Prevalence and Knowledge of Family Planning among Women of Reproductive Age Group in Primary Healthcare Centers in Abuja, Nigeria
Abstract:
The contraceptive prevalence rate (CPR) is a
key indicator for measuring improvements in access to reproductive health. In Nigeria,
the average CPR remains low at 17%, with wide variability in the knowledge of family
planning (FP) methods across the states and communities. Thus, this study set out
to 1. Determine the Contraceptive prevalence rate among women of the reproductive
age groups (WRAGs) in Primary Healthcare Centers (PHCs) in Abuja. 2. Assess the
knowledge of family planning and its methods among WRAGs in PHCs in Abuja. This
is a descriptive cross-sectional study conducted among WRAG in two PHCs in Abuja.
A simple random method was used to select 400 WRAGs, and the information from participants
was captured with a pre-tested structured questionnaire. SPSS version 21.0 was used
for data analysis, the hypothesis was tested with chi-square, and the results were
significant at p-value < 0.05. The study analyzed 375 valid and complete questionnaires;
the mean age was 30 ± 6.29 years, and 90.7% of respondents had at-least secondary
school education. The CPR was 36%, and the most common FP methods were male condoms
(11.6%), injectable birth control (5.4%), female condoms (4.7%), and implants (4.0%).
About 66% of participants had good knowledge of FP methods, and this was associated
with increased uptake of contraceptives. The CPR found in this study is considerably
higher than the Nigeria national average. The finding aligns with the reported good
knowledge of family planning and high literacy level. Furthermore, good knowledge
of FP methods was significantly associated with increased contraceptive uptake.
References:
[1] Akgun S, Bakar C. Üreme. sağlığı epidemiyolojisi: Türkiye’de doğurganlık
ve aile planlaması. Turkish Journal of Obstetrics
and Gynecology. 2006; 3:9-18.
[2] Ahmed S, Li Q, Liu L, Tsui AO. Maternal deaths averted by contraceptive
use: An analysis of 172 countries. Lancet.
2012; 380:111-125. DOI: 10.1016/S0140-6736(12)60478-4. PMID: 22784531 A.
[3] Susheela S, Jacqueline D. Adding It Up: Costs and Benefits of Family
Planning Services. Guttmacher Institute: New York; 2012.
[4] Moazzam A, Armando S, Asma R, Mario F, Marleen T. A global research agenda
for family planning: Results of an exercise for the setting of research priorities.
Bulletin of the World Health Organization. 2014; 92:93-98. DOI: 10.2471/BLT.13.122242.
[5] Cleland J, Conde-Agudelo A, Peterson H, Tsui A. Contraception, and health.
Lancet. 2012; 380:149-156. DOI: 10.1016/S0140-6736(12)60609-6.
PMID: 22784533.
[6] Family Planning 2020. Washington, DC: Family Planning 2020; 2012. Available
at: http://www.familyplanning2020.org.
[7] Canning D, Schultz TP. The economic consequences of reproductive health
and family planning. Lancet. 2012;
380:165-171. DOI: 10.1016/S0140-6736(12)60827-7. PMID: 22784535.
[8] United Nations, Department of Economic and Social Affairs, and Population
Division. 2017b. World population/publications/pdf/family/WFP2017_Highlights.pdf.
[9] UNDESA. World Family Planning. United Nations. 2017;43. Available at:
https://www.un.org/en/development/desa/population/publications/pdf/family/WFP2017_Highlights.pdf
pmid:28327096.
[10]
Paschal
Awingura Apanga and Matthew Ayamba Adam Factors influencing the uptake of family planning services in the Talensi
District, Ghana. Pan Afr Med J. 2015 Jan 5;
20:10. doi: 10.11604/pamj.2015.20.10.5301.
eCollection 2015.
[11] Amadou Barrow. A Survey on Prevalence and Knowledge of Family Planning
among Women of Childbearing Age in the Provincial Settings of the Gambia: A Descriptive
Cross-Sectional Study. Hindawi Advances in
Preventive Medicine. 2020; 2020, Article
ID 8862290, 12 pages https://doi.org/10.1155/2020/886229.
[12] Geno Obwoya, Justin & Wulifan, Joseph & Kalolo, Albino. Factors
Influencing Contraceptives Use among Women in the Juba City of South Sudan. International Journal of Population Research.
2018. 1-7. 10.1155/2018/6381842.
[13] Cavallaro
FL, Benova L, Macleod D, Faye A, Lynch CA. Examining trends in family planning among
harder-to-reach women in Senegal 1992-2014. Sci
Rep. 2017 Jan 20; 7:41006. doi: 10.1038/srep41006. PMID: 28106100; PMCID: PMC5247687.
[14] National Population Commission. Nigerian Demographic and Health Survey
2018. Available at: https://nationalpopulation.gov.ng/ndhs-2018-key-finding.
[15] Muhammad AP. Family Planning 2020 Commitment. 2017. Available at: http://ec2-54-210-230-186.compute-1.amazonaws.com/wp-content/uploads/2016/10/Govt.-of-Nigeria
FP2020-Commitment-2012.pdf.
[16] Ogboghodo EO, Adam VY, Wagbatsoma VA. Prevalence and Determinants of
Contraceptive Use among Women of Child-Bearing Age in a Rural Community in Southern
Nigeria. Journal of Community Medicine and
Primary Health Care. 2017;29 (2).
[17] Akamike IC, Madubueze UC, Okedo-Alex IN, Anyigor CJ, Azuogu BN, Umeokonkwo
CD, & Mbachu CO. 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.
2020;5:14. https://doi.org/10.1186/s40834-020-00120-x.
[18] Adeyemi A, Olugbenga-Bello AI,
Adeoye O, Salawu M, Aderinoye A, Agbaje MA, et al. Contraceptive prevalence and
determinants among women of reproductive age group in Ogbomoso, Oyo State,
Nigeria. Open Access Journal of
Contraception. 2016;2016(7) pp33-41b. https://doi.org/10.2147/OAJC.S94826.
[19] Alege SG,
Matovu JK, Ssensalire S, Nabiwemba E. Knowledge, sources, and use of family planning
methods among women aged 15-49 years in Uganda: a cross-sectional study. Pan Afr Med J. 2016 May 10;24:39. doi: 10.11604/pamj.2016.24.39.5836.
PMID: 27583102; PMCID: PMC4992376.
[20] Birabwa C, Chemonges D, Tetui M, Baroudi M, Namatovu F, Akuze J. et al. Knowledge and Information Exposure About Family
Planning Among Women of Reproductive Age in Informal Settlements of Kira Municipality,
Wakiso District, Uganda. Front. Glob. Womens
Health, 25 May 2021. https://doi.org/10.3389/fgwh.2021.650538.
[21] Upadhayay A, Shah SK,
Thapa DK, T.S. S, Ghimire R, Dahal HR. Knowledge, Attitude and Practice of Family
Planning Method Among Married Women of Reproductive Age Group in Earth Quake Displaced
Population of Sindupalchok Disrtict, Nepal. American Journal of Public Health
Research, 2017;5(1), pp1-5.
doi: 10.12691/ajphr-5-1-1.
[22]
Lincoln J, Mohammadnezhad M, Khan S. Knowledge, Attitudes, and Practices of
Family Planning Among Women of Reproductive Age in Suva, Fiji in 2017. J Women’s Health Care. 2018; 7: 431. doi:10.4172/2167-0420.1000431.
[23] Azuogu B, Akamike I, Okedo-Alex I, Adeke A, Agu A, Akpa C. et al. Knowledge,
Attitude and Perceived Partner and Socio-cultural Support for Family Planning among
Women of Reproductive Age in a Rural Community in Ebonyi State, Nigeria. Journal of Epidemiological Society of Nigeria.
2020;3(2), 17 - 28. https://doi.org/10.46912/jeson.28.
[24] Anate BC, Balogun MR, Olubodun T, Adejimi AA. Knowledge and utilization
of family planning among rural postpartum women in Southwest Nigeria. J Family Med Prim Care. 2021; 10:730-7.
[25] Akinwale DO, Okafor AN, Akinbade OM, Ojo CI. Determinants of Modern Contraceptives
Utilization among Women of Reproductive Age in Rural Community, Osun State, Nigeria.
International Journal of Caring Sciences.
May-August 2020;13(2) Page 1173.
[26] Oluwole EO, Kuyinu YA, Goodman OO, Odugbemi BA, Akinyinka MR. Factors
Influencing the Uptake of Modern Family Planning Methods among Women of Reproductive
Age in A Rural Community in Lagos State. International Journal of Tropical Disease
& Health. 2015;11(3). pp1-11. https://doi.org/10.9734/IJTDH/2016/20373.
[27] Okech TC, Wawire NW, Mburu TK. Contraceptive use among women of reproductive
age in Kenya’s city slums. Int J Bus Soc Sci. 2011;2:22–43.
[28] World Health Organization. Unsafe
Abortion: Global and Regional Estimates of the Incidence of Unsafe Abortion and
Associated Mortality in 2004. WHO, Geneva: 2004.
[29] Akani C, Enyindah C, Babatunde S. Emergency contraception: knowledge
and perception of female undergraduates in the Niger Delta of Nigeria. Ghana
Med J. 2008;42:68–70.
[30] UN World Population
Prospects (2019 Revision) - United Nations population estimates
and projections; 2021 World Population Review Nigeria Population. 2021. Available
at: https://worldpopulationreview.com/countries/nigeria-population.
[31] Fadeyibi
O, Alade M, Adebayo S, Erinfolami T, Mustapha F, Yaradua S. Household Structure
and Contraceptive Use in Nigeria. Front Glob Womens Health. 2022;3:821178. doi:10.3389/fgwh.2022.821178.
[32] United Nations. World Contraceptive Use 2022. Available at: https://www.un.org/development/desa/pd/data/world-contraceptive-use.
[33] Afolabi
BM, Ezedinachi ENU, Arikpo I, Ogunwale A, Ganiyu DF, Abu RA, et al. Knowledge, non‑use,
use and source of information on contraceptive methods among women in various stages
of reproductive age in rural Lagos, Southwest Nigeria. Open Access J Contracept. 2015;6:65–75.
[34] Osaro BO,
Tobin‑West CI, Mezie‑Okoye MM. Knowledge of modern contraceptives and their use
among rural women of childbearing age in Rivers State Nigeria. Ann Trop Med Public Health. 2017;10:1043‑8.
[35] Durowade
KA, Omokanye LO, Elegbede OE, Adetokunbo S, Olomofe CO, Ajiboye AD, et al. Barriers
to contraceptive uptake among women of reproductive age in a semi‑urban community
of Ekiti State, Southwest Nigeria. Ethiop
J Health Sci. 2017;27:121‑8.
[36]
Usman S, Olabisi K,
Ibiwumi I, Oluwole O, Adewale O, Ayooluwa A. Family planning practices among rural
community women in Nigeria. Journal of Experimental
and Integrative Medicine. 2016;6. 88. 10.5455/jeim.120716.or.155.
[37]
Aninyei L, Onyesom
I, Ukuhor H, Uzuegbu UE, Ofili M, Anyanwu EB. Knowledge attitude to modern family
planning methods in Abraka communities, Delta State, Nigeria. East African journal of public health. 2008;5.
10-2. 10.4314/eajph.v5i1.38970.
[38] Akamike IC, Okedo-Alex IN, Madubueze
UC, Umeokonkwo CD. Does community mobilisation improve awareness, approval, and
uptake of family planning methods among women of reproductive age in Ebonyi State?
Experience from a quasi-experimental study. Pan
African Medical Journal. 2019; 33:17. doi:10.11604/pamj.2019.33.17.17401.
[39] National Population Commission
ICF. Nigeria Demographic and Health Survey. (2018). Abuja: Nigeria and
Rockville, Maryland.