Accessibility and Utilization of Family Planning Services Among Married Couples in Kogi State, North Central Nigeria

Julius Olugbenga Owoyemi; Olarewaju Oluseyi Ifatimehin; Edward Egwuaba; Patience Iyadi Obaka

doi:doi:10.11648/j.cajph.20200603.12

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Accessibility and Utilization of Family Planning Services Among Married Couples in Kogi State, North Central Nigeria

Julius Olugbenga Owoyemi, Olarewaju Oluseyi Ifatimehin, Edward Egwuaba, Patience Iyadi Obaka

Published in Central African Journal of Public Health (Volume 6, Issue 3)

Received: 3 February 2020 Accepted: 27 February 2020 Published: 17 March 2020

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Abstract

Family Planning serves several purposes, including, the reduction of maternal and infant morbidity and mortality rates, sustainable population growth rate, improved economy security for both family and community and treatment of infertility among others. Despite these huge benefits, many factors stand to impede on the practice. This cross-sectional community-based survey examined the access and utilization to family planning services (contraceptive use) and the factors serving as impediments to the overall use among married couples in the purposively selected Local Government Area of Kogi State, North Central Nigeria. The survey adopted both qualitative and quantitative methods and the data were analyzed using Frequency counts, Pearson Chi-square and Linear regression statistics in a Statistical Package for Social Sciences (SPSS Version 25.0) environment. The survey recorded a high level of awareness and access to family planning services across the state; however, this did not translate to its uptake. Factors found to influence this result include, perceived side-effects, friends’ disapproval, age, culture and poor level of education among others. Also, the study found a positive association between couples’ level of awareness, availability of family planning methods/services and husbands’ involvement (Chi-Square Tests (X2)=23.991; df=1; p=0.000 Chi-Square Tests (X2)=63.404; df=6; p=0.000; Improved family health β=0.270, t=6.120, p-value=<0.000; attendance of school by children β=0.180, t=4.229, p-value=<0.000; experience of fewer pregnancy β=0.091, t=2.189, p-value=<0.029; improved socio-economics status and well-being β=0.080, t=2.037 p-value=<0.042) respectively in the uptake of the service in the state. However, the availability of family planning methods was found to be strongly associated (63.4%) with the uptake of the services. Therefore, the low level of utilization of family planning in Kogi State among the (49.0%) may be responsible for about (30.5%) who reported terminating an unwanted pregnancy. Not only does this add to the rate of maternal mortality, but the socio-cultural, economic and psychological impact on the women, their families and the entire community can be quite devastating. Therefore, it was recommended among others, that women in their reproductive age be sensitized on the need to maximize the practice of modern family planning methods. Also, increase on the access to contraceptive methods through joint efforts of government and non-governmental agencies to reduce the unmet needs for contraceptive use in the state are encouraged.

Published in	Central African Journal of Public Health (Volume 6, Issue 3)
DOI	10.11648/j.cajph.20200603.12
Page(s)	110-121
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), 2020. Published by Science Publishing Group

Keywords

Family Planning, Access, Contraceptive, Uptake, Services, Married Couple

References

[1]	World Health Organization. Family Planning: A Global Handbook for Providers. Geneva. 2018.
[2]	World Health Organization. Family Planning Fact Sheet. Geneva. 2019.
[3]	Fund for Peace. Fragile States Index 2018-Annual Report. Washington DC, United States of America. 2018.
[4]	Ganchimeg T., Ota E., Morisaki N., Laopaiboon M., Lumbiganon P., Zhang J., Yamdamsuren B., Temmerman M., Say L., Tuncalp O., Vogel J. P., Souza J. P., Mori R. Pregnancy and Childbirth outcomes among adolescent mothers: World Health Organization multicountry study. BJOG 2014; 121 (1): 40-48.
[5]	United Nations Population Fund. State of the World Population Report 2019. 2019.
[6]	United Nations Population Fund. Annual Report 2018. 2018.
[7]	National Population Commission and ICF international. Nigeria Demographic and Health Survey (2013). Abuja, Nigeria. 2014.
[8]	National Population Commission and ICF international. Nigeria Demographic and Health Survey (2008). Abuja, Nigeria. 2009.
[9]	National Bureau of Statistics. National Nutrition and Health Survey 2018. Report on the Nutrition and Health Situation of Nigeria. Abuja Nigeria. 2018.
[10]	Eze B. U., Adhure H. Hindrances of effective usage of family planning methods among women in Adankolo Lokoja Urban Area of Kogi State. International Journal of Current Research & Academic Review. 2014; 2 (10) 182-190.
[11]	Abegunde, A., Petu, A., Akande, T. The role of men in family planning in Kwara State of Nigeria. Nigeria Institute of Social and Economic Research (NISER), Ibadan Nigeria. 1998: Pp 63.
[12]	Esike C. O. U, Anozie O. B., Ani, M., Ekwedigwe K., Oyebuchi A. K., Ezeonu P. O., Umeora O. U. J., (2017). Barriers to family planning acceptance in Abakaliki, Nigeria. Tropical Journal of Obstetrics and Gynecology. 2017; 34: 212-7. Accessed January 13th, 2020.
[13]	Adeyemi A., Olugbenga-Bello A. I., Adeoye, O., Salawu, M., Aderinoye, A., Agbeje, M. Contraceptive prevalence and determinants among women of reproductive age group in Ogbomoso, Oyo State, Nigeria. Open Access Journal of Contraception. 2016: 7: 33-41. DOI; https://doi.org/10.2147/OAJC.S94826.
[14]	Dougherty A., Kayongo A., Dean S., Mundaka J., Nassali F., Sewanyana J., Migadde E., Kiyemba R., Katali E., Holcombe S. J., Heil S. H. Knowledge and use of family planning among men in rural Uganda. BMC Public Health. 2018; 18: 1294 DOI: https://doi.org/10.1186/s12889-018-6173-3.
[15]	Osaro B. O., Tobin-west C., Mezie-Okoya M. (2017). Knowledge of modern contraceptives and their use among rural women of childbearing age in Rivers State, Nigeria. Annals of Tropical Medicine and Public Health. 2017; 10 (4) 1043-1048.
[16]	Enriyas M., Eshete A., Mekonnen E., Misganaw T., Shiferaw M., Ayle, S., (2017). Contraceptive utilization and associated factors among women of reproductive age group in Southern Nations Nationalities and Peoples’ Region, Ethiopia: cross-sectional survey, mixed-methods. BioMed Central Contraceptive and Reproductive Medicine. 2017; 2: 10 DOI: https//doi.org/10.1186/s40834-106-0036-z.
[17]	Ayaz, S., and Efe, S. Y. Family planning attitudes of women and affecting factors. Journal Turkish –German Gynecol Assoc. 2009: 10: 137-41.
[18]	Asekun-Olarinmoye E. O., Adebimpe W. O., Bamidele J. O., Odu O. O., Asekun-Olarinmoye I. O., Ojofeitimi E. O. Barriers to use of modern contraceptives among women in an inner city area of Osogbo metropolis, Osun State, Nigeria. International Journal of Women Health. 2013: 5: 647-655
[19]	Umoh A. V., Abah M. G. (2011). Contraception awareness and practice among antenatal attendees in Uyo, Nigeria. Pan Afr Med J. 2011; 10: 53.
[20]	Campbell M., Sahin-Hodoglugil, N. N., Potts M. Barriers to fertility regulations: a review of the literature. Study Family Planning. 2006; 37: 87-98.
[21]	Blackstone R. S., Iwelunmor J. (2013). Determinants of contraceptive use among Nigerian couples: evidence from the 2013 Demographic and Health Survey. Contraception and Reproductive Medicine. 2013: 2: 9 DOI: https//doi.org/10.1186/s40834-017-0037-6.
[22]	OlaOlorun F. M., Hindin, M. J. (2014). Having a say matters: influence of decision-making power on contraceptive use among Nigerian women ages 35-49 years’. PLoS One. 2014; 9: e98702.
[23]	Lasee A., Becker, S. Husband wife communication about family planning and contraceptive use in Kenya. Int. Family Planning Perspective. 1997; 23 (15): 20-33.
[24]	Rozina M., Uzma A., Haleema H. A. Contraceptive Knowledge, Attitude and Practice Among Rural Women. J Coll Physicians Surg Pak. 2008; 18: 542-545.

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APA Style

Julius Olugbenga Owoyemi, Olarewaju Oluseyi Ifatimehin, Edward Egwuaba, Patience Iyadi Obaka. (2020). Accessibility and Utilization of Family Planning Services Among Married Couples in Kogi State, North Central Nigeria. Central African Journal of Public Health, 6(3), 110-121. https://doi.org/10.11648/j.cajph.20200603.12

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ACS Style

Julius Olugbenga Owoyemi; Olarewaju Oluseyi Ifatimehin; Edward Egwuaba; Patience Iyadi Obaka. Accessibility and Utilization of Family Planning Services Among Married Couples in Kogi State, North Central Nigeria. Cent. Afr. J. Public Health 2020, 6(3), 110-121. doi: 10.11648/j.cajph.20200603.12

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AMA Style

Julius Olugbenga Owoyemi, Olarewaju Oluseyi Ifatimehin, Edward Egwuaba, Patience Iyadi Obaka. Accessibility and Utilization of Family Planning Services Among Married Couples in Kogi State, North Central Nigeria. Cent Afr J Public Health. 2020;6(3):110-121. doi: 10.11648/j.cajph.20200603.12

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@article{10.11648/j.cajph.20200603.12,
  author = {Julius Olugbenga Owoyemi and Olarewaju Oluseyi Ifatimehin and Edward Egwuaba and Patience Iyadi Obaka},
  title = {Accessibility and Utilization of Family Planning Services Among Married Couples in Kogi State, North Central Nigeria},
  journal = {Central African Journal of Public Health},
  volume = {6},
  number = {3},
  pages = {110-121},
  doi = {10.11648/j.cajph.20200603.12},
  url = {https://doi.org/10.11648/j.cajph.20200603.12},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.cajph.20200603.12},
  abstract = {Family Planning serves several purposes, including, the reduction of maternal and infant morbidity and mortality rates, sustainable population growth rate, improved economy security for both family and community and treatment of infertility among others. Despite these huge benefits, many factors stand to impede on the practice. This cross-sectional community-based survey examined the access and utilization to family planning services (contraceptive use) and the factors serving as impediments to the overall use among married couples in the purposively selected Local Government Area of Kogi State, North Central Nigeria. The survey adopted both qualitative and quantitative methods and the data were analyzed using Frequency counts, Pearson Chi-square and Linear regression statistics in a Statistical Package for Social Sciences (SPSS Version 25.0) environment. The survey recorded a high level of awareness and access to family planning services across the state; however, this did not translate to its uptake. Factors found to influence this result include, perceived side-effects, friends’ disapproval, age, culture and poor level of education among others. Also, the study found a positive association between couples’ level of awareness, availability of family planning methods/services and husbands’ involvement (Chi-Square Tests (X2)=23.991; df=1; p=0.000 Chi-Square Tests (X2)=63.404; df=6; p=0.000; Improved family health β=0.270, t=6.120, p-value=<0.000; attendance of school by children β=0.180, t=4.229, p-value=<0.000; experience of fewer pregnancy β=0.091, t=2.189, p-value=<0.029; improved socio-economics status and well-being β=0.080, t=2.037 p-value=<0.042) respectively in the uptake of the service in the state. However, the availability of family planning methods was found to be strongly associated (63.4%) with the uptake of the services. Therefore, the low level of utilization of family planning in Kogi State among the (49.0%) may be responsible for about (30.5%) who reported terminating an unwanted pregnancy. Not only does this add to the rate of maternal mortality, but the socio-cultural, economic and psychological impact on the women, their families and the entire community can be quite devastating. Therefore, it was recommended among others, that women in their reproductive age be sensitized on the need to maximize the practice of modern family planning methods. Also, increase on the access to contraceptive methods through joint efforts of government and non-governmental agencies to reduce the unmet needs for contraceptive use in the state are encouraged.},
 year = {2020}
}

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TY  - JOUR
T1  - Accessibility and Utilization of Family Planning Services Among Married Couples in Kogi State, North Central Nigeria
AU  - Julius Olugbenga Owoyemi
AU  - Olarewaju Oluseyi Ifatimehin
AU  - Edward Egwuaba
AU  - Patience Iyadi Obaka
Y1  - 2020/03/17
PY  - 2020
N1  - https://doi.org/10.11648/j.cajph.20200603.12
DO  - 10.11648/j.cajph.20200603.12
T2  - Central African Journal of Public Health
JF  - Central African Journal of Public Health
JO  - Central African Journal of Public Health
SP  - 110
EP  - 121
PB  - Science Publishing Group
SN  - 2575-5781
UR  - https://doi.org/10.11648/j.cajph.20200603.12
AB  - Family Planning serves several purposes, including, the reduction of maternal and infant morbidity and mortality rates, sustainable population growth rate, improved economy security for both family and community and treatment of infertility among others. Despite these huge benefits, many factors stand to impede on the practice. This cross-sectional community-based survey examined the access and utilization to family planning services (contraceptive use) and the factors serving as impediments to the overall use among married couples in the purposively selected Local Government Area of Kogi State, North Central Nigeria. The survey adopted both qualitative and quantitative methods and the data were analyzed using Frequency counts, Pearson Chi-square and Linear regression statistics in a Statistical Package for Social Sciences (SPSS Version 25.0) environment. The survey recorded a high level of awareness and access to family planning services across the state; however, this did not translate to its uptake. Factors found to influence this result include, perceived side-effects, friends’ disapproval, age, culture and poor level of education among others. Also, the study found a positive association between couples’ level of awareness, availability of family planning methods/services and husbands’ involvement (Chi-Square Tests (X2)=23.991; df=1; p=0.000 Chi-Square Tests (X2)=63.404; df=6; p=0.000; Improved family health β=0.270, t=6.120, p-value=<0.000; attendance of school by children β=0.180, t=4.229, p-value=<0.000; experience of fewer pregnancy β=0.091, t=2.189, p-value=<0.029; improved socio-economics status and well-being β=0.080, t=2.037 p-value=<0.042) respectively in the uptake of the service in the state. However, the availability of family planning methods was found to be strongly associated (63.4%) with the uptake of the services. Therefore, the low level of utilization of family planning in Kogi State among the (49.0%) may be responsible for about (30.5%) who reported terminating an unwanted pregnancy. Not only does this add to the rate of maternal mortality, but the socio-cultural, economic and psychological impact on the women, their families and the entire community can be quite devastating. Therefore, it was recommended among others, that women in their reproductive age be sensitized on the need to maximize the practice of modern family planning methods. Also, increase on the access to contraceptive methods through joint efforts of government and non-governmental agencies to reduce the unmet needs for contraceptive use in the state are encouraged.
VL  - 6
IS  - 3
ER  -

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Author Information

Julius Olugbenga Owoyemi

Department of Sociology, Kogi State University, Anyigba, Nigeria
Olarewaju Oluseyi Ifatimehin

Department of Geography and Environmental Studies, Kogi State University, Anyigba, Nigeria
Edward Egwuaba

Department of Sociology, Kogi State University, Anyigba, Nigeria
Patience Iyadi Obaka

Department of Sociology, Kogi State University, Anyigba, Nigeria

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Plain Text BibTeX RIS

APA Style

Julius Olugbenga Owoyemi, Olarewaju Oluseyi Ifatimehin, Edward Egwuaba, Patience Iyadi Obaka. (2020). Accessibility and Utilization of Family Planning Services Among Married Couples in Kogi State, North Central Nigeria. Central African Journal of Public Health, 6(3), 110-121. https://doi.org/10.11648/j.cajph.20200603.12

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ACS Style

Julius Olugbenga Owoyemi; Olarewaju Oluseyi Ifatimehin; Edward Egwuaba; Patience Iyadi Obaka. Accessibility and Utilization of Family Planning Services Among Married Couples in Kogi State, North Central Nigeria. Cent. Afr. J. Public Health 2020, 6(3), 110-121. doi: 10.11648/j.cajph.20200603.12

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AMA Style

Julius Olugbenga Owoyemi, Olarewaju Oluseyi Ifatimehin, Edward Egwuaba, Patience Iyadi Obaka. Accessibility and Utilization of Family Planning Services Among Married Couples in Kogi State, North Central Nigeria. Cent Afr J Public Health. 2020;6(3):110-121. doi: 10.11648/j.cajph.20200603.12

Copy | Download

@article{10.11648/j.cajph.20200603.12,
  author = {Julius Olugbenga Owoyemi and Olarewaju Oluseyi Ifatimehin and Edward Egwuaba and Patience Iyadi Obaka},
  title = {Accessibility and Utilization of Family Planning Services Among Married Couples in Kogi State, North Central Nigeria},
  journal = {Central African Journal of Public Health},
  volume = {6},
  number = {3},
  pages = {110-121},
  doi = {10.11648/j.cajph.20200603.12},
  url = {https://doi.org/10.11648/j.cajph.20200603.12},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.cajph.20200603.12},
  abstract = {Family Planning serves several purposes, including, the reduction of maternal and infant morbidity and mortality rates, sustainable population growth rate, improved economy security for both family and community and treatment of infertility among others. Despite these huge benefits, many factors stand to impede on the practice. This cross-sectional community-based survey examined the access and utilization to family planning services (contraceptive use) and the factors serving as impediments to the overall use among married couples in the purposively selected Local Government Area of Kogi State, North Central Nigeria. The survey adopted both qualitative and quantitative methods and the data were analyzed using Frequency counts, Pearson Chi-square and Linear regression statistics in a Statistical Package for Social Sciences (SPSS Version 25.0) environment. The survey recorded a high level of awareness and access to family planning services across the state; however, this did not translate to its uptake. Factors found to influence this result include, perceived side-effects, friends’ disapproval, age, culture and poor level of education among others. Also, the study found a positive association between couples’ level of awareness, availability of family planning methods/services and husbands’ involvement (Chi-Square Tests (X2)=23.991; df=1; p=0.000 Chi-Square Tests (X2)=63.404; df=6; p=0.000; Improved family health β=0.270, t=6.120, p-value=<0.000; attendance of school by children β=0.180, t=4.229, p-value=<0.000; experience of fewer pregnancy β=0.091, t=2.189, p-value=<0.029; improved socio-economics status and well-being β=0.080, t=2.037 p-value=<0.042) respectively in the uptake of the service in the state. However, the availability of family planning methods was found to be strongly associated (63.4%) with the uptake of the services. Therefore, the low level of utilization of family planning in Kogi State among the (49.0%) may be responsible for about (30.5%) who reported terminating an unwanted pregnancy. Not only does this add to the rate of maternal mortality, but the socio-cultural, economic and psychological impact on the women, their families and the entire community can be quite devastating. Therefore, it was recommended among others, that women in their reproductive age be sensitized on the need to maximize the practice of modern family planning methods. Also, increase on the access to contraceptive methods through joint efforts of government and non-governmental agencies to reduce the unmet needs for contraceptive use in the state are encouraged.},
 year = {2020}
}

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TY  - JOUR
T1  - Accessibility and Utilization of Family Planning Services Among Married Couples in Kogi State, North Central Nigeria
AU  - Julius Olugbenga Owoyemi
AU  - Olarewaju Oluseyi Ifatimehin
AU  - Edward Egwuaba
AU  - Patience Iyadi Obaka
Y1  - 2020/03/17
PY  - 2020
N1  - https://doi.org/10.11648/j.cajph.20200603.12
DO  - 10.11648/j.cajph.20200603.12
T2  - Central African Journal of Public Health
JF  - Central African Journal of Public Health
JO  - Central African Journal of Public Health
SP  - 110
EP  - 121
PB  - Science Publishing Group
SN  - 2575-5781
UR  - https://doi.org/10.11648/j.cajph.20200603.12
AB  - Family Planning serves several purposes, including, the reduction of maternal and infant morbidity and mortality rates, sustainable population growth rate, improved economy security for both family and community and treatment of infertility among others. Despite these huge benefits, many factors stand to impede on the practice. This cross-sectional community-based survey examined the access and utilization to family planning services (contraceptive use) and the factors serving as impediments to the overall use among married couples in the purposively selected Local Government Area of Kogi State, North Central Nigeria. The survey adopted both qualitative and quantitative methods and the data were analyzed using Frequency counts, Pearson Chi-square and Linear regression statistics in a Statistical Package for Social Sciences (SPSS Version 25.0) environment. The survey recorded a high level of awareness and access to family planning services across the state; however, this did not translate to its uptake. Factors found to influence this result include, perceived side-effects, friends’ disapproval, age, culture and poor level of education among others. Also, the study found a positive association between couples’ level of awareness, availability of family planning methods/services and husbands’ involvement (Chi-Square Tests (X2)=23.991; df=1; p=0.000 Chi-Square Tests (X2)=63.404; df=6; p=0.000; Improved family health β=0.270, t=6.120, p-value=<0.000; attendance of school by children β=0.180, t=4.229, p-value=<0.000; experience of fewer pregnancy β=0.091, t=2.189, p-value=<0.029; improved socio-economics status and well-being β=0.080, t=2.037 p-value=<0.042) respectively in the uptake of the service in the state. However, the availability of family planning methods was found to be strongly associated (63.4%) with the uptake of the services. Therefore, the low level of utilization of family planning in Kogi State among the (49.0%) may be responsible for about (30.5%) who reported terminating an unwanted pregnancy. Not only does this add to the rate of maternal mortality, but the socio-cultural, economic and psychological impact on the women, their families and the entire community can be quite devastating. Therefore, it was recommended among others, that women in their reproductive age be sensitized on the need to maximize the practice of modern family planning methods. Also, increase on the access to contraceptive methods through joint efforts of government and non-governmental agencies to reduce the unmet needs for contraceptive use in the state are encouraged.
VL  - 6
IS  - 3
ER  -

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