scholarly journals Pattern of contraceptive use at a family planning clinic in Southern Nigeria

Author(s):  
Esther I. Nonye Enyidah ◽  
Nonyenim S. Enyidah ◽  
Chisomaga Eshemogie

Background: Contraception is very important in preventing unwanted pregnancies thereby reducing maternal and child mortality as well as improving the lives of women and their families. This paper aims to determine the pattern of contraceptive usage, uptake rates of the contraceptives, the socio-demographic characteristics and sources of information on contraceptive use at the Rivers State University Teaching Hospital (RSUTH) during the study period.Methods: This was a retrospective study of clients’ records in family planning clinic at RSUTH over a period of ten years. Their records were retrieved, reviewed; data extracted, coded and analyzed using the statistical package for social sciences (SPSS) IBM version 25.0.Results: There were 1893 contraceptive acceptors attending family planning clinic between 1st January, 2008 and 31st December, 2017 in the centre. The uptake rate of the contraceptives throughout the study period was on the downward trend.  Over half of the clients (60.7%) were within the age range of 30-39years and 6 (0.3%) were below 20 years. Age range for the study was 19-51years. Majority of the users (66.1%) were multipara. Modal parity was para 3 and 1862 clients (98.4%) had formal education. Most of the clients were married 1814 (95.8%) and of Christian religion 1813 (95.7%). Most preferred contraceptive method was the intrauterine contraceptive device (IUCD), 814 (43%). Clinical personnel were the commonest source of information accounting for 1425 (75.3%).Conclusions: There was a downward trend in the use of contraceptives during the study period. Most clients were in their thirties, married, educated and multiparous.

2021 ◽  
Vol 1 (3) ◽  
pp. 022-029
Author(s):  
Nonye-Enyidah Esther ◽  
Enyidah Nonyenim ◽  
Jumbo A

Background: Maternal and child morbidity and mortality in developing countries have been shown to be reduced by effective use of contraceptive methods. Contraceptive use also improves the lives of women and children. Experience with previous use of contraceptives may affect the uptake rate of modern contraceptive methods. Aim and objective: To determine the pattern of previous contraceptive usage, uptake rates of the contraceptives, the continuation and discontinuation rates and the sources of prior contraceptives. The socio-demographic characteristics and sources of information on current contraceptive use at the Rivers State University Teaching Hospital during the study period. Methods: This was a retrospective study of clients’ records in family planning clinic at theRivers State University Teaching (RSUTH) over a period of five years. Their cards were retrieved, reviewed; data was extracted, coded and analyzed using the statistical package for social sciences (SPSS) IBM version25.0 (Armonk, NY). Results: There were 874 contraceptive acceptors attending family planning clinic between 1st January, 2015 and 31st December, 2019 in the centre. Of this number, 566 (64.8%) were using one form of contraceptive method or the other while 308 (35.2%) were not on any form of contraception. Of this 566 women who used contraceptive method prior to their visit to the family planning clinic, intrauterine contraceptive device (IUCD) use accounted for 118 (20.8%), others were barrier method, 107 (18.9%), oral contraceptive pills (OCPs), 95 (16.8%), depot medroxyprogesterone acetate (DMPA), 72 (12.7%), implanon, 40 (7.1%), noristerat, 36 (6.4%), postinor, 28 (5.0%), withdrawal method, 26 (4.6%) and calendar method, 24 (4.2%). Most of the previous contraceptives used came from Government hospital accounting for 44.4%. Most women (72%) obtained their information concerning current contraception from clinical personnel. More than half of the clients (64.1%) were within the age range of 30-39 years and 2 (0.2%) were below 20 years. Age range for the study was 19-51years. Majority of the clients (70.7%) were multipara while 162 (18.5%) were grandmultipara. Modal parity was para 3. The women with formal education were 867 (99.2%). Married women and Christians accounted for843 (96.5%) and 867 (99.2%) respectively. Conclusion: Most clients were in their thirties, married, educated and multiparous. Thirty five percent of the women were not using any form of contraceptive method which is quite alarming and definitely would have led to unwanted pregnancies and possibly induced abortions with its sequalae.


2016 ◽  
Vol 44 (3) ◽  
pp. 140-145
Author(s):  
Akinyosoye Ajiboye ◽  
Kikelomo T Adesina ◽  
Ishaq F Abdul ◽  
Grace G Ezeoke

This study was carried out to evaluate the pattern of contraceptive usage in family planning clinics of public hospitals within Ilorin metropolis, Nigeria. It was a retrospective study carried out between January 2010 and December 2012 involving a total of 10,002 contraceptive users attended family planning clinics in the centers within this period. Over a half of the clients (56.6%) were within the age bracket of 30-39 years, and 1.4% were less than 20 years. Majority (79.8%) of the users had two or more children while 0.9% were nulliparas. The most preferred contraceptive method was the hormonal injectable (59.5%); the percentage of users of oral contraceptive pills was 9.6% and utilization of the male condoms was 6.9%. The user rate for intrauterine contraceptive device was 17.3% while it was 6.6% for hormonal implant. Surgical sterilization was utilized by 0.1%. The commonest source of information was from healthcare personnel accounting for 41.9% followed by the mass media (21.6%). There was a low level of acceptance amongst teenagers; the level of acceptance of surgical sterilization methods was also low. There is need to improve on information dissemination regarding contraceptive use, via the internet and social media for teenagers who tend to be more internet-savvy. The number and age of clients were statistically significant factors for patterns of contraceptive usage at various family planning clinics in Ilorin metropolis.Bangladesh Med J. 2015 Sep; 44 (3): 140-145


Author(s):  
Otobo I. Ujah ◽  
Amaka N. Ocheke ◽  
Josiah T. Mutihir ◽  
Joseph Anejo Okopi ◽  
Innocent A. O. Ujah

Background: Postpartum contraception reduces the risk of unintended and rapid repeat pregnancies. A comprehensive postpartum family planning (PPFP) service can enable women make adequate and informed choices on a preferred contraceptive method, initiating a method as well as encouraging them to use that method for a period depending on their reproductive intentions.Methods: This study aimed to determine women’s intention regarding uptake of postpartum family planning, the preferred methods and the factors associated with uptake. We conducted a cross-sectional study among women attending antenatal and postnatal clinics at the Jos University Teaching Hospital, Jos, Nigeria using structured questionnaires. Data was analyzed using descriptive statistics and chi square test of comparison.Results: Four hundred and five women participated in the study. The mean age of the respondents was 28.4+5.3 years. The previous contraceptive usage was 39.8%. A total of 262 (64%) women intend to use a method of postpartum contraception. The most preferred intended postpartum contraceptive was subdermal implant (19.2%) followed by injectables (18.4%) and intrauterine contraceptive device (14.7%). Reasons cited for nonuse of postpartum contraception include spousal refusal, effect on fertility, desire for further child bearing, religious beliefs.Conclusions: Counselling on postpartum contraception during the antenatal and postnatal period can help women make informed choices among the wide range of available contraception.


Author(s):  
Nor AzahSamat Et.al

Family planning is one of the important aspects in the Sustainable Development Goals (SDG's) in Goal 3 on Health and Goal 5 on Gender Equality and Women’s Empowerment. Family planning is the basic need and women’s right to pregnancy, to get optimal health. The use of contraceptive enables women to attain their desired number of children and determine the gap of pregnancies towards the improvement of the families’ well-being of. The aim of this paperisto describe the patterns and preferences of contraceptive use among new acceptors attending a family planning clinic at National Population and Family Development Board (NPFDB) in sixteenstates in Malaysia. The data analysis includes the new acceptors of contraception use among married women aged 15 to 49 years old, who attended a family planning clinic at NPFDB for the year 1990 to 2018. There are various types of contraceptive methods considered: contraceptive pills, Intrauterine Contraceptive Device (IUD), condom, hormone injection, implant, sterilization, rhythm and others. Results of the analysis show that contraceptive pills and sterilization have continued to be the most preferred contraceptive methods among new acceptors at NPFDB clinic, with decreasing pattern from 1990 to 2018.While the use of implant, hormone injection and condom has increased steadily since 2004. The state of Perak has the highest number of new acceptors in most years, whilethe federal territory of Labuan has the lowest number of acceptors in most years within 29 years from 1990 to 2018. In addition, the most popular contraceptive method among women for all states in Malaysia in most years from 1990 to 2018 is contraceptive pills, which is preferred in ten states: Kelantan (83%), Kuala Lumpur (72%), Labuan (40%), Negeri Sembilan (86%), Pahang (66%), Perlis (45%), Pulau Pinang (35%), Sabah (60%), Selangor (69%), and Terengganu (76%). While sterilization is the most popular in four states: Johor (62%), Kedah (59%), Melaka (52%), and Perak (66%). Finally, hormone injection is the most popular method in Putrajaya (100%), and condom is the most popular in Sarawak (40%).As a conclusion, this study has found that although the use of contraceptive pillsisdecreasing, it still becomes the most popular among new acceptors in most of the states in Malaysia since 1990. However, the decreasing pattern of new acceptors for all types of contraceptive methods becomes our concern. Future research should therefore,concentrate on the investigation of the reduction number of new acceptors at NPFDB clinic. This is important to make sure the demands of contraceptive can be met and NPFDB clinics couldprovide better services towards better quality of life and better families’ well-being.


2020 ◽  
Vol 7 (5) ◽  
pp. 800
Author(s):  
Esther I. Nonye-Enyidah ◽  
Terhemen Kasso

Background: Depo Medroxyprogesterone Acetate (DMPA) also known as Depo provera is a long acting progestogen-only contraceptive injection used by women worldwide. It is given deep intramuscularly at interval of 3 months. It is easy to use, effective, safe, convenient and reversible. Objective was to determine the prevalence of DMPA contraceptive method and profile of its acceptors at the RSUTH.Methods: This was a retrospective study of 271 clients attending family planning clinic at the RSUTH from 1st January, 2008 - 31st December, 2017. Their records were retrieved from the clinic and reviewed. Data was extracted, coded and analyzed using the statistical package for social sciences (SPSS) IBM version 25.0 (Armonk, NY).Results: The prevalence rate of DMPA contraceptive among contraceptive acceptors at the RSUTH within the study period was 14.3 %. The modal age group was 30-34 years accounting for 103 (38.0%). Age range was 20-51 years. Two hundred and sixty eight (98.9%) had formal education. Majority of the clients had secondary level of education 209 (77.1 %). Of the 271 acceptors of DMPA, 175 (64.6%) were multipara. Most of the clients were married 259 (95.6%) and of Christian religion 265 (97.8%). Clinical personnel were the commonest source of information, accounting for 228 (84.1%).Conclusions: The prevalence of DMPA use over the study period was low. There is need for more counseling and enlightenment campaign to encourage our women to use this effective and safe method of contraception.


2017 ◽  
Vol 2017 ◽  
pp. 1-12 ◽  
Author(s):  
Robert Wamala ◽  
Allen Kabagenyi ◽  
Simon Kasasa

Globally, there is extant literature on patterns and dynamics of postpartum contraceptive use with hardly any evidence examining time-to-contraceptive use from resumption of sexual intercourse after birth among women in Uganda. Methods. The analysis was based on data from 2011 Uganda Demographic and Health Survey on a sample of 2983 married women with a birth in the past three years preceding the survey and had resumed sexual intercourse. A time-to-contraceptive use was adopted in the analysis using life tables based on the Kaplan-Meier estimates, while the Log-Rank Chi-square tests assessed the variables to be included in regression analysis. Cox-Proportional Hazard regression was run to identify the predictors of time-to-contraceptive use among postpartum women in Uganda. Sampling weights were applied in the analysis to ensure representativeness. Results. The median time-to-contraceptive use was 19 months (range 0–24). Time to adoption of modern contraceptive use was significantly longer among women with no formal education, residing in northern region, who (HR=0.56, CI: 0.40–0.78) had delivered at home/traditional birth attendant (HR=0.75, CI: 0.60–0.93), had 1–3 antenatal care visits (HR=0.83, CI: 0.70–0.98), and were in poorest wealth quintile. Conclusions. Measures for enhancing modern contraceptive use during and after the postpartum period should focus on (i) addressing hindrances in accessing family planning, particularly among poor and noneducated women; (ii) integration of family planning service delivery into routine ANC through counseling; and (iii) promoting deliveries in health facilities.


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