The Effect of Educational Intervention on Family Planning Knowledge, Attitudes, and Practices Among Married Women in a Military Barrack in Northern Nigeria

Abdulrazaq A. G., Kabir S., Mohammad N. S., Suleiman I. H.

Abstract

Army barracks in Nigeria have low contraceptive prevalence rates (CPRs) and many children per family. The aim of this interventional study, involving 963 married women, is to determine the impact of health education on family planning knowledge, attitudes, and practices among married barrack women. The intervention group attended a 50-minute health talk and demonstrations on family planning methods. In the intervention group, the mean knowledge score rose significantly, from 5.5 points to 7.8 points post-intervention (t = -16.7281, p = 0.0000, df = 460). In addition, the CPR increased significantly, from

11.8% at baseline to 22.4% post-intervention (McNemar’s χ2 = 125.41, p = 0.0000). Such significant changes were not noted in the control group. We conclude that health education is an effective intervention for improving knowledge about and attitudes towards contraceptives and their use among married women in military barracks in Nigeria. Intense and sustained health education is therefore recommended in addressing the low CPR in Nigeria. (Afr J Reprod Health 2014; 18[1]: 93-101).

 

Keywords: Impact, educational, intervention, family, planning, women.

 

Résumé

Les casernes de l'armée au Nigeria ont de faibles taux de prévalence contraceptive (CPR) et de nombreux enfants par famille. L'objectif de cette étude d'intervention qui implique 963 femmes mariées, est de déterminer l'impact de l'éducation de la santé sur la connaissance, les attitudes et les pratiques de la planification familiale chez les femmes mariées de la caserne. Le groupe d'intervention a participé à une conférence d’une durée de 50 minutes sur la santé et des démonstrations sur les méthodes de planification familiale. Dans le groupe d’intervention, le score moyen de la connaissance a augmenté considérablement, passant de 5,5 points à 7,8 points après l'intervention (t = 16,7281, p = 0.0000, df = 460).  En outre, le CFCP a augmenté considérablement, passant de 11,8 % au départ à post- intervention de 22,4% (le χ2 de McNemar = 125.41, p = 0,0000). De telles modifications significatives n’ont été constatées dans le groupe témoin. Nous concluons que l'éducation de la santé est une intervention efficace pour améliorer la connaissance et les attitudes envers les contraceptifs et de leur utilisation chez les femmes mariées dans les casernes au Nigeria. Nous préconisons donc une éducation de la santé intense et soutenue  pour remédier au faible CPR au Nigeria. (Afr J Reprod Health 2014; 18[1]: 93-101).

 

Mots-clés: impact, éducation, intervention,  famille,  planification,  femmes.

Full Text:

PDF

References

Idang PE. Knowledge, attitude and use of family planning methods among married women in Odogbo Military Barracks, Ibadan. Unpublished Master of Public Health dissertation, submitted to the Department of Public Health, University of Ibadan, Nigeria, 2005, pp. 54–81.

Ndiga SR. Fertility pattern in Nigerian barracks: A case study of 241 Recce Battalion, Kaduna. B.Sc. dissertation, submitted to the Department of Geography, Nigerian Defence Academy, Kaduna State, Nigeria, 1992.

Muazu UA. Fertility pattern in Dalet Barracks, Kaduna. B.Sc. dissertation, submitted to the Department of Geography, Nigerian Defence Academy, Kaduna State, Nigeria, 1994.

Dogo B. A survey of the knowledge, attitude and practice of family planning among the military personnel in the Ribadu Cantonment of Kaduna. J Environ Sci. 1998; 1(2): 124–132.

Onwuzurike BK, Uzochukwu BSC. Knowledge, attitude and practice of family planning amongst women in a high density low income urban of Enugu, Nigeria. Afr. J. Reprod. Health 2001; 5(2): 83–89.

Bankole A, Oye-Adeniran BA, Singh S, Adewole I F, Wulf D, Sedge G, Hussain R. Unwanted pregnancy and induced abortion in Nigeria: Causes and consequences. New York, NY: Allan Guttmacher Institute, 2006.

National Population Commission and ORC Macro 2009. Nigeria Demographic and Health Survey. Calverton, Maryland: National Population Commission and ORC Macro, 2008.

Okonofua F. Need to intensify safe motherhood interventions in Africa. Afr. J. Reprod. Health 2003; 7(3): 7–12.

Okonofua FE, Hammed A, Nzeribe E, Saidu B, Abass T, Adeboye G, Adegun T, Okolocha C. Perceptions of policymakers in Nigeria towards unsafe abortion and maternal mortality. Int Perspect Sex and Reprod Health, 2009, 35(4): 194–202.

Okanlawon K, Reeves M, Agbaje OF. Contraceptive use: Knowledge, perceptions and attitudes of refugee youths in Oru Refugee Camp, Nigeria. Afr. J. Reprod. Health 2010; 14(4): 17–26.

Ankomah A, Anyanti J, Oladosu M. Myths, misinformation, and communication about family planning and contraceptive use in Nigeria. Open Access J Contracept 2011; 2011(2): 95–105.

Obisesan KA, Adeyemi AA, Fakokunde BO. Awareness and use of family planning methods among married women in Ibadan, Nigeria. East Afr. Med. J. 1998; 75(3): 135–138.

Boniface AO, Isaac FA, Augustine VU, Boniface AO, Isaac F A, Augustine V U, Adesina O, Abidoye G, Kofo A O, Ekanem EE. Sources of contraceptive commodities for users in Nigeria. PLOS Medicine 2005; 2(11): e306.

Onwuzurike BK, Uzochukwu BSC. Knowledge, attitude and practice of family planning among women in a high density low income urban of Enugu, Nigeria. Afr. J. Reprod. Health 2001; 5(2): 83–89.

Onwuzurike BK, Uzochukwu BSC. Knowledge, attitude and practice of family planning amongst women in a high density low income urban of Enugu, Nigeria. Afr. J. Reprod Health 2001; 5(2): 83–89.

Ijadunola KT, Orji EO, Ajibade FO. Contraceptive awareness and use among sexually active breast feeding mothers in Ile-Ife, Nigeria. East Afr. Med. J. 2005; 82: 250–255.

Obi SN, Ozumba BC. Emergency contraceptive knowledge and practice among unmarried women in Enugu, Southeast Nigeria. Niger. J Clin Pract 2008; 11(4): 296–299.

Adekunle AO, Arowojolu AO, Adedimeji AA, Okunlola MA. Emergency contraception: Survey of knowledge, attitudes and practice of health care professionals in Ibadan. J Obstet Gynaecol 2000; 20(3): 284–289.

Okonofua FE, Omo-Aghoja LO, Hammed AA, Osazee KA. A survey of the knowledge and practices of emergency contraception by private medical practitioners in Nigeria. J Chin. Clin Med. 2009; 41(1): 32–39.

Otoide VO, Oronsaye F, Okonofua FE. Why Nigerian adolescents seek abortion rather than contraception: Evidence from focus-group discussions. Int Fam Plan Perspect, 2001; 27(2): 77–81.

World Health Organization. Health Promotion Glossary. Available at http://whqlibdoc.who.int/hq/1998/WHO_ HPR_HEP_98.1.pdf, 15 April 2010.

Piotrow PT, Rimon K, Winnard DL, Huntington D, Convisser J. Mass media family planning promotion in three Nigerian cities. Stud. Fam. Plann. 1990; 21(5): 265–274.

Division Nigerian Army: Conduct census and verification of officers’ accommodation in Ribadu Cantonment. Report of committee by Maj. Gen. L.O. Jokotola, General Officer Commanding 1 Division, Nigerian Army, 2007.

Division Nigerian Army: Quarter Accommodation Returns. Chindit Cantonment, Zaria, Kaduna State, 2008.

Abramson JH. COMPARE2 Manuals of PEPI-forWindows Programme (WINPEPI), version 11.24, available at www.brixtonhealth.com, last accessed 12 November 2010.

Jerome M, Scott M, Nancy M. Knowledge, attitude and sexual behaviour among the Nigerian military concerning HIV/AIDS and STDS. Armed Forces Program on AIDS Control Technical Report 2002, 1: 1–51.

Federal Ministry of Health. National HIV/AIDS and Reproductive Health Survey. Abuja, Nigeria, 2007.

Hunter-Geboy C. Life Planning Education: A Youth Development Program. Washington DC: Advocates for Youth, 1995, pp. 71–79.

Ertem M, Ergenekon P, Elmaci N. Family planning in women with high parity in Diyarbakir, Turkey: The factor affecting contraceptive use. Journal of Medical School, 2000, 27(1): 23S–33.

Maharaj P, Cleland J. Risk perception and condom use among married or cohabiting couples in KwaZuluNatal, South Africa. Int Fam Plann Perspect 2005; 31(1): 24–29.

Williamson NE, Liku J, McLoughlin K, Nyamongo IK, Nakayima FA. Qualitative study of condom use among married couples in Kampala, Uganda. RHM 2006; 14(28): 89–98.

Adesiyun AG. Female sterilization by tubal ligation: A reappraisal of factors influencing decision making in a tropical setting. Arch Gynecol Obstet 2007; 275(4): 241–244. African Journal of Reproductive Health March 2014; 18(1):

Briegler WR, Delano GE, Lane CG, Oladapo O, Oyediran KA. West African Youth Initiative: Outcome of a reproductive health education program. J Adolesc Health 2001; 29(6): 436–446.

Qian X, Smith H, Huang W, Zhang J, Huang Y, Garner P. Promoting Contraceptive use among unmarried female migrants in one factory in Shanghai: A pilot workplace intervention. BMC Health Serv. Res. 2007; 7: 77.

Abdullahi ASM, Ming CY, Seng CK, Ping CY, Fai CK, Wing FY, Man HW, Kei HB, Mun WY, Yee WM. Effects of a brief sexual education intervention of the knowledge and attitudes of Chinese public school students. Journal of HIV/AIDS Prevention and Education for Adolescents and Children, 2003, 5(3/4): 129–149.

Thomas TK, Muhammadou G, Ilene S, Sara P, Danielle B. The impact of a family planning multimedia campaign in Bamako, Mali. Stud. Fam. Plann. 1998; 29(3): 309–323.

Solman MH. Impact of antenatal counselling on couples knowledge and practice of contraception in Mansoura, Egypt. East. Mediterr. Health J. 1999; 5(5): 1002– 1013.

Paul L, Simon G, Joanne K, Nigel D, Carolyn S. Effect of educational leaflets and questions on knowledge of contraception in women taking the combined contraceptive pill: Randomized controlled trial. BMJ 1998; 316: 1948–1952. Savelieva I, Pile JM, Sacci I, Loganathan R. Post-abortion family planning operations research study in Perm, Russia. Available at www.commit.com, last accessed 23 November 2006.

Refbacks

  • There are currently no refbacks.