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

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 be...

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Veröffentlicht in:African journal of reproductive health 2020-12, Vol.24 (4), p.132-137
Hauptverfasser: Uhuo, Emmanuel N, Oguaka, Victor N, Egba, Ikechukwu S, Ugwu, Onyemaechi G, Ugwu, Chidiebere E, Oji, Maureen N
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container_end_page 137
container_issue 4
container_start_page 132
container_title African journal of reproductive health
container_volume 24
creator Uhuo, Emmanuel N
Oguaka, Victor N
Egba, Ikechukwu S
Ugwu, Onyemaechi G
Ugwu, Chidiebere E
Oji, Maureen N
description 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 were 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 to improve the uptake of PPFP. La grossesse et l'accouchement sont des périodes importantes pendant lesquelles les femmes en âge de procréer entrent fréquemment en contact avec les établissements de santé et les prestataires de soins. Ces périodes leur donnent le privilège de discuter et de prendre des décisions sur la planification familiale post-partum avec les prestataires de soins de santé. Il a été démontré que le consentement du partenaire masculin a un impact positif sur l'accès et l'utilisation de la contraception moderne. Cette étude visait à évaluer la disponibilité, l'adoption et le consentement du partenaire masculin pour la planific
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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 were 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 to improve the uptake of PPFP. La grossesse et l'accouchement sont des périodes importantes pendant lesquelles les femmes en âge de procréer entrent fréquemment en contact avec les établissements de santé et les prestataires de soins. Ces périodes leur donnent le privilège de discuter et de prendre des décisions sur la planification familiale post-partum avec les prestataires de soins de santé. Il a été démontré que le consentement du partenaire masculin a un impact positif sur l'accès et l'utilisation de la contraception moderne. Cette étude visait à évaluer la disponibilité, l'adoption et le consentement du partenaire masculin pour la planification familiale post-partum (PPFP) parmi les habitants des zones rurales et semi-urbaines d'Afikpo North, dans l'État d'Ebonyi, au Nigéria. L'étude a été menée auprès de 205 femmes post-partum, 40 agents de santé des centres de santé primaires (SSP) et des accoucheuses traditionnelles (AT) d'Afikpo North LGA sélectionnées par une technique d'échantillonnage aléatoire. Les informations ont été obtenues via 3 catégories de questionnaires administrés par les enquêteurs pour les différentes catégories d'individus impliqués dans l'étude. Les analyses de données ont été effectuées à l'aide de SPSS version 21.0. Les résultats globaux ont montré une forte prévalence de la grande multiparité (51,2%) et de la maternité aux extrémités de l'âge de procréer (20,5%) malgré une bonne connaissance de la contraception moderne (92,7%) et la disponibilité des services de planification familiale et des méthodes modernes de contrôle des naissances en toutes les installations de SSP. Il est à noter qu'un bon pourcentage des femmes ont reçu des soins prénatals (38,1%) ou ont eu leur dernier accouchement dans les lieux des accoucheuses traditionnelles (42,4%) malgré le fait que seulement 60% des accoucheuses traditionnelles connaissent les méthodes modernes de planification familiale et aucune d'entre elles offrir des services de planification familiale. La prévalence de l'utilisation de contraceptifs modernes était de 41,5% et le consentement du partenaire masculin était présent chez 72,9% des utilisatrices de contraceptifs modernes. 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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 were 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 to improve the uptake of PPFP. La grossesse et l'accouchement sont des périodes importantes pendant lesquelles les femmes en âge de procréer entrent fréquemment en contact avec les établissements de santé et les prestataires de soins. Ces périodes leur donnent le privilège de discuter et de prendre des décisions sur la planification familiale post-partum avec les prestataires de soins de santé. Il a été démontré que le consentement du partenaire masculin a un impact positif sur l'accès et l'utilisation de la contraception moderne. Cette étude visait à évaluer la disponibilité, l'adoption et le consentement du partenaire masculin pour la planification familiale post-partum (PPFP) parmi les habitants des zones rurales et semi-urbaines d'Afikpo North, dans l'État d'Ebonyi, au Nigéria. L'étude a été menée auprès de 205 femmes post-partum, 40 agents de santé des centres de santé primaires (SSP) et des accoucheuses traditionnelles (AT) d'Afikpo North LGA sélectionnées par une technique d'échantillonnage aléatoire. Les informations ont été obtenues via 3 catégories de questionnaires administrés par les enquêteurs pour les différentes catégories d'individus impliqués dans l'étude. Les analyses de données ont été effectuées à l'aide de SPSS version 21.0. Les résultats globaux ont montré une forte prévalence de la grande multiparité (51,2%) et de la maternité aux extrémités de l'âge de procréer (20,5%) malgré une bonne connaissance de la contraception moderne (92,7%) et la disponibilité des services de planification familiale et des méthodes modernes de contrôle des naissances en toutes les installations de SSP. Il est à noter qu'un bon pourcentage des femmes ont reçu des soins prénatals (38,1%) ou ont eu leur dernier accouchement dans les lieux des accoucheuses traditionnelles (42,4%) malgré le fait que seulement 60% des accoucheuses traditionnelles connaissent les méthodes modernes de planification familiale et aucune d'entre elles offrir des services de planification familiale. La prévalence de l'utilisation de contraceptifs modernes était de 41,5% et le consentement du partenaire masculin était présent chez 72,9% des utilisatrices de contraceptifs modernes. 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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 were 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 to improve the uptake of PPFP. La grossesse et l'accouchement sont des périodes importantes pendant lesquelles les femmes en âge de procréer entrent fréquemment en contact avec les établissements de santé et les prestataires de soins. Ces périodes leur donnent le privilège de discuter et de prendre des décisions sur la planification familiale post-partum avec les prestataires de soins de santé. Il a été démontré que le consentement du partenaire masculin a un impact positif sur l'accès et l'utilisation de la contraception moderne. Cette étude visait à évaluer la disponibilité, l'adoption et le consentement du partenaire masculin pour la planification familiale post-partum (PPFP) parmi les habitants des zones rurales et semi-urbaines d'Afikpo North, dans l'État d'Ebonyi, au Nigéria. L'étude a été menée auprès de 205 femmes post-partum, 40 agents de santé des centres de santé primaires (SSP) et des accoucheuses traditionnelles (AT) d'Afikpo North LGA sélectionnées par une technique d'échantillonnage aléatoire. Les informations ont été obtenues via 3 catégories de questionnaires administrés par les enquêteurs pour les différentes catégories d'individus impliqués dans l'étude. Les analyses de données ont été effectuées à l'aide de SPSS version 21.0. Les résultats globaux ont montré une forte prévalence de la grande multiparité (51,2%) et de la maternité aux extrémités de l'âge de procréer (20,5%) malgré une bonne connaissance de la contraception moderne (92,7%) et la disponibilité des services de planification familiale et des méthodes modernes de contrôle des naissances en toutes les installations de SSP. Il est à noter qu'un bon pourcentage des femmes ont reçu des soins prénatals (38,1%) ou ont eu leur dernier accouchement dans les lieux des accoucheuses traditionnelles (42,4%) malgré le fait que seulement 60% des accoucheuses traditionnelles connaissent les méthodes modernes de planification familiale et aucune d'entre elles offrir des services de planification familiale. La prévalence de l'utilisation de contraceptifs modernes était de 41,5% et le consentement du partenaire masculin était présent chez 72,9% des utilisatrices de contraceptifs modernes. Malgré un niveau élevé de sensibilisation et de disponibilité des services de planification familiale modernes, les accoucheuses traditionnelles devraient être plus sensibilisées afin d'améliorer l'adoption de la PPFP.</abstract><cop>Benin City</cop><pub>Women’s Health and Action Research Centre</pub><doi>10.29063/ajrh2020/v24i4.14</doi><tpages>6</tpages></addata></record>
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source Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; JSTOR Archive Collection A-Z Listing; African Journals Online (Open Access); Bioline International
subjects access
Afikpo
Age
Birth control
Childbirth & labor
Children & youth
Consent
Défis
Family planning
Health facilities
Local government
Maternal & child health
Midwifery
Mère adolescente
Nutrition
ORIGINAL RESEARCH ARTICLE
Postpartum
Postpartum period
Pregnancy
Questionnaires
Rural dwellers
Sampling techniques
Santé
soutiens
théorie cognitive sociale
Womens health
title 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
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