Determinants Of Utilization Of Family Planning Services Among Women Of Gambari Ward In Ilorin, Kwara State

Project and Seminar Material for Nursing (Science)

Determinants Of Utilization Of Family Planning Services Among Women Of Gambari Ward In Ilorin, Kwara State


Abstract


This study was conducted on the determinants of utilization of family planning services among women of Gambari ward in Ilorin, Kwara State.

The specific objectives were to determine the level of utilization of family planning services, to assess the level of knowledge of family planning among women of reproductive age group in Gambari Ward, to determine the proportion of women currently using family planning methods and to determine the proportion of women who wish to use family planning services but cannot access the services.

The study was a descriptive cross-sectional study. A Cluster random sampling method was used. Our study populations were female residents of Gambari ward within the reproductive age group. Relevant information was obtained through a 5-section structural questionnaire that assessed areas of interest with both open and closed-ended questions. Data analysis was done using SPSS version 20.0 and results were presented by means of tables, charts and graphs.

Majority of the respondents were aware of family planning services. However, the level of utilization was low due to religious beliefs, spouse refusal, cost and other misconceptions on family planning use.

Appropriate recommendations were made to the government and the community as a whole, on how to improve the overall utilization of family planning services.


Table of Contents


  • Title Page
  • Certification
  • Dedication
  • Acknowledgements
  • Abstract
  • Table of Contents

Chapter One

1.0 Introduction

  • 1.1 Background information
  • 1.2 Problem statement
  • 1.3 Justification for the Study
  • 1.4 Objectives of the Research
  • 1.4.1 General objectives
  • 1.4.2 Specific Objectives
  • 1.5 Conceptual framework

Chapter Two

2.0 Literature Review


Chapter Three:

3.0 Methodology

  • 3.1 Description of study area
  • 3.2 Study Design
  • 3.3 Study population
  • 3.4 Sampling technique and method
  • 3.5 Minimum sample size determination
  • 3.6 Research instrument
  • 3.7 Data Collection, Analysis and Presentation
  • 3.8 Ethical consideration
  • 3.9 Method of data dissemination
  • 3.10 Limitations of the study

Chapter Four:

4.0 Results

  • 4.1 Socio-demographic characteristics
  • 4.2 Gynecologic and reproductive history
  • 4.3 Level of awareness of family planning
  • 4.4 Level and determinants of utilization of family planning
  • 4.5 Perception on family planning
  • 4.6 Cross-tabulations.

Chapter Five

5.0 Discussion


Chapter Six

6.0 Conclusion and Recommendations

  • 6.1 Conclusion
  • 6.2 Recommendations
  • References
  • Sample Questionnaires

Chapter One


Introduction

1.1 Background Information

Family planning, as explained by World Health Organization (WHO), allows individuals and couples anticipate and attain their desired number of children and the spacing and timing of their birth. It is achieved through the use of contraceptive methods. A womanโ€™s ability to space and limit her pregnancies has a direct impact on her health and wellbeing as well as outcome of each pregnancy.

Uptake of family planning methods remains low in Sub-Saharan Africa including Nigeria. This may be associated with high incidence of unintended pregnancies, unsafe abortions and maternal death [1, 2]. The United Nations Sustainable Development Goal (SDG) 5 aims at improving maternal health and reducing maternal mortality by three quarters between 1990 and 2015. An important intervention towards achieving this target is the promotion of family planning among women of Sub-Saharan Africa [1, 3].

Several studies have been conducted on determinants of family planning use. In some cases strong associations have been established between family planning and some socio-demographic, socio-cultural and socio-economic characteristics of women. Studies have revealed that use of family planning methods was found more in women of older age group [4, 5]. Education has also been observed in many other studies to be associated with contraceptive use [4, 6, 7].


1.2 Problem Statement

United Nations MDG5 aims at improving maternal health and reducing maternal mortality by 75% between 1990 and 2015. An important tool towards achieving this target is the promotion of family planning among women. Unfortunately, uptake of family planning methods remains low in Sub-Saharan Africa.

In a study conducted in Ghana, it was estimated that about 17% of married women use modern contraceptive method [8]. This suggests that the use of contraceptive methods, especially modern ones, still remains low among women in Ghana. In the same study, it was estimated that unmet need increased from 30% to 34% in 2008. It is therefore imperative to establish and understand the factors that serve as barrier to the use of contraceptives and available family planning services.


1.3 Rationale and Justification

The worldโ€™s population is increasing rapidly and increasing birth rate contributes immensely to this rapid growth. Family planning has been shown to have control over population growth, therefore knowing the determinants of utilization of the available modern family planning methods will go a long way in encouraging family planning and population control. Evidence also exists that if couples can space their pregnancies by at least 2years through the use of family planning, up to 35% of maternal death and up to 13% of child mortality could be averted [9-11], whilst 25% of under-five mortalities could be averted if birth intervals were at least 3years [10].

The cost effectiveness of family planning in poverty reduction and socio-economic development due to population control in the developing world cannot be disputed [12, 13]. If individuals and couples plan their pregnancies and family with improved use of contraception, they are more likely to have fewer and healthier children.

Hence, having known the benefits of family planning, this study is carried out to know the factors that determine the level of utilization of family planning among women of Gambari ward in Ilorin, Kwara state.


1.4 Objectives

1.4.1 General Objectives
  1. To identify the determinants of utilization of family planning among women in Gambari Ward.
1.4.2 Specific Objective
  1. To identify the determinants of utilization of modern family planning methods.
  2. To assess the level of knowledge of family planning among women of reproductive age group in Gambari Ward.
  3. To determine the proportion of women currently using family planning methods in Gambari Ward.
  4. To determine the proportion of women who wish to use family planning services but cannot access the services.
  5. To make recommendations based on findings in the study.

1.5 Conceptual Framework


Chapter Six


Conclusion and Recommendation

6.1 Conclusion

Majority of the respondents have adequate knowledge about family planning services and the source of the awareness was predominantly from hospital visits. This study has provided evidence to demonstrate that despite high level of awareness, utilization of family planning services may still be low. It is therefore important to organize educational campaigns on the awareness of family planning services by emphasizing on the benefits of the services as it will help reduce misconceptions and increase utilization of family planning services.

Males should also be educated on the benefits of family planning, so as to reduce opposition from husbands. Furthermore, if women have the desire to space their children as well as prevent pregnancy and STIs, they are more likely to use the service.


6.2 Recommendations

Based on our findings, the following were made;

To The Government:
  1. Ministry of Health should re-visit the methods currently adopted to deliver family planning messages in the rural areas.
  2. Family planning messages should be integrated into existing health education programmes as it could help increase awareness, access and utilization.
  3. Family planning messages should focus on the involvement of male partners in delivering the service.
  4. Primary health care centers should be located in easily accessible area.
  5. Prices of various family planning methods should be subsidized and various methods should be readily available.
To The Community:
  1. Community health development should organize health talk to the members of the community on benefits of family planning.
  2. Religious bodies and clerics should be educated and encouraged on the benefits and importance of family planning.

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