Quarter of a Century of Female Sterilization in Jos, Central Nigeria

Josiah T Mutihir, DD Nyango

Abstract

The study was to assess the types and trend of female sterilization between January 1985 and December 2009 (25 years) in Jos, Central Nigeria. There were 25,313 new acceptors of modern contraceptive methods out of which 4,951 (19.6%) were female sterilizations. Minilaparotomy was the commonest method of female sterilization. Local anaesthesia was the commonest anaesthetic utilized. The women were mostly women of relatively older age, grandmultiparous and with large family size. The women were of mean of 38.4 years, and 60% had more than 5 children at the time of sterilization. Interval sterilization constituted 78.5% of the female sterilizations. The acceptance of female sterilization, however, has declined over the years, as acceptance of the long acting contraceptive implants increases. Female sterilization by minilaparotomy under local anaesthesia was found to be feasible, cost effective and acceptable by majority of clients, and recommended for integration into minor gynaecological procedures in our institutions (Afr J Reprod Health 2011; 15[1]: 101-106).

 

Résumé

 

Quart de siècle de la stérilisation à Jos, Nigéria du centre. L’étude avait pour objectif d’évaluer les types et la fréquence de la stérilisation féminine entre janvier 1985 et décembre 2009 (26 ans) au Centre Universitaire Hospitalier de Jos, Nigéria du centre.  Il y avait 25.313 accepteurs nouveaux des méthodes contraceptives modernes dont 4.951 (19,6%) étaient des stérilisations féminines. La méthode la plus commune de la stérilisation féminine était la minilaparotomie.  L’anesthésie locale a été l’anesthésie la plus communément utilisée.  Les femmes étaient dans la majorité des femmes relativement plus âgées, grandes mulipares et qui ont beaucoup d’enfants.  Les femmes avaient en moyenne 38,4 ans et 60% avaient plus de cinq enfants le  moment de la stérilisation.  L’intervalle de stérilisation constituait 78,5% des stérilisations féminines. L’acceptation de la stérilisation féminine, pourtant, devient de moins en moins fréquente au cours des années au fur et à mesure que l’acceptation des implants des contraceptifs à effet prolongé augmente.  On a trouvé que la stérilisation féminine à travers la minilaparatomie  sous l’anesthésie locale est faisable, rentable et acceptable par la majorité des clientes ; elle est recommandé pour être intégrée  dans les procédures secondaires dans nos établissements (Afr J Reprod Health 2011; 15[1]: 101-106).

 


 


  Keywords: Female sterilization, Jos, Quarter century, Nigeria

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