Contraceptive use and determinants of knowledge of family planning among mothers attending antenatal clinic at a Health Facility in Rivers State, Nigeria.
DOI:
https://doi.org/10.60787/tnhj.v24i2.810Keywords:
Family planning, contraception, knowledge, determinants, Rivers state, NigeriaAbstract
Background: Family planning is a cost-effective public health practice that safeguards women against high-risk pregnancies, unintended pregnancies, unsafe abortions, and sexually transmitted diseases, including HIV/AIDS using a variety of techniques. The study aimed to identify family planning knowledge and its determinants among mothers attending antenatal clinics at a health facility in Rivers State, Nigeria.
Methods: A prospective cross-sectional observational study of 284 mothers who attended antenatal clinics at a Model Primary HealthCare Centre was conducted for three months. Data was collected using semi-structured, interviewer-administered questionnaires, and IBM SPSS version 25 was used for data analysis. The Pearson Chi-square test was used for associations. Binary logistic regression was used for the determinants of maternal knowledge. A p-value ˂ 0.05 at a 95% confidence interval was considered statistically significant.
Results: 178 (62.7%) mothers were between the ages of 21 and 30 years, with a mean age of 26.8 ± 4.6 years. 209 (73.6%) mothers agreed that family planning was beneficial. 37 (13.0%) mothers had poor knowledge, 69 (24.3%) had fair knowledge, and 178 (62.7%) had good knowledge of family planning. The injectables (214, 49.1%) were the frequently mentioned family planning method. Age, marital status, educational status, occupation, and antenatal clinic attendance were significantly associated with the level of family planning knowledge. However, only marital status and antenatal clinic attendance were determinants of maternal knowledge of family planning.
Conclusion: Many of the mothers had good knowledge of family planning. Marital status and antenatal clinic attendance were determinants of maternal knowledge of family planning.
References
United Nations Department of Economic and Social Affairs. The world population is projected to reach 9.8 billion in 2050, and 11.2 billion in 2100. Accessed 21 Dec 2022. Available:https://www.un.org/eng/desa/world-population-projected-reach-98-billi on-2050-and-112-billion-2100/ 2017.
World Health Organization. WHO recommendations on self-care interventions: self-administration of injectable contraception (No. WHO/ SRH/20.9). Accessed 21 Dec 2022. Available: https://apps.who.int/iris/bitstream/handle/10665/332332/ WHO-SRH-20.9-eng.pdf. 2020.
Idowu OA, Ukoji VU, Gambo Z. Empirical investigation of non-utilisation and implications of family planning among married women of Dala LGA, Kano State, Nigeria Jalingo. J Soc Manag Sci. 2021;3(4):99–110.
Benson P, Appiah R, Adomah-Afari A. Modern contraceptive use among reproductive-aged women in Ghana: prevalence, predictors, and policy implications. BMC Women’s Health. 2018;18(1):1–8.
Darroch JE, Sully E, Biddlecom A. Adding it up: investing in contraception and maternal and newborn health, 2017—supplementary tables. New York: The Guttmacher Institute. 2017.
Wang C, Cao H. Persisting regional disparities in modern contraceptive use and unmet need for contraception among Nigerian women. BioMed Research International. 2019. Article ID 9103928. https://doi. org/10.1155/2019/9103928
Sinai I, Omoluabi E, Jimoh A, Jurczynska K. Unmet need for family planning and barriers to contraceptive use in Kaduna, Nigeria: culture, myths, and perceptions. Cult Health Sex. 2020;22(11):1253–1268. https://doi.org/ 10.1080/13691058.2019.1672894
Adde KS, Ameyaw EK, Mottey BE, Akpeke M, Amoah RM, Sulemana N, Dickson KS. Health decision-making capacity and modern contraceptive utilization among sexually active women: evidence from the 2014–2015 Chad Demographic and Health Survey. Open Access J Contracept. 2022; 7:21. https://doi.org/10.1186/s40834-022-00188-7
Ajuwon A, Denloye O, Adisa A, Olapade-Olaopa E. Nigeria’s health security: a situation analysis, forecasts, and suggested interventions. Afr J Med Med Sci. 2019; 48 (Supplement 1):13–21.
National Population Commission and ICF International. Nigeria demographic and health survey 2018. NPC and ICF International, Abuja, Nigeria. 2019.
Afulani PA, Altman M, Musana J, Sudhinaraset M. Conceptualising pathways linking women’s empowerment and prematurity in developing countries. BMC Pregnancy Childbirth. 2017;17(Supplement 2):338. https://doi.org/10.1186/s12884-017-1502-6
Guttmacher Institute. Adding it up: Investing in contraception and maternal and newborn health 2017 Factsheet. https://www.guttmacher.org/ sites/default/fles/factsheet/adding-it-up-contraception-mnh-2017.pdf. 2017. Accessed 17 Dec 2022.
Oleribe OO, Taylor-Robinson SD. Before Sustainable Development Goals (SDG): Why Nigeria failed to achieve the Millennium Development Goals (MDGs). Pan Afr Med J. 2016; 24:156. https://doi.org/10.11604/pamj
Wulifan JK, Mazalale J, Kambala C, Angko W, Asante J, Kpinpuo S, Kalolo A. Prevalence and determinants of unmet need for family planning among married women in Ghana: a multinomial logistic regression analysis of the GDHS, 2014. Open Access J Contracept. 2019;4(1):1–4.
Tegegne TK, Chojenta C, Forder PM, Getachew T, Smith R, Loxton D. Spatial variations and associated factors of modern contraceptive use in Ethiopia: a spatial and multilevel analysis. BMJ Open. 2020;10(10): e037532. https://doi.org/10.1136/bmjopen-2020-037532
Oluwasanu MM, John-Akinola YO, Desmennu AT, Oladunni O, Adebowale AS. Access to information on family planning and use of modern contraceptives among married Igbo Women in Southeast, Nigeria. Int Q Community Health Educ. 2019;39(4):233–43. https://doi.org/10.1177/ 0272684X18821300
Adefalu AA, Ladipo OA, Akinyemi OO, Popoola OA, Latunji OO, Iyanda OF. Awareness and opinions regarding contraception by women of reproductive age in North-West Nigeria. Pan Afr Med J. 2018;30(65). https://doi. org/10.11604/pamj.2018.30.65.12975
Ashimi AO, Amole T, Ugwa EA, Ohonsi AO. Awareness, practice, and predictors of family planning by pregnant women attending a tertiary hospital in a semi-rural community of North-west Nigeria. Journal of Basic and Clinical Reproductive Sciences. 2016;5(1): 6-11.
Adeyemi AS, Olugbenga-Bello AI, Adeoye OA, Salawu MO, Aderinoye AA, Agbaje MA. Contraceptive prevalence and determinants among women of reproductive age group in Ogbomoso Oyo state Nigeria. Open Access J Contracept. 2016; 29(7): 33-41.
Rivers State Government (RVSG). Demographic Profile of Rivers State. Ministry of Information. Port-Harcourt, Nigeria. 2022.
Kirkwood BR, Sterne JAC. Essential medical statistics. John Wiley and Sons. 2010 Sep 16.
Olamijulo JA, Olorunfemi G. Knowledge and practice of contraception among pregnant women attending the antenatal clinic in Lagos University Teaching Hospital. Niger J Med. 2012; 21(4):387-93.
Uskun, E., Uskun, S., & Uysalgenc,Y.M. Effectiveness of a training intervention on immunization to increase knowledge of primary health care workers. Journal of the Royal Institute of Public Health. 2008; 122:949-958.
Ajiboye A, Adesina KT, Abdul IF, Ezeoke GG. Patterns of contraceptive usage at family planning clinics in Ilorin, Nigeria. Bangladesh Med J. 2015; 44(3):140-5.
Karima AT, Singh S, Panti A, Nwobodo E, Hassan M, Bello S, et al. Overview of contraceptive use in Usman Danfodiyo University Teaching Hospital, Sokoto, north western Nigeria. J Clin Diagnostic Resea. 2019;13(6):1-6.
Ogbe AE, Ayeni HAD, Ononuju C, Oyeniran OF. Modern contraceptive preferences among women accessing family planning services at a specialist hospital in north central Nigeria. J Med. 2014;8 (2):01-6.
Duru C, Ifeadike CO, Nnebue CC, Ubajaka C, Onyeonoro U, Ajaegbu O. Contraceptive knowledge and practice among female teachers of reproductive age in Nnewi Anambra State. Afrimedic J. 2011; 2: 21-7.
Adeyinka AR, Oladipupo A, Omisore AO. Knowledge and practice of contraception among women of reproductive ages in South west Nigeria. The International Journal of Engineering and Science (IJES). 2012;1(2): 70- 76.
Nonye Enyidah EI, Enyidah NS, Eshemogie C. Pattern of contraceptive use at a family planning clinic in Southern Nigeria. Int J Res Med Sci. 2020; 8:2082-7.
Omolase CO, Faturoti SO, Omolase BO. Awareness of family planning amongst antenatal patients in a nigerian community: an exploratory study. Ann Ib Postgrad Med. 2009;7(1): 36-9.
Envuladu EA, Agbo HA, Mohammed A, Chia L, Kigbu JH, Zoakah AI. Utilization of modern contraceptives among female traders in Jos South LGA of Plateau state, Nigeria. Int J Med Biomed Res. 2012;1: 224-31.
Umoh AV, Abah MG. Contraception awareness and practice among antenatal attendees in Uyo, Nigeria. Pan African Medical Journal. 2011;10: 53.
Mohammed-Durosinlorun A, Idris ZM, Adze J, Bature S, Mohammed C, Taingson M, et al. Arch med Surg. A quantitative survey on potential barriers to the use of modern contraception among married women of high parity attending an antenatal clinic in Kaduna, Northern Nigeria. Archives of Medicine and Surgery. 2016;1(2): 30-4. maculopathy: the Blue Mountains Eye Study. Ophthalmology 2007; 114: 92-98.
Published
How to Cite
Issue
Section
License
Copyright (c) 2024 Journal and Publisher
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
The Journal is owned, published and copyrighted by the Nigerian Medical Association, River state Branch. The copyright of papers published are vested in the journal and the publisher. In line with our open access policy and the Creative Commons Attribution License policy authors are allowed to share their work with an acknowledgement of the work's authorship and initial publication in this journal.
This is an open access journal which means that all content is freely available without charge to the user or his/her institution. Users are allowed to read, download, copy, distribute, print, search, or link to the full texts of the articles in this journal without asking prior permission from the publisher or the author.
The use of general descriptive names, trade names, trademarks, and so forth in this publication, even if not specifically identified, does not imply that these names are not protected by the relevant laws and regulations. While the advice and information in this journal are believed to be true and accurate on the date of its going to press, neither the authors, the editors, nor the publisher can accept any legal responsibility for any errors or omissions that may be made. The publisher makes no warranty, express or implied, with respect to the material contained herein.
TNHJ also supports open access archiving of articles published in the journal after three months of publication. Authors are permitted and encouraged to post their work online (e.g, in institutional repositories or on their website) within the stated period, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access). All requests for permission for open access archiving outside this period should be sent to the editor via email to editor@tnhjph.com.
