Utilization of modern family planning methods among women of reproductive age group in North-Central Nigeria; rural – urban comparison
Ikrama Hassan1, Changkat Lucky2, Anazodo Michael1, Odonye Eselema Caleb1, Kwakipi Hellen3, Ezeala Adaku4, Lawal Abdulmumuni Ahmed5, Tomen Ezekiel4, Joshua Anna6, Bello Surajudeen Oyeleke7
1 Department of Community Medicine, Dalhatu Araf Specialist Hospital, Lafia, Nasarawa State, Nigeria
2 Department of Obstetrics and Gynaecology, Dalhatu Araf Specialist Hospital, Lafia, Nasarawa State, Nigeria
3 Department of Nursing Service, Dalhatu Araf Specialist Hospital, Lafia, Nasarawa State, Nigeria
4 Department of Family Medicine, Dalhatu Araf Specialist Hospital, Lafia, Nasarawa State, Nigeria
5 Department of Anatomy, Federal University, Lafia, Nasarawa State, Nigeria
6 Department of Planning, Research and Statistics, Ministry of Health, Nasarawa State, Nigeria
7 Department of Paediatrics, Dalhatu Araf Specialist Hospital, Lafia, Nasarawa State, Nigeria
Dr. Bello Surajudeen Oyeleke
Department of Paediatrics, Dalhatu Araf Specialist Hospital, Lafia, Nasarawa State
Source of Support: None, Conflict of Interest: None
Introduction: Contraception is one of the most successful developmental interventions, unique in women empowerment and population control. Family planning (FP) reinforces the right to determining the number and spacing of children. Hence, we determine the utilization of modern FP methods among urban and rural dwellers.
Material and Methods: This is a cross-sectional study of reproductive age women in Lafia, Nigeria. Ten primary healthcare centers (PHCs) each were selected from the urban and rural locations over 6 months using multi-staged sampling technique. Questionnaire was administered, and the data were analyzed using SPSS V 23. P < 0.05 was considered significant.
Results: Most participants were aged between 20 and 29 years. The prevalence of using modern methods of FP was 17.3%. More than three quarters of urban women are using contraceptives compared with one quarter of rural women. There was a difference between those who ever used measures to delay pregnancy and their locations, P = 0.049. Women in the rural areas use the cycle beads, while those in the urban areas use the injectables. Need for more children was the most common reason for discontinuing FP, others are FP failure, absence of spouse, and fear of side effects. Age of the participants was found to be a good predictor of using modern FP method, P = 0.022.
Conclusion: There is low prevalence of modern FP utilization in this study despite knowing where to access the services (PHCs). Three of four urban women are using FP compared with one out of four among rural women. The cycle beads and the injectables were the most common methods. Age is a major determinant of using FP.