Reasons for Non—Use of Family Planning Methods at Ilorin, Nigeria: Male Opposition and Fear of Methods

1989 ◽  
Vol 19 (3) ◽  
pp. 114-117 ◽  
Author(s):  
O Fakeye ◽  
O Babaniyi

This study reports the main reasons given for nonuse of contraception by non-pregnant women aged 15–44 years, who are at risk of unplanned pregnancy and living in the Ilorin Local Government Area of Kwara State, Nigeria. Six hundred and forty-six women were derived from a stratified cluster sample and interviewed using a questionnaire. Almost one-third (31.4%) of respondents gave male opposition to family planning as the reason for current non-use. Another 13.3% expressed fear of methods, 6.3% did not want to use contraception until the first child was born, and 13.6% until the desired number of children were born. Sociodemographic variables including age, educational level, religion, and residence as reasons for non-use were reported. Other important findings included a high awareness of, low availability of, or poor accessibility to contraceptive methods. Short and long term intervention strategies using information, education and communication materials are proposed to combat low levels of contraceptive use in this area.

2019 ◽  
Author(s):  
Leah A. Schrumpf ◽  
Maya J. Stephens ◽  
Nathaniel E. Nsarko ◽  
Eric Akosah ◽  
Joy Noel Baumgartner ◽  
...  

Abstract Background: Despite availability of modern family planning methods and a desire for smaller families, many women decide to forgo modern methods due to anticipated side effects. The goal of this study was to examine the use of modern family planning in one district in rural Ghana, and to understand the role that side effects play in women’s decisions to start or continue use. Methods: This exploratory mixed-methods study included 281 surveys and 33 in-depth interviews of women 18-49 years old from the Amansie West District of Ghana. The survey assessed contraceptive use and potential predictors of use. In-depth interviews examined the context around uptake and continuation of contraceptive use, with a particular focus on the role of perceived and experienced side effects. Results: The prevalence of unmet need for modern family planning among sexually active women who wanted to avoid pregnancy (n=135) was 68.9%. No factors were found to be significantly different in comparing those with a met need and unmet for modern family planning. Qualitative interviews revealed significant concerns about side effects stemming from previous method experiences and/or rumors regarding short-term impacts and perceived long-term consequences of family planning use. Conclusion: As programs have improved women’s ability to access modern family planning, it is paramount to address patient-level barriers to uptake, in particular information about side effects and misconceptions about long-term use. Unintended pregnancies can be reduced through comprehensive counseling about contraceptive options including accurate information about side effects, and the development of new contraceptive technologies that meet women’s needs in low-income countries.


2021 ◽  
Author(s):  
◽  
Rodgers Isiko

Background Family planning refers to a conscious effort by a couple to space the number of children they have through the use of contraceptive methods. According to WHO, an estimated 225 million women in developing countries, 24.2% of women of reproductive age have an unmet need for contraception. However, contraceptive use in sub-Saharan Africa is low at only 21%. The total fertility rate remains high for many countries in the region (4.6 in Kenya and Rwanda, 5.4 in Tanzania, 6.2 in Uganda, and 6.4 for Burundi). Methodology This was a community-based project implementation on increasing awareness and utilization of family planning methods in Police Wing village, Jinja district. Consent was gotten from the VHT, LC1, and DHO before mobilizing people to gather at the VHT’s home and her neighbour’s compound where we carried out the different educational sessions. Different team members got different roles to play as regards the health education session. One week later, we evaluated the progress of our project implementation through the administration of questionnaires to the same people we health educated. The questionnaire assessed the level of utilization, awareness, myths, misconception, and demography of the participants. Results 28% had heard about at least three family planning methods and 24.1% had at one time used family planning while 75.9% of the participants admitted not to have used it. The post-session assessment showed an increase from 28% to 93% in knowledge regarding the available methods of FP and an increase in the utilization of FP from 28% to 42%.   Conclusion and recommendations Addressing the myths and misconceptions about FP by exposing them as a fallacy would help increase the uptake as evidenced by the will of the community to take up the different methods. Organize frequent health talks about FP in the community.


2019 ◽  
Author(s):  
Leah A. Schrumpf ◽  
Maya J. Stephens ◽  
Nathaniel E. Nsarko ◽  
Eric Akosah ◽  
Joy Noel Baumgartner ◽  
...  

Abstract Background: Despite availability of modern family planning methods and a desire for smaller families, many women decide to forgo modern methods due to anticipated side effects. The goal of this study was to examine the use of modern family planning in one district in rural Ghana, and to understand the role that side effects play in women’s decisions to start or continue use. Methods: This exploratory mixed-methods study included 281 surveys and 33 in-depth interviews of women 18-49 years old from the Amansie West District of Ghana. The survey assessed contraceptive use and potential predictors of use. In-depth interviews examined the context around uptake and continuation of contraceptive use, with a particular focus on the role of perceived and experienced side effects. Results: The prevalence of unmet need for modern family planning among sexually active women who wanted to avoid pregnancy (n=135) was 68.9%. No factors were found to be significantly different in comparing those with a met need and unmet for modern family planning. Qualitative interviews revealed significant concerns about side effects stemming from previous method experiences and/or rumors regarding short-term impacts and perceived long-term consequences of family planning use. Conclusion: As programs have improved women’s ability to access modern family planning, it is paramount to address patient-level barriers to uptake, in particular information about side effects and misconceptions about long-term use. Unintended pregnancies can be reduced through comprehensive counseling about contraceptive options including accurate information about side effects, and the development of new contraceptive technologies that meet women’s needs in low-income countries.


Author(s):  
Muluken Dessalegn Muluneh ◽  
Lyn Francis ◽  
Mhiret Ayele ◽  
Sintayehu Abebe ◽  
Misrak Makonnen ◽  
...  

This study examines the associations between women’s empowerment and family planning use in Jimma Zone, Western Ethiopia. A total of 746 randomly selected married women of reproductive age were interviewed. The data were employed by structural equation modelling (SEM) to investigate the complex and multidimensional pathways to show women’s empowerment domains in family planning utilisation. Results of the study revealed that 72% of married women had used family planning. Younger women, having access to information, having access to health facilities and being aware about family planning methods, living in a rural area, having an older partner and increased household decision-making power were associated with using family planning methods. Women’s empowerment is an important determinant of contraceptive use. Women’s empowerment dimensions included increased household decision-making power, socio-demographic variables and having access to information about family planning and accessible health facilities. These were found to be important determinants of contraceptive use. Future interventions should focus on integrating women’s empowerment into family planning programming, particularly in enhancing women’s autonomy in decision making. Further research is warranted on the socio-cultural context of women that influences women’s empowerment and family planning use to establish an in-depth understanding and equity of women in society.


2016 ◽  
Vol 9 (2) ◽  
pp. 85
Author(s):  
Misnaniarti Misnaniarti

<p><strong>BACKGROUND &amp; PURPOSE: </strong>One important effort in reducing the Maternal Mortality Rate is integration of Family Planning services into Health Insurance policy. This is giving affordability in health service financing through providing contraceptive accordance with established policy. The purpose of this study is to examine women’s participation in health insurance and correlations to contraception use.</p><p><strong>MATERIAL &amp; METHODS: </strong>The study used the 2012 Indonesian Demographic and Health Survey data-set. Samples were women aged 15 to 49 years, of married status or living together (n=33,465). The dependent variable was contraception used for three categories: Using Long Term Contraceptive, using non-Long Term Contraceptive, and not using any kind of contraception. Data analysis used Chi-square and multinomial logistic regression with complex sample.</p><p><strong>RESULTS: </strong>10.6% of women were found to have used a Long Term Contraception method. Health insurance membership has correlations to contraceptive use (OR=1.241 and 0.964, <em>p</em>&lt;0.05, CI 95%), with confounder variables of age (<em>p</em>&lt;0.05, OR=1.428 and 0.648), education (<em>p</em>&lt;0.05, OR=1.402 and 1.064), work status (<em>p</em>&lt;0.05, OR=1.151 and 0.966), parity (<em>p</em>&lt;0.05, OR=3.114 and 1.685), perception of ideal number of children (<em>p</em>&lt;0.05, OR=2.057 and 1.682), husband’s education (<em>p</em>&lt;0.05, OR=0.166 and 0.920), husband's work (<em>p</em>&lt;0.05, OR=1.247 and 2.469), and role of media (<em>p</em>&lt;0.05, OR=1.255 and 1.084).</p><p><strong>CONCLUSION &amp; RECOMMENDATIONS: </strong>This study was empirical evidence in Indonesia that health insurance factors have a significant correlation to Long Term Contraceptive use in women. It is recommended for government to maintain and improve policies that integrate Family Planning services into National Health Insurance. </p>


2020 ◽  
Vol 9 (1) ◽  
pp. 65
Author(s):  
Rogate Phinias Ibrahim ◽  
Harrieth Mtae

Extended Post-Partum Family Planning (EPPFP) refers to the prevention of unplanned and/or closely spaced pregnancies from six (6) weeks to 12 months period after childbirth. It is revealed that 61% of women in the world do not use effective contraception within 24 months postpartum to prevent unplanned pregnancy. This study examined the influence of social demographic factors on the use of Extended Post-Partum Family Planning (EPPFP) methods among post-delivery women from four selected health care facilities in Tanzania. 255 post-delivery women aged 15-49 years who delivered a child between January 1, 2019 and January 31, 2020 were subjected to a facility-based cross-section study design through convenience sampling. Data were analyzed by SPSS version 20; multiple regression analyses were done to establish the relationships between social demographic factors and the use of Extended Post-Partum Family Planning (EPPFP) methods. It was found that there is a significant relationship between social demographic factors and the use of Extended Post-Partum Family Planning (EPPFP). The study recommends provision of family planning education to the community through mass and social media.


2020 ◽  
Vol 62 (1) ◽  
Author(s):  
Idesi T. Chilinda ◽  
Alison Cooke ◽  
Dame T. Lavender

Background: The importance of modern contraceptive methods in averting unwanted pregnancies has been acknowledged in Malawi. Currently, the country has registered the highest rates of unsafe abortions, unmet needs for contraception and a low contraceptive prevalence rate. Understanding why these rates exist is important. However, women’s views and experiences regarding uptake of family planning methods in Malawi have not been explored.Methods: A grounded theory methodology was used. Data were gathered through in-depth interviews with women (n = 18), men (n = 10), healthcare workers (n = 10) and non-participant observations of family planning clinic consultations (n = 10). Data were analysed using constant comparative technique. Methods of open, axial and selective coding enabled subsequent conceptualisations until theoretical saturation occurred.Results: The core category ‘disenabling environment prevents women’s family planning needs from being met’ provides an understanding of women’s, men’s and healthcare workers’ experiences of contraceptive use and non-use. The disenabling environment contributed to shaping women’s family planning experiences. This was supported by three main categories: navigating the processes, disempowerment of women and learning by chance.Conclusion: Findings from this study illuminate contextual issues into how women, men and healthcare workers experience family planning use and non-use in Malawi. A multifaceted strategy is required to support a woman’s family planning needs. At community level, awareness and education of family planning methods is required to actively inform all people in society so that they support a woman’s family planning needs. At national level, laws that would empower women with decision-making ought to be developed and enforced.


2021 ◽  
Vol 7 (1) ◽  
Author(s):  
Bal Govind Chauhan ◽  
Ramu Rawat ◽  
Noli Nivedita Tirkey ◽  
Satish Kumar Chauhan

Family planning methods are generally considered as women’s responsibility in India. The volumes of research done so far in the family planning methods and reproductive behaviors have kept women at the center of the matter. Consequently, the research on the men’s perspective on the same is generally being neglected. The present study intends to address intention of fertility stopping or fertility limiting and contraception behaviors and their associated factors among currently married men aged 20-49 years in India who had at least one living child. The fourth round of the National Family Health Survey in 2015-2016 was used to achieve the study objectives. Descriptive statistics and binary and multinomial logistic regression models were applied to more than 48,000 men who met the requirement. The findings of the analysis indicate that more than three-fourths currently married men did not want another child, and the fertility stopping intention significantly varies by demographics (i.e., men’s age, number of children, and sex composition of children), socio-economic characteristics, residence, geographic region, and religion of the respondents together with type of caste and social media exposure. The men’s fertility stopping intention was also linked with geographic region, types of religion and castes, and exposure of social media. Result further reveals that only <30% of men who did not want to have another child were using a contraceptive method at the time survey. Among users, female sterilization was the most popular method among married couples in India. Demographic factors, socio-economic characteristics, region and culture, and exposure of social media were all associated with use or not-using and use of a specific conceptive method. Overall, the findings suggest men’s fertility stopping intention and their use of contraception are complicated, and it needs to consider men as a target group in fertility regulation interventions. The reproductive health programs aiming to increase uptake of modern contraceptives by sexually active men in India should consider the importance of sex education and ensure access to mass media.


1986 ◽  
Vol 18 (3) ◽  
pp. 273-283 ◽  
Author(s):  
Gbolahan A. Oni

SummaryExamination of the effect of various socioeconomic, cultural and demographic characteristics of married women in Ilorin, Nigeria, who are in their prime childbearing ages, on their contraceptive knowledge and on their attitudes towards modern contraception shows that only the woman's education, age and area of residence within the city have significant independent effects on contraceptive knowledge. More than 90% of the women interviewed thought that women should be free to practise family planning. Also, more than 95% of all the women believed that too frequent births could endanger the health of the mother and her children. However, only the women with previous contraceptive knowledge overwhelmingly (more than 80%) thought that the best way to prevent too frequent births is by family planning. On the contrary, 66.5% of those without previous contraceptive knowledge before this study suggested that traditional abstinence should be used and only 28.9% suggested family planning. Adequate awareness of the availability and usefulness of family planning methods can influence attitudes of women towards contraception and may also enhance contraceptive use.


2006 ◽  
Vol 38 (6) ◽  
pp. 735-744
Author(s):  
LEVENT AKIN ◽  
NILUFER OZAYDIN

The aim of this study was to determine the consistency of spouses’ declarations about contraceptive use and child desire in Turkey. Husbands eligible for the study were currently married to eligible women, i.e. those who generally lived in the same household or who stayed in the household the night before the interview. Husband questionnaires were completed by 1971 men. It was found that 88·9% of the couples had not talked about family planning with each other in the last two months. The percentage of answers on current contraceptive use for all methods that were consistent for husbands and wives was 70·2%. The consistency among partners who stated they would like to have children in the future was found to be 94·8%, and that among partners who were planning to use a contraceptive method was found to be 88·3%.


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