoha, Evangeline T. Oparaocha, and Hulda Ijeoma Nwokeukwu, “Contraceptive-Seeking Behaviour of Women Attending Antenatal Care in a Developing Country: A Veritable Tool for Slowing Population Growth,” Journal of Basic and Clinical Reproductive Sciences, vol. 5, no. 2, pp. 88-89, 2016.
[Google Scholar] [Publisher Link]
[17] Ikeanyi Eugene, Jeremiah Israel, and Ekine Atombosoba, “An Appraisal of Awareness and Practice of Modern Contraception among Antenatal Clinic Attendee in Southern Nigeria,” British Journal of Medicine and Medical Research, vol. 15, no. 5, pp. 1-13, 2016.
[CrossRef] [Google Scholar] [Publisher Link]
[18] Egenti N. B et al., “Knowledge and Utilization of Family Planning Methods by Women in Diobi Community Gwagwalada Abuja,” European Journal of Pharmaceutical and Medical Research, vol. 6, no. 1, pp. 159-166, 2019.
[Google Scholar] [Publisher Link]
[19] Eyitope Oluseyi Amu, Olugbenga Olusola Odu, and Oluremi Olayinka Solomon, “Family Planning Utilization Pattern in Ekiti State University Teaching Hospital, Ado-Ekiti, Nigeria: a Six-Year Review,” SSRG International Journal of Medical Science, vol. 4, no. 5, pp. 4-9, 2017.
[CrossRef] [Google Scholar] [Publisher Link]
[20] Ruth Ketty Kisuza et al., “Prevalence of Discontinuation of Contraceptive Due to Failure among Women Aged 14 To 49 Years in Uganda: A Nationwide Cross-Sectional Survey,” Contraception and Reproductive Medicine, vol. 8, no. 12, 2023.
[CrossRef] [Google Scholar] [Publisher Link]
[21] Ayaga A. Bawah et al., “Contraceptive Method Use, Discontinuation and Failure Rates among Women Aged 15-49 Years: Evidence from Selected Low-Income Settings in Kumasi, Ghana,” Contraceptive Reproductive Medicine, vol. 6, no. 9, 2021.
[CrossRef] [Google Scholar] [Publisher Link]
[22] Maria Paz Marquez, Maria Midea Kabamalan, and Elma Laguna, “Traditional and Modern Contraceptive Method Use in the Philippines: Trends and Determinants 2003-2013,” Studies in family planning, vol. 49, no. 2, pp. 95-113, 2018.
[CrossRef] [Google Scholar] [Publisher Link]
[23] Mario Philip R. Festin et al., “Moving Towards the Goals of FP2020-Classifying Contraceptives,” Contraception, vol. 94, no. 4, pp. 289-294, 2016.
[CrossRef] [Google Scholar] [Publisher Link]
[24] Richard Muhindo et al., “Predictors of Contraceptive Adherence among Women Seeking Family Services at Reproductive Health Uganda Mityana Branch,” International Journal of Population Research, pp. 1-8, 2015.
[CrossRef] [Google Scholar] [Publisher Link]
[25] Amrita Namasivayam et al., “Understanding the Contextural and Cultural Influences on Women’s Modern Contraceptive Use in East Uganda: A Qualitative Study,” Plos Global Public Health, vol. 10, no. 2, 2022.
[CrossRef] [Google Scholar] [Publisher Link]
[26] Tope Olubodun, Mobolanle Rasheedat Balogun, and Esther A Ogunsilu, “Awareness and Practice of Family Planning Among Women Residing in Two Rural Communities in Ogun State, Southwest Nigeria,” Annals of African Medicine, vol. 19, no. 4, pp. 246-251, 2020.
[CrossRef] [Google Scholar] [Publisher Link]
[27] Shimelis Teshome et al., “The Rate of Intrauterine Contraceptive Device Use and Associated Factors among Married Women of Reproductive Age in Metu Rural Community, Southwest Ethiopia,” Journal of Primary Care Community Health, vol. 11, 2020.
[CrossRef] [Google Scholar] [Publisher Link]