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Background: Effective contraception can prevent unwanted pregnancy, unsafe abortion and ensure adequate birth spacing. The choice of a method depends on consideration of its advantages and disadvantages based on individual perception and interpretations. Objective: To assess contraceptive choices and acceptability among new clients at the family pl...
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Background: India was the first country in the world to adapt a national population control program in 1952. So, it is important for couples and society as a whole to understand and adopt the methods of family planning. Use of contraceptives can prevent at least 25% of all maternal deaths by preventing unintended pregnancies and unsafe abortions an...
BACKGROUND: Although prevention the birth of children with β‑thalassemia major (β‑TM) is an important health issue, it is rarely explored. With this background, the study was designed to find
family planning practices and related factors of couples with children affected by β‑TM.
MATERIALS AND METHODS: This was a cross‑sectional, observational stu...
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... The sexual and reproductive behaviours of adolescents expose them to lifestyle risks and ill effects which could deter their ability to live healthy and meaningful lives [1][2][3][4] . In sub-Saharan Africa, it has been observed that a significant proportion of adolescents are sexually active by their mid-teens [5][6][7] . Although sex before marriage is not encouraged in most cultural settings in Nigeria 8,9 , several studies report early sexual initiation among Nigerian adolescents 10,11 . ...
... Ebonyi state is estimated to have a 2017 population of 6,268,003 inhabitants with a land area of about 5,935 km 2 . The state has thirteen (13) Local Government Areas (LGAs), out of which six (6) were purposively selected for the study based on the following criteria: (1) geographic (rural and urban communities) and geopolitical (three senatorial zones) context; (2) LGAs with highest unmet need for contraceptives as evidenced by unwanted teenage pregnancies and abortion; and (3) LGAs mapped by the state government for adolescent sexual and reproductive health (ASRH) intervention. A cross-sectional study approach was adopted to collect a baseline data prior to intervention. ...
Understanding factors that explain levels of awareness and use of contraceptives among adolescents is a critical entry point for improving their sexual and reproductive health. This study assessed the demographic and socioeconomic determinants of awareness and use of contraceptives among adolescents in rural and urban communities in Ebonyi State, Nigeria. A cross-sectional household survey was conducted in three rural and urban communities in August, 2018. Modified cluster sampling technique was used to select eligible households. A total of 1045 adolescents (598 females and 447 males) were randomly selected from the households and interviewed using a pre-tested structured questionnaire. The mean age is 15.4years (15.3 - 15.5) and the median age is 15.5years. Univariate, bivariate and multivariate analysis were undertaken. Statistical significance was set at p-value of <0.05. Majority of respondents, 723 (68.9%), were aware of male condom. Place of residence predicts awareness of contraceptive pills (AOR 0.66, CI 0.48-0.91); schooling predicts awareness of male condoms (AOR 0.57; CI 0.32-0.99). Predictors of awareness of female condoms are place of residence (AOR 0.66, CI 0.47-0.93), gender (AOR 0.57, CI 0.32-0.99) and wealth index (AOR 1.16, CI 1.03-1.30). Demographic and socioeconomic characteristics of respondents did not predict contraceptive use in the last sex. Although awareness of contraceptives is high, utilization is low among sexually active adolescents. Hence, the need to promote access to and utilization of contraceptives through comprehensive contraceptive education to improve adolescents sexual and reproductive health.
... A recent study on contraceptive choices and acceptability in Port Harcourt revealed the most common methods as implants (70.2%), followed by IUDs (25.8%), Injectables (3.2%) and oral pills (0.8%) [1]. The implants and IUDs require active discontinuation, which requires clients to return to the clinic for removal. ...
... 6 A recent study on contraceptive choices and acceptability in Port Harcourt revealed the most common method as implants (70.2%), followed by IUDs (25.8%), injectables (3.2%) and oral pills (0.8%). 7 The study also revealed the use intention of 56% for completed family size (limiting) as against 44% for pregnancy prevention/spacing. ...
Background: Contraceptive discontinuation and switching to less effective methods, often leads to unintended pregnancies and reduces the impact of family planning programs. To understand what drives contraceptive use behavior, it is important to identify factors that influence discontinuation and switching. This study sought to determine the discontinuation rates, reasons for discontinuation or switching, and assess associated factors among women in Port Harcourt. Methods: A retrospective descriptive study, of women 15-48 years who accepted a modern method, over a five-year period from 1st January 2014 to 31st December 2018 was carried out. Information on age, parity, education, contraceptive use intention, method and duration of use, reason for discontinuation, and method switching, were extracted from their hospital records. Coded data were entered into Excel spreadsheet and exported to SPSS version 20 for statistical analysis at significance level of P<0.05. Results: There were 349 women with complete data. Their mean age was 32±56 years and median parity was 3. The all-method discontinuation rate was 29.0% at 12 months and 31.5% by 24 months. Method specific discontinuation at 12 months were injectables 53.3%, IUCD 38.2% and implants 23.8%, the difference was significant P=0.018. Reasons for discontinuation were reduced need-64.5%, method problems-26.8% and expiration-7.2%. Majority 79.7% abandoned further use, 6.5% renewed their method and 13.8% switched to other methods. Conclusions: The discontinuation rate was high, with associated poor switching behaviour. Proper counseling on contraceptive options and reinforcing switching are critical to reduce unwanted pregnancies that might result from poor method use and discontinuation.
... Results: The proportion of clinic attendees declined from an average of 23% in the first three years (2012)(2013)(2014) to about 10% in the last three years (2015)(2016)(2017). The most common Awoyesuku et al.; JAMMR, 32(2): 1-10, 2020; Article no.JAMMR.54616 2 gynaecological diagnosis were uterine fibroid (33.3%), infertility 28.1% (primary 5.7%, secondary 22.4%), PID (5.9%), ovarian tumour (4.2%), secondary amenorrhea (3.4%) and pelvic malignancies (3.4%). ...
... Most of these patients are elderly with little or no income, and less cared for by their offspring. Also, BTL appears to be outdated and this may be the result of availability and uptake of long-acting hormonal contraceptives in our environment [35]. ...
Background: Gynaecological disorders are a particularly common cause of morbidity and mortality among women of reproductive age and a common cause of hospital presentation/admission and surgery. Objective: This study sought to review gynaecological diagnoses and surgeries performed in a tertiary health facility from 2012 to 2017 and its implication for healthcare planning and budgeting. Methodology: This was a retrospective review of all gynaecological diagnoses and surgeries seen in the Rivers State University Teaching Hospital (RSUTH) from 2012 to 2017. Data were retrieved using a proforma comprising of year, gynaecological diagnosis and gynaecological surgeries. Data obtained was entered into Microsoft Excel for descriptive analysis. Results: The proportion of clinic attendees declined from an average of 23% in the first three years (2012-2014) to about 10% in the last three years (2015-2017). The most common Review Article Awoyesuku et al.; JAMMR, 32(2): 1-10, 2020; Article no.JAMMR.54616 2 gynaecological diagnosis were uterine fibroid (33.3%), infertility 28.1% (primary 5.7%, secondary 22.4%), PID (5.9%), ovarian tumour (4.2%), secondary amenorrhea (3.4%) and pelvic malignancies (3.4%). The commonest major surgeries were myomectomy 441(33.7%), salpingectomy 345(26.4%), hysterectomy 168(12.8%) and cervical cerclage 122(9.3%). The commonest minor surgeries were manual vacuum aspiration 314(41.0%), examination under anaesthesia and biopsy 110(14.3%) and adhesiolysis for synechiae 97(12.6%). The duo of uterine fibroid and infertility made up 50%-70% of all gynaecological diagnoses. Conclusion: This study showed that there has been a steady decline in gynaecological consultations over the years. However, the duo of uterine fibroid and infertility made up half to three-quarter of all gynaecological diagnoses over the 6 years. Infertility and uterine fibroids have a long cause and effect association. Healthcare policies and budgeting should be increased towards tackling these conditions, especially the setting up of a fertility center to provide assisted reproductive technologies and laparoscopy to improve practice and patient outcome.
... The sexual and reproductive behaviours of adolescents expose them to lifestyle risks and ill effects which could deter their ability to live healthy and meaningful lives [1][2][3][4] . In sub-Saharan Africa, it has been observed that a significant proportion of adolescents are sexually active by their mid-teens [5][6][7] . Although sex before marriage is not encouraged in most cultural settings in Nigeria 8,9 , several studies report early sexual initiation among Nigerian adolescents 10,11 . ...
... Ebonyi state is estimated to have a 2017 population of 6,268,003 inhabitants with a land area of about 5,935 km 2 . The state has thirteen (13) Local Government Areas (LGAs), out of which six (6) were purposively selected for the study based on the following criteria: (1) geographic (rural and urban communities) and geopolitical (three senatorial zones) context; (2) LGAs with highest unmet need for contraceptives as evidenced by unwanted teenage pregnancies and abortion; and (3) LGAs mapped by the state government for adolescent sexual and reproductive health (ASRH) intervention. A cross-sectional study approach was adopted to collect a baseline data prior to intervention. ...
Background: Unwanted pregnancy among adolescents impacts negatively on their social, economic and psychological well-being. Hence, the need to promote access to safe and acceptable methods of contraception among adolescents. Examining awareness and use of contraceptives among adolescents is a critical entry point for addressing unintended pregnancies in this subpopulation group.
Aim: This study assessed awareness and use of contraceptives among adolescents in rural and urban communities in Ebonyi state.
Methods: A cross-sectional household survey was conducted among 1045 adolescents aged 13-18 years in 6 communities of Ebonyi state. Modified cluster sampling technique was used. Data was collected using a pre-tested questionnaire adapted from the World Health Organization (WHO). Univariate and bivariate analysis was done using Stata software and statistical significance was set at p-value of <0.05.
Results: Three-quarters of the adolescents surveyed had ever heard of contraceptives. Majority of them were aware of male condom, 723 (68.9%) followed by pills, 231(22.2%) and female condom 200 (19.2%). Their main sources of information on contraception were friends 388(77.7%), and family members 78(15.3%). Only 50 (39.4%) of the sexually active adolescents surveyed reported that they or their partner used contraceptive in the last sexual intercourse. Male condom was the major contraceptive method used, 46 (91.9%). There was no statistical significant association between contraceptive use and socio-demographic characteristics.
Conclusion: Although awareness of contraceptives is high among adolescents, utilization is very low among sexually active adolescents.
Recommendation: There is need for advocacy for adolescent reproductive health education to promote the use of the available contraceptive services amongst adolescents.
Keywords: Adolescent, Awareness, Use of contraceptive
Contraceptive uptake is low in Nigeria despite the high fertility rate. The study examined socio-demographic characteristics, children ever born (CEB) and contraceptive use among women of childbearing age in Southwest Nigeria. A total number of one thousand one hundred and eighty-seven (1,187) women of childbearing ages (15-49) years were sampled from the Southwest States in Nigeria using a multi-stage sampling procedure. The questionnaire method was used to elicit information from the respondents. Data analysis was done with the use of statistical packages for social sciences (SPSS). Frequency distribution was used to describe socio-demographic features of the respondents while chi-square test and binary logistic regression were used at the bivariate and multivariate levels of analysis. Socio-demographic characteristics such as education, employment, place of residence, age, children desired and children ever born (CEB) were significantly related to contraceptive use among women of childbearing age in Southwest Nigeria. The study recommends that government and relevant stakeholders should embark on an intensive and extensive awareness campaign on sex and health education with a view to modifying the behaviour of women towards acceptable contraceptive practices in Southwest. Government should provide adequate health facilities with qualified health workers to provide family planning services and advice in rural areas. Finally, itis also recommended that infrastructural facilities should be provided to the citizens as well as the monetary allowance to elderly people
