Contraceptive Choices and Use Among Postnatal Women in Selected Districts in Luapula Province, Zambia

Chama Daniel; Kasongo Titus; Munengo Webster; Mutale Mumbi; Catherine Mubita Ngoma

doi:doi:10.11648/j.cajph.20180406.14

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Contraceptive Choices and Use Among Postnatal Women in Selected Districts in Luapula Province, Zambia

Chama Daniel, Kasongo Titus, Munengo Webster, Mutale Mumbi, Catherine Mubita Ngoma

Published in Central African Journal of Public Health (Volume 4, Issue 6)

Received: 2 November 2018 Accepted: 22 November 2018 Published: 26 December 2018

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Abstract

Effective contraception benefits both mothers and children by decreasing morbidity and mortality, improving the social and economic status of women, and improving the relationship of the mother with all her children. The main aim of the study was to determine contraceptive choices and use among postnatal women in Mwense, Mwansabobwe and Nchelenge districts of Luapula province. The study population comprised 92 randomly selected women attending family planning clinics. Findings revealed that 51% of the respondents were aged between 25 and 34 years, 75% were married, 63% were multiparas and had attained primary level of education (43%). Most respondents (79.3%) were not in formal employment, 52% had been using a family planning method for a period between one to three years and their main source of information on family planning were health care providers (71%). Two thirds (62%) of the respondents were using injectable contraceptive methods. When asked to state the contraceptive method they knew other than the one they were using, 75% mentioned injectable contraceptive and were aware of the benefits of family planning (87%). The respondents mentioned the following as side effects of family planning methods in general heavy bleeding (13%), irregular bleeding (25%), abdominal cramps (60%) and infertility (2%). With regards to the benefits of family planning, 87% knew the benefits of family planning and 83% of the family planning providers were nurses. 82% of the women reported that they received adequate information from the family planning provider on the contraceptives they were using and 92% were satisfied with the services rendered by health care providers, 74% of the respondents reason for the choice of contraceptives was safety of the contraceptive method and their main source of influence were their husbands (34%). Most women (79%) were willing to switch to other methods of contraceptives if the one they were using was not available and were willing to continue using family planning method (87%). To improve service delivery and client satisfaction among postnatal women, there is need for continued sensitization and provision of method specific information on family planning methods to the women to enable them to make informed contraceptive choices. Health facilities should be equipped with all family planning methods and logistics. There is also need to undertake further research to determine why injectable method of contraceptive is the most preferred among women in the current study.

Published in	Central African Journal of Public Health (Volume 4, Issue 6)
DOI	10.11648/j.cajph.20180406.14
Page(s)	191-195
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2018. Published by Science Publishing Group

Keywords

Contraceptive, Choices, Use, Postnatal, Women, Zambia

References

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[2]	Hatcher, RA, Rinehart, W., Blackburn, R, Geller SJ, Shelton DJ. The essentials of contraceptive technology. Population Information program, Center for communication programs, The Johns Hopkins University, School of Public Health, Baltimore, July 1998.
[3]	Smith, R, Ashford, L, Gribble, J Clifford, D. Population reference Bureau. Family planning saves lives, 4th Edition, pp. 5-8.
[4]	Republic of Zambia, Integrated Family Planning Scale up Plan 2013-2021, Lusaka, Zambia.
[5]	National Health Strategic Plan, 2017-2021, Lusaka Zambia.
[6]	Central Statistics Office. Zambia Demographic and Health Survey 2013-14. Rockville, Maryland, USA: Central Statistical Office/Zambia, Ministry of Health/Zambia, and ICF International.
[7]	Nzokirishaka A, Itau, I. Determinants of unmet need for family planning among married women of reproductive age in Burundi: a cross-sectional study. Contraception and Reproductive Medicine, 2018; 3:11.
[8]	Chigbu B, Onwere S, Aluka C, Kamanu C, Okoro O, Feyi-Waboso P. Contraceptive choices of women in rural Southeastern Nigeria. Niger J Clin Pract. 2010 Jun; 13 (2):195-9.
[9]	Gizaw, W, Zewdu, F Abuhay, M Bayu, H. Extended Postpartum Modern Contraceptive Utilization and Associated Factors among Women in Gozamen District, East Gojam Zone, Northwest Ethiopia, 2014. Insights in Reproductive Medicine 2017 Vol.1 No.2:8. Online available at: www.imedpub.comiMedPub Journals www.imedpub.com.
[10]	Debebe, S, Limenih AM, Biadgo, B. Modern contraceptive methods utilization and associated factors among reproductive aged women in rural Dembia District, northwest Ethiopia: Community based cross-sectional study. International Journal of Reproductive Biomedicine. 2017 Jun; 15 (6): 367–374.
[11]	Umoh AV, Abah, MG. Contraception awareness and practice among antenatal attendees in Uyo, Nigeria. Pan Afr Med J. 2011; 10:53.
[12]	Asekun-Olarinmoye EO, Adebimpe WO, Bamidele JO, Odu OO, Asekun-Olarinmoye IO, Ojofeitimi EO. Barriers to use of modern contraceptives among women in an inner city area of Osogbo metropolis, Osun State, Nigeria. Int J Womens Health. 2013; 5:647–655.
[13]	Eko JE, Osonwa KO, Osuchukwu NC, Offiong DA. Prevalence of contraceptive use among women of reproductive age in Calabar Metropolis, Southern Nigeria. Int J Humanit Soc Sci Invent. 2013; 2:27–34.
[14]	Newmann, JS, Goldberg, BA, Aviles, R, Molina de Perez, O, Foster-Rosales, FA. American Journal of Obstetrics and Gynaecology, Predictors of Contraceptive Knowledge and Use among Postpartum Adolescent in El Salvador. May 2005, Volume 192, Issue 5, Pages 1391–1394.
[15]	Basnayake, S, Thapa, S, Sandor, A. B. Evaluation of Safety, Efficacy, and Acceptability of NORPLANT@R Implants in Sri Lanka. Studies in Family Planning Vol. 19, No. 1 (Jan. - Feb., 1988), pp. 39-47.
[16]	Adofo, E. Postpartum contraceptive use among young mothers in Kwae.
[17]	Bibirem district, Ghana School of Public health. College of health sciences, University of Ghana, July 2014.
[18]	Potgieter, F Kapp, P & Coetzee, F. Factors influencing post-partum women’s choice of an implantable contraceptive device in a rural district hospital in South Africa. Practice, Volume 60, 2018 - Issue 6.

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APA Style

Chama Daniel, Kasongo Titus, Munengo Webster, Mutale Mumbi, Catherine Mubita Ngoma. (2018). Contraceptive Choices and Use Among Postnatal Women in Selected Districts in Luapula Province, Zambia. Central African Journal of Public Health, 4(6), 191-195. https://doi.org/10.11648/j.cajph.20180406.14

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ACS Style

Chama Daniel; Kasongo Titus; Munengo Webster; Mutale Mumbi; Catherine Mubita Ngoma. Contraceptive Choices and Use Among Postnatal Women in Selected Districts in Luapula Province, Zambia. Cent. Afr. J. Public Health 2018, 4(6), 191-195. doi: 10.11648/j.cajph.20180406.14

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AMA Style

Chama Daniel, Kasongo Titus, Munengo Webster, Mutale Mumbi, Catherine Mubita Ngoma. Contraceptive Choices and Use Among Postnatal Women in Selected Districts in Luapula Province, Zambia. Cent Afr J Public Health. 2018;4(6):191-195. doi: 10.11648/j.cajph.20180406.14

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@article{10.11648/j.cajph.20180406.14,
  author = {Chama Daniel and Kasongo Titus and Munengo Webster and Mutale Mumbi and Catherine Mubita Ngoma},
  title = {Contraceptive Choices and Use Among Postnatal Women in Selected Districts in Luapula Province, Zambia},
  journal = {Central African Journal of Public Health},
  volume = {4},
  number = {6},
  pages = {191-195},
  doi = {10.11648/j.cajph.20180406.14},
  url = {https://doi.org/10.11648/j.cajph.20180406.14},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.cajph.20180406.14},
  abstract = {Effective contraception benefits both mothers and children by decreasing morbidity and mortality, improving the social and economic status of women, and improving the relationship of the mother with all her children. The main aim of the study was to determine contraceptive choices and use among postnatal women in Mwense, Mwansabobwe and Nchelenge districts of Luapula province. The study population comprised 92 randomly selected women attending family planning clinics. Findings revealed that 51% of the respondents were aged between 25 and 34 years, 75% were married, 63% were multiparas and had attained primary level of education (43%). Most respondents (79.3%) were not in formal employment, 52% had been using a family planning method for a period between one to three years and their main source of information on family planning were health care providers (71%). Two thirds (62%) of the respondents were using injectable contraceptive methods. When asked to state the contraceptive method they knew other than the one they were using, 75% mentioned injectable contraceptive and were aware of the benefits of family planning (87%). The respondents mentioned the following as side effects of family planning methods in general heavy bleeding (13%), irregular bleeding (25%), abdominal cramps (60%) and infertility (2%). With regards to the benefits of family planning, 87% knew the benefits of family planning and 83% of the family planning providers were nurses. 82% of the women reported that they received adequate information from the family planning provider on the contraceptives they were using and 92% were satisfied with the services rendered by health care providers, 74% of the respondents reason for the choice of contraceptives was safety of the contraceptive method and their main source of influence were their husbands (34%). Most women (79%) were willing to switch to other methods of contraceptives if the one they were using was not available and were willing to continue using family planning method (87%). To improve service delivery and client satisfaction among postnatal women, there is need for continued sensitization and provision of method specific information on family planning methods to the women to enable them to make informed contraceptive choices. Health facilities should be equipped with all family planning methods and logistics. There is also need to undertake further research to determine why injectable method of contraceptive is the most preferred among women in the current study.},
 year = {2018}
}

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TY  - JOUR
T1  - Contraceptive Choices and Use Among Postnatal Women in Selected Districts in Luapula Province, Zambia
AU  - Chama Daniel
AU  - Kasongo Titus
AU  - Munengo Webster
AU  - Mutale Mumbi
AU  - Catherine Mubita Ngoma
Y1  - 2018/12/26
PY  - 2018
N1  - https://doi.org/10.11648/j.cajph.20180406.14
DO  - 10.11648/j.cajph.20180406.14
T2  - Central African Journal of Public Health
JF  - Central African Journal of Public Health
JO  - Central African Journal of Public Health
SP  - 191
EP  - 195
PB  - Science Publishing Group
SN  - 2575-5781
UR  - https://doi.org/10.11648/j.cajph.20180406.14
AB  - Effective contraception benefits both mothers and children by decreasing morbidity and mortality, improving the social and economic status of women, and improving the relationship of the mother with all her children. The main aim of the study was to determine contraceptive choices and use among postnatal women in Mwense, Mwansabobwe and Nchelenge districts of Luapula province. The study population comprised 92 randomly selected women attending family planning clinics. Findings revealed that 51% of the respondents were aged between 25 and 34 years, 75% were married, 63% were multiparas and had attained primary level of education (43%). Most respondents (79.3%) were not in formal employment, 52% had been using a family planning method for a period between one to three years and their main source of information on family planning were health care providers (71%). Two thirds (62%) of the respondents were using injectable contraceptive methods. When asked to state the contraceptive method they knew other than the one they were using, 75% mentioned injectable contraceptive and were aware of the benefits of family planning (87%). The respondents mentioned the following as side effects of family planning methods in general heavy bleeding (13%), irregular bleeding (25%), abdominal cramps (60%) and infertility (2%). With regards to the benefits of family planning, 87% knew the benefits of family planning and 83% of the family planning providers were nurses. 82% of the women reported that they received adequate information from the family planning provider on the contraceptives they were using and 92% were satisfied with the services rendered by health care providers, 74% of the respondents reason for the choice of contraceptives was safety of the contraceptive method and their main source of influence were their husbands (34%). Most women (79%) were willing to switch to other methods of contraceptives if the one they were using was not available and were willing to continue using family planning method (87%). To improve service delivery and client satisfaction among postnatal women, there is need for continued sensitization and provision of method specific information on family planning methods to the women to enable them to make informed contraceptive choices. Health facilities should be equipped with all family planning methods and logistics. There is also need to undertake further research to determine why injectable method of contraceptive is the most preferred among women in the current study.
VL  - 4
IS  - 6
ER  -

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Author Information

Chama Daniel

Department of Basic and Clinical Nursing, School of Nursing Sciences, University of Zambia, Lusaka, Zambia
Kasongo Titus

Department of Basic and Clinical Nursing, School of Nursing Sciences, University of Zambia, Lusaka, Zambia
Munengo Webster

Department of Basic and Clinical Nursing, School of Nursing Sciences, University of Zambia, Lusaka, Zambia
Mutale Mumbi

Department of Basic and Clinical Nursing, School of Nursing Sciences, University of Zambia, Lusaka, Zambia
Catherine Mubita Ngoma

Department of Midwifery, Women and Child Health, School of Nursing Sciences, University of Zambia, Lusaka, Zambia

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Plain Text BibTeX RIS

APA Style

Chama Daniel, Kasongo Titus, Munengo Webster, Mutale Mumbi, Catherine Mubita Ngoma. (2018). Contraceptive Choices and Use Among Postnatal Women in Selected Districts in Luapula Province, Zambia. Central African Journal of Public Health, 4(6), 191-195. https://doi.org/10.11648/j.cajph.20180406.14

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ACS Style

Chama Daniel; Kasongo Titus; Munengo Webster; Mutale Mumbi; Catherine Mubita Ngoma. Contraceptive Choices and Use Among Postnatal Women in Selected Districts in Luapula Province, Zambia. Cent. Afr. J. Public Health 2018, 4(6), 191-195. doi: 10.11648/j.cajph.20180406.14

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AMA Style

Chama Daniel, Kasongo Titus, Munengo Webster, Mutale Mumbi, Catherine Mubita Ngoma. Contraceptive Choices and Use Among Postnatal Women in Selected Districts in Luapula Province, Zambia. Cent Afr J Public Health. 2018;4(6):191-195. doi: 10.11648/j.cajph.20180406.14

Copy | Download

@article{10.11648/j.cajph.20180406.14,
  author = {Chama Daniel and Kasongo Titus and Munengo Webster and Mutale Mumbi and Catherine Mubita Ngoma},
  title = {Contraceptive Choices and Use Among Postnatal Women in Selected Districts in Luapula Province, Zambia},
  journal = {Central African Journal of Public Health},
  volume = {4},
  number = {6},
  pages = {191-195},
  doi = {10.11648/j.cajph.20180406.14},
  url = {https://doi.org/10.11648/j.cajph.20180406.14},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.cajph.20180406.14},
  abstract = {Effective contraception benefits both mothers and children by decreasing morbidity and mortality, improving the social and economic status of women, and improving the relationship of the mother with all her children. The main aim of the study was to determine contraceptive choices and use among postnatal women in Mwense, Mwansabobwe and Nchelenge districts of Luapula province. The study population comprised 92 randomly selected women attending family planning clinics. Findings revealed that 51% of the respondents were aged between 25 and 34 years, 75% were married, 63% were multiparas and had attained primary level of education (43%). Most respondents (79.3%) were not in formal employment, 52% had been using a family planning method for a period between one to three years and their main source of information on family planning were health care providers (71%). Two thirds (62%) of the respondents were using injectable contraceptive methods. When asked to state the contraceptive method they knew other than the one they were using, 75% mentioned injectable contraceptive and were aware of the benefits of family planning (87%). The respondents mentioned the following as side effects of family planning methods in general heavy bleeding (13%), irregular bleeding (25%), abdominal cramps (60%) and infertility (2%). With regards to the benefits of family planning, 87% knew the benefits of family planning and 83% of the family planning providers were nurses. 82% of the women reported that they received adequate information from the family planning provider on the contraceptives they were using and 92% were satisfied with the services rendered by health care providers, 74% of the respondents reason for the choice of contraceptives was safety of the contraceptive method and their main source of influence were their husbands (34%). Most women (79%) were willing to switch to other methods of contraceptives if the one they were using was not available and were willing to continue using family planning method (87%). To improve service delivery and client satisfaction among postnatal women, there is need for continued sensitization and provision of method specific information on family planning methods to the women to enable them to make informed contraceptive choices. Health facilities should be equipped with all family planning methods and logistics. There is also need to undertake further research to determine why injectable method of contraceptive is the most preferred among women in the current study.},
 year = {2018}
}

Copy | Download

TY  - JOUR
T1  - Contraceptive Choices and Use Among Postnatal Women in Selected Districts in Luapula Province, Zambia
AU  - Chama Daniel
AU  - Kasongo Titus
AU  - Munengo Webster
AU  - Mutale Mumbi
AU  - Catherine Mubita Ngoma
Y1  - 2018/12/26
PY  - 2018
N1  - https://doi.org/10.11648/j.cajph.20180406.14
DO  - 10.11648/j.cajph.20180406.14
T2  - Central African Journal of Public Health
JF  - Central African Journal of Public Health
JO  - Central African Journal of Public Health
SP  - 191
EP  - 195
PB  - Science Publishing Group
SN  - 2575-5781
UR  - https://doi.org/10.11648/j.cajph.20180406.14
AB  - Effective contraception benefits both mothers and children by decreasing morbidity and mortality, improving the social and economic status of women, and improving the relationship of the mother with all her children. The main aim of the study was to determine contraceptive choices and use among postnatal women in Mwense, Mwansabobwe and Nchelenge districts of Luapula province. The study population comprised 92 randomly selected women attending family planning clinics. Findings revealed that 51% of the respondents were aged between 25 and 34 years, 75% were married, 63% were multiparas and had attained primary level of education (43%). Most respondents (79.3%) were not in formal employment, 52% had been using a family planning method for a period between one to three years and their main source of information on family planning were health care providers (71%). Two thirds (62%) of the respondents were using injectable contraceptive methods. When asked to state the contraceptive method they knew other than the one they were using, 75% mentioned injectable contraceptive and were aware of the benefits of family planning (87%). The respondents mentioned the following as side effects of family planning methods in general heavy bleeding (13%), irregular bleeding (25%), abdominal cramps (60%) and infertility (2%). With regards to the benefits of family planning, 87% knew the benefits of family planning and 83% of the family planning providers were nurses. 82% of the women reported that they received adequate information from the family planning provider on the contraceptives they were using and 92% were satisfied with the services rendered by health care providers, 74% of the respondents reason for the choice of contraceptives was safety of the contraceptive method and their main source of influence were their husbands (34%). Most women (79%) were willing to switch to other methods of contraceptives if the one they were using was not available and were willing to continue using family planning method (87%). To improve service delivery and client satisfaction among postnatal women, there is need for continued sensitization and provision of method specific information on family planning methods to the women to enable them to make informed contraceptive choices. Health facilities should be equipped with all family planning methods and logistics. There is also need to undertake further research to determine why injectable method of contraceptive is the most preferred among women in the current study.
VL  - 4
IS  - 6
ER  -

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