Fertility Intentions, Contraceptive Awareness and Contraceptive Use among Women in Three Communities in Northern Nigeria
), , Larai Aku-Akai(2), Ado Zakari Mohammed(3), Sunday Adaji(4), Oladapo Shittu(5), Clara Ejembi(6),
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(2)
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(6)
Corresponding Author
Abstract
This study measured contraceptive knowledge, contraceptive use and fertility intentions among 1408 women of reproductive age in three communities in Kaduna state, Nigeria. Contraceptive knowledge was relatively high, with 64.6% of women having heard of at least one method. Radio and health facilities were the primary sources of information. The pill was most widely known (54.1%), followed by female sterilization (47.5%) and injectables (47.4%). Knowledge did not reflect use, however, as only 3.1% were current users of any method, among which injectables, pills and traditional waist bands were the most popular. Nearly 10% of non-users intended to begin using a method in the coming year, of whom 37.3% wished to use injectables. When asked about their last birth, 87% of women had desired to become pregnant and only 15% felt that their last pregnancy was mistimed. A sensitive and community-friendly approach is needed to reduce risks associated with high fertility while being respectful of community preferences (Afr. J. Reprod. Health 2010; 14[3]: 65-70).
Résumé
Intentions de fécondité, de connaissance du contraceptif et de l’emploi des contraceptifs chez les femmes dans trois communautés au nord du Nigéria. Cette étude a examiné la connaissance du contraceptif, l’emploi des contraceptifs et le désir de la fécondité chez 1408 femmes en âge de procréation dans trois communautés dans l’état de Kaduna, Nigéria. Le niveau de connaissance du contraceptif est relativement élevé, 64,6% des femmes ayant déjà entendu parler d’au moins une méthode. Les sources primaires de l’information étaient la radio et les établissements de santé. La pilule a été largement la plus connue (54,1%), suivie de la stérilisation féminine (47,55%) et des injectables (47,4%). Néanmoins, la connaissance n’a pas reflété l’emploi étant donné que 3,1% étaient des usagers courants de n’importe quelle méthode, dont les injectables, les pilules et les ceintures traditionnelles étaient les plus populaires. Presque 10% de non usagers avaient l’intention de commencer à employer une méthode dans l’année qui vient; parmi elles, 37,3% voulaient utiliser les injectables. Quand on leur a demandé leur dernier accouchement, 87% des femmes avaient voulu être enceintes et seules 15% ont pensé que leur dernière grossesse a été mal-calculée. Il faut une approche sensible et qui favorise les communautés pour réduire les risques liés à la haute fécondité tout en respectant les préférences des communautés (Afr. J. Reprod. Health 2010; 14[3]: 65-70).
Key words: Rural women, contraception, fertility, northern Nigeria.
References
Nigeria’s population profile, Population Reference Bureau, info by country; Nigeria statistics UNICEF 2009
Bongaarts J, Potter RG. Fertility, biology and behavior. London: Academic Press, 1983.
Nazli Choucri, Population and Conflict: New dimensions of population dynamics. United Nations Fund for Population Activities Policy Development Studies, Number 8, 1983.
Cleland, J. Contraception in historical and global perspective. Best Practice and Research. Clin. Obstet. Gynaecol. 2009; (23): 165–176
Konge JC, Oladipo AO, Barriers to uptake and use of modern methods of contraception in developing countries. Intl. J. Gynecol. Obstet. (1999) 65, 287-294
Akinfeleye R, Charlse JO, Omideyi AK. Sociocultural factors affecting attitude and behaviour regarding population and family life in Nigeria, Fam. Plann. Nigeria UNFPA, 2009
National Population Commission (NPC) [Nigeria] and ICF Macro. 2009. Nigeria Demographic and Health Survey 2008. Abuja, Nigeria: National Population Commission and ICF Macro.
Galandanci H, Ejembi C, Iliyasu Z, Alagh B, Umar U. Maternal health in Northern Nigeria—a far cry from ideal. Brit. J. Obstet. Gynaecol. 2007; 114:448–452.
Clifford O, Family planning attitude and use in Nigeria, A factor analysis. International Family Perspectives, 1999; 25(2):86-91
Federal Government of Nigeria, National Population policy for development, unity and self-reliance, Ikoyi, Lagos, Nigeria: federal Ministry of Health, 1988.
Michelle G, Ronald TB, Contraception and family planning, Curr. Obstet. Gynaecol. Diagnosis and Treatment 9th edition,2003,
Sullivan T M et al., Skewed contraceptive method mix: Why it happens, why it matters. J. Biomed. Sci, 2006; 38(4); 501-521.
Doucouré A, Djeneba D, Touré F, et al. The effect of a family planning CBD project in Mali. In Foreit J, Frejka T, eds. Family Planning Operations Research: A Book of Readings. (New York: Population Council, 1998)113-18.N.
Jejeebhoy S J. Women’s education, fertility and the proximate determinants of fertility. United Nations, 1992; 40.
Castro M T. Women’s education and fertility: results from 26 demographic and health surveys. Stud. Fam. Plan. 1995; 26: 187-22.
Weldegerima B, Denekew A, women’s knowledge, preference, practices of modern contraceptive methods in Worita, Ethopia. PMID: 18794040 [PubMed - Indexed for MEDLINE] 2007.
Ozumba BC, Obi SN, Ijioma NN, Knowledge, attitude and practice of modern contraception among single women in a rural and urban community in Southeast Nigeria. J. Obstet. Gynaecol. April 2005; 25(3): 292 –
Mairiga AG,Kyari D,Audu B,Lawuwa BM. Socioclinical characteristics of modern contraceptive users at the University of Maiduguri Teaching Hospital. Niger J Clin Pract. June 2007; 10(2):152-5.
Ameh N, Sule ST. Contraceptive choices among women in Zaria, Nigeria. Niger. J. Clin. Pract. sept 2007; 10(3):205-7.
Mutihir JT, Pam VC. Overview of contraceptive use in Jos University Teaching Hospital, North Central Nigeria. Niger. J. Clin. Pract. June 2008; 11(2):139-43.
Jinadu MK, Olusi SO, Ajuwon B, Traditional fertility regulation among the Yoruba Southwestern Nigeria. A study of prevalence, attitude and practice Afr. J. Reprod. Health. 1997 Mar; 1(1):56-64.
Omo-Aghoja LO; Omo-Aghoja VW; Aghoja CO; Okonofua FE; Aghedo O; Umueri C; Otayohwo R; Feyi-Waboso P; Onowhakpor EA; Inikori KA. Factors associated with the knowledge, practice and perceptions of contraception in rural southern Nigeria. Ghana Med. J. 2009 Sep; 43(3):115-21.
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