Predictive factors to access and use of family planning services by rural and semi-urban dwellers in Afikpo North Local Government area, Ebonyi State, Nigeria

Emmanuel N Uhuo, Victor N Oguaka, Ikechukwu S Egba, Onyemaechi G Ugwu, Chidiebere E Ugwu, Maureen N Oji

Abstract

Pregnancy and childbirth are important periods when women of reproductive age frequently come in contact with healthcare facilities and providers. These periods afford them the privilege for discussion and decision on post-partum family planning with healthcare providers. Male partner consent has been shown to have a positive impact on access and uptake of modern contraception. This study was aimed at assessing the availability, uptake and male partner consent for post-partum family planning (PPFP) amongst rural and semi-urban dwellers in Afikpo North local government area of Ebonyi state, Nigeria.

The study conducted on 205 postpartum women, 40 health workers at the primary health centres (PHCs) and traditional birth attendants (TBAs) in Afikpo North LGA selected by a random sampling technique. Information was obtained via 3 categories of interviewer-administered questionnaire for the different categories of individuals involved in the study. Data analyses was done using SPSS version 21.0. The overall findings showed a high prevalence of grand multiparity (51.2%) and child-bearing at extremities of reproductive age (20.5%) despite generally good awareness of modern contraception (92.7%) and availability of family planning services and modern birth control methods in all the PHC facilities. Of note is that a good percentage of the women received antenatal care (38.1%) or had their last delivery at TBAs places (42.4%) despite the fact that only 60% of the TBAs are aware of modern family planning methods and none of them offer family planning services. The prevalence of modern contraceptive usage was 41.5% and the male partner consent was present in 72.9% of modern contraceptive users. Despite high level of awareness and availability of modern family planning services, the TBAs should be more sensitized in order improve the uptake of PPFP. (Afr J Reprod Health 2020; 24[4]: 132-137).

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References

WHO Family Planning/Contraception Fact sheet.

Updated July, 2017. http://www.who.int/mediacentre/factsheets

/fs351/en/. Accessed 26th December, 2017.

United Nations Trends in Contraception Worldwide

, UNDESA. http://www.un.org/en/development/desa/population/publications/pdf/family/trendsContraceptiveUse2015Report.pdf. Accessed 26th December, 2017.

Cleland J, Conde-Agudelo A, Peterson H, Ross J and

Tsui A. Contraception and health. Lancet 2012. 380(9837): 149-156.

DaVanzo J, Hale L, Razzaque A and Rahman M. Effects

of Interpregnancy interval and outcome of the preceding pregnancy on pregnancy outcomes in Matlab, Bangladesh. Br J Obstet Gynecol. 2007; 114(9): 1079–1087.

Rutstein SO. Further evidence of the effects of

preceding birth intervals on neonatal, infant, and under-five years mortality and nutritional status in developing countries: evidence from the Demographic and Health Surveys. Int J Gynaecol Obstet. 2005; 89 Suppl 1: S7-24.

Royal College of Obstetricians and Gynaecologists. Best

practice in postpartum family planning. Best Practice Paper No. 1, June 2015. https://www.rcog.org.uk/globalassets/documents/guidelines/best-practice-papers/best-practice-paper-1---postpartum-family-planning.pdf.

Gaffield M.E, Egan S and Temmerman M. It’s about

time: WHO and partners release programming strategies for postpartum family planning. Glob Health Sci Pract Advance. 2014; https://www.healthynewbornnetwork.org/hnn-content/uploads/Glob-Health-Sci-Pract-2014-Gaffield-GHSP-D-13-00156.pdf.

Onokerhoraye AG and Dudu JE. Knowledge and

Practice of Family Planning by Women of Childbearing Age in Delta State, Nigeria. Intern J Humanities Social Sci Invention. 2016; 5(8): 66-75.

Ekpenyong MS, Nzute AI, Odejimi O and Abdullahi

AD. Factors influencing utilisation of family planning services among female of reproductive age (15-45) in Bauci Local Government Area, Bauchi State. Nurs Palliat Care. 2018; 3(2):1-6.

Yesget MY, Gebremeskel F, Estifanous W, Gizachew

Y, Jemal S, Atnafu N and Nuriye K. utilization of family planning methods and associated factors among reproductive age women with disability in Arba Minch Town, Southern Ethiopia. Open Access J Contracep. 2020;11:25-32.

Obwoya JG, Wulifan JK and Kalolo A. factors

influencing contraception use among women in Juba city of South Sudan. Int J Population Res. Article ID6381842. Doi.org/10.1155/2018/6381842.

Adane AA, Bekele YA, Melese E, Worku GT and

Netsere HB. Modern contraceptive utilization and associated factors among married Gumaz women in Metekel Zone North West Ethiopia. Biomed Res Int. 2018; article ID 8010327. Doi.org/10.1155/2020/8010327.

Jacobsson B, Ladfors L and Milsom I. Advanced

maternal age and adverse perinatal outcome. Obstet Gynecol. 2004; 104(4): 727-33.

KhaliL A, Syngelaki A, Maiz N, Zinevich Y and

Nicholaides KH. Maternal age and adverse pregnancy outcome: a cohort study. Ultrasound Obstet Gynecol. 2013; 42(6): 634-643.

Fayed AA, Wahabi H, Mamdouh H, Kotb R and

Esmaeil S. Demographic profile and pregnancy outcomes of adolescents and older mothers in Saudi Arabia: analysis from Riyadh Mother (RAHMA) and Baby cohort study. BMJ Open. 2017; 7(9): e016501.

Al JFE. Grandmultiparity a potential risk factor for

adverse pregnancy outcomes. J Reprod Med. 2012; 57(1-2): 53-57.

Azubuike IJ, Ibrahim IA and Israel J. Grandmultiparity:

incidence, consequences and outcome in the Niger delta of Nigeria. Open Journal of Obstetrics and Gynecology. 2013; 3(7): 509-513.

Eze JN, Okaro JM and Okafor MH. Outcome of

pregnancy in the grandmultipara in Enugu, Nigeria. Tropic J Obstet Gynaecol. 2006; 23, 8- 11.

Gharoro EP and Igbafe AA. Grandmultiparity:

Emerging trend in a tropical community. Tropic J Obstet Gynaecol. 2001;18, 27-30.

Akilo A, Bisiriya A and Esimai O. Maternal healthcare

use and postpartum contraception in Nigeria. Available at https://iussp.org/sites/default/files/event_call_for_papers/IUSSP-%20NigeriaFellowsWorkingPaperRevised_0.pdf. Accessed March 13th, 2018.

Ajah LO, Dim CC, Ezegwui HU, Iyoke CA and Ugwu

EO. Male partner involvement in female contraceptive choices in Nigeria. J Obstet Gynaecol. 2015; 35(6): 628-631.

Ezeanolue EE, Iwelunmor J, Asaolu I, Obiefune MC,

Ezeanolue CO, Osuji A, Ogidi AG, Hunt AT, Patel D, Yang W and Ehiri JE. Impact of male partner’s awareness and support for contraceptives on female intent to use contraceptives in southeast Nigeria. BMC Public Health. 2015; 15: 879.

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