Knowledge, Practice and Perception of Contraception by Literate Adolescents in Calabar, Nigeria (Published)
The current prevalence rate for contraceptive use in Nigeria is approximately 11%–13%. This rate is very low in view of the fact that sexual activity is high and there is also widespread awareness of the various contraceptive methods among Nigerian adolescents and youths. There is sufficient research evidence identifying the various factors that contribute to the low prevalence of modern contraceptive use in Nigeria, with the most common factors being religious adherence and myths about the side effects of modern contraceptives. This survey aims to ascertain the knowledge, practice and perception of contraception among literate adolescents in Calabar. This was a self-administered questionnaire -based study carried out in Calabar metropolis. The information was obtained at three different higher institutions in Calabar. Information collected include age, knowledge and use of contraceptives, source of information, and awareness of other methods of contraception and myths about contraception. A total of 1,596 female adolescents were recruited into this study. Their age range was 16 to 19years, with a mean age of 17.6years. The respondents have all attained basic secondary education and were all currently pursuing tertiary education and have all had sexual intercourse and have heard about contraception or family planning. Of this number, 968(60.7%) have used Emergency contraceptive pills, 26.6% used male condom, 6.1% use CopperT (CuT), 1.9% use injectables, 1.1% use implants while 3.6% have not used any method. They all however had one form of concern or the other about modern contraceptive methods. Adolescents and youths are undoubtedly the bedrock to propagate any programme irrespective of the field. Adolescents are therefore in dire need of information on reproductive health issues not only on contraception but also on other issues concerning their reproductive health. They should be assisted and given unhindered access to various methods of contraception to prevent unwanted pregnancies and unsafe abortion.
The study investigated the level of trauma experienced by Nigeria children and adolescents. It also examined the challenges being faced by the teaming population of youths that have been traumatized. The study identified the various traumatic situations prevailing in Nigeria. Also, it examined the availability and responsiveness of these youths to available Counselling and adequacy of Counselling. The traumatic experience of youths seems to be accountable for most of the insurgency, terrorism and restiveness pervading entire Nigeria. This is because there are occurrences such as kidnapping examination malpractices child trafficking bomb explosion, political offences, economic fraud, religious crisis, ritual killings, abduction drunkenness, armed robbery and so on. All these seem to have defiled all weapons of sanitation in Nigeria. Descriptive research design of the survey type was used for the study after consulting the entire Nigeria population. Based on the above discovery Nigeria government should consult the genealogy of harmful traumatic occurrences affecting the youths in Nigeria to be able to nip it in the bud. Curriculum planners should identify incorporate trauma provoking situations into the school curriculum to be taught. Counsellors and care givers should be trained on how to reduce and counsel traumatized youths. Trauma centres to provide hospice services should be established by State and Federal Government. The study could be of benefit to school children parents teachers examination bodies counsellors, curriculum planners, religious leaders, school administrators and law enforcement agents. They would learn, teach, counsel and ameliorate traumatic and trauma provoking situations.