Pattern of Utilisation of Family Planning Services Among Women of Reproductive Age Attending Comprehensive Health Centre, Oba-Ile, Akure, Ondo State Nigeria (Published)
Family planning (FP) allows individuals and couples to anticipate and attain their desired number of children and the spacing and timing of their births. It is achieved through use of contraceptive methods and the treatment of involuntary infertility. A woman’s ability to space and limit her pregnancies has a direct impact on her health and well-being as well as on the outcome of each pregnancy; thereby, promoting the health and welfare of family groups and effectively contributing to the social development of a country. The study was conducted to determine the pattern of utilization of family planning services among women of reproductive age attending the Comprehensive Health Centre, Oba-Ile, Akure, Nigeria. A sequential mixed method explanatory research approach was adopted for the study, with an initial retrospective quantitative data collection from clients’ records for the 5-year period (2016-2020); followed by a qualitative data collection using in-depth interview of key informants to provide further explanation on the key findings from the quantitative phase. The findings revealed that of the randomly selected 317 records, majority 147(46.4%) of the women were aged 21-30 years and the mean age was 30.48years; 302 (95%) of them were married; and they all had formal education; although, only 43(13.56%) had tertiary education. Over two-thirds of them 253 (79.8%) were employed; while, 30(9.46%) were students and 34(10.72%) were either unemployed or full housewife. Those with Parity 1-3 were 212(66.9%), and only 4 (1.3%) had 7-10 children; while, the mean parity was 3. The total number of women utilizing family planning services in the facility annually, increased from 132 in 2016 to 713 in 2020. The sample did not reveal any quarterly pattern of utilization of the services by the women. The study also showed that majority (37.9%) of the women used the Jadelle method of family planning, followed by Implanon (30.9%); and majority of the clients did not change their choices (57.1%). The qualitative data revealed the need for sustained presence of family planning providers and continued support from development partners; as the drop in 2017 was reportedly due to lack of a provider, while the consistently improved attendance thereafter was attributed to the collaboration with development partners.
Keywords: Family Planning, Pattern, Reproductive Age, Utilization, Women, comprehensive health centre
Modern Contraceptive Methods Utilization Status and Associated Determinants among Women within Reproductive Age Group in Dire Dawa Administration, Focusing On Hormonal Contraceptive Method (Published)
The study was intended to asses Utilization status of Reversible Modern Contraceptive Methods and associated Determinants among Women within Reproductive Age Category in Dire Dawa Administration held from the year 2015 to the year 2017; further, deals with hormonal contraceptive methods and investigate its influencing determinants related with both ever used and being used by the parent population. Multi-stage stratified simple random sampling methods were considered to draw a well representative sample of Modern Contraceptive Methods (MCM) user women in Dire Dawa Administration. Thus, the target population was subdivided into two broad strata: stratum1r (MCM user women in Rural Dire Dawa Administration) which further subdivided into five randomly selected kebeles or strata andStratum2u (MCM user women in Urban Dire Dawa Administration) which also subdivided into five randomly selected kebeles or strata and these two strata comprise the target beneficiaries. The data were analyzed by:-Descriptive statistics, Bi-variate & binary logistic regression model. Thus, firstly, from the descriptive statistics result the most widely utilized and the most widely discontinued Modern Contraceptive Methods by the respondent women were implant and Inject able contraceptive methods respectively. Secondly, from the results of the classical binary logistic regression analysis, the predictor variables that are identified to have a significant impact on utilization status of MCM for rural respondent women are :age, educational level, family size, interest to use, distance and cultural barrier at the 5% level of significance Thirdly, the seven significant determinants of MCM utilization status of respondent women in urban are: age, marital status, family size, number of children, confidence, comfort ability and training and counseling at the 5% level of significance. Firstly, Based on the results we conclude that, most of the respondent women discontinue modern contraceptive methods utilization due to the side effects of hormonal contraceptive methods i.e.,. 55.7% in rural and 56.9% in urban of the study area. Secondly, age, education, family size, interest to use, distance, and cultural barrier are among the factors which have a relationship with the use of modern contraceptive methods in rural Dire Dawa Administration. Whereas; confidence, comfort ability, training and counseling, age, marital status, family size, and number of children are among the factors which have relationship with the use of modern contraceptive methods in urban Dire Dawa Administration.
Keywords: LIIP, Reproductive Age, and binary logistic regression model., hormonal contraceptive methods, modern contraceptive methods, short term and long term acting family planning methods