Impacts of Socioeconomic Milieus, Enlightenment and Location on Utilization and Accessibility of Family Planning Services among Women in Lafia LGA, Nasarawa State

Lewis Olumuyiwa Abejide, Fatima Sidi Sani

Abstract


The study examined the impacts of socioeconomic milieus, enlightenment and location of health centers on the accessibility and utilization of family planning services (FPSs) among women of reproductive age in Lafia Local Government Area (LGA) of Nasarawa State. Five out of 13 wards that constitute the LGA were randomly selected. Four primary healthcare centers (PHCs) were selected from each of the wards, totaling 20 PHCs. A one-time structured questionnaire form was randomly administered to 20 women between the ages of 15 and 49 years in each of the selected PHCs, totaling 400. Descriptive statistics and chi-square were used to analyze the data at p?0.05. The findings showed that two-thirds (61.9%) of the selected women using any of the family planning (FP) methods were young adults (21-30 years). The majority of them (76.4%) were married, predominately (72.6%) Muslims, with half having tertiary education. One-third (33.7%) were engaged in business with over two-thirds (68.8%) earning less than the minimum wage, while the majority resided in the metropolis. Awareness and purpose were significant factors associated with FP utilization, whilecloseness of home, distance covered, time duration and means of transport to a health facility were significant factors associated with FP accessibility. It was recommended that enlightenment on the utilization of FP services should be extended to spouses in the study area, as well as establishing more healthcare centers for prompt accessibility and recruiting additional personnel in the rural areas.


Keywords


socioeconomic milieus; location, utilization; accessibility; family planning services; Lafia Local Government Area

Full Text:

PDF

References


Alege, S. G, Matovu, J, Sensalire, S. & Nabiwemba, E. (2016). Knowledge, Sources and Use of Family Planning Methods among Women Aged 15-49 Years in Uganda: a cross-sectional study. Pan African Med Journal. 24(39). Available online @https://www.ncbi.nlm.nih.gov/pmc/articles/PMC/4992376.

Batual A, Jerry O, Gamal S & Marleen T (2020). ‘Children are a blessing from God’- A qualitative study exploring the socio-cultural factor influencing contracetive use in two Muslim Communities in Kenya. Reproductive Health, 17 (44).

Bersamin, M. & Todd, M. (2011). Effects of Distance on Utilization of Family Planning Services among Adolescentshttp://www.ncbi.nlm.nih.gov/pubmed/, in Pub Med accessed on 16th December, 2011.

Basavanthappa, B. T. (2009). Nursing research (2nd ed.). Japee, NewDelhi. https://www.researchgate.net retrieved 6/8/2020

Crossman, A. (2017). Learn about Rational Choice Theory: thought.com. Retrieved from www.thought.com/rational-choice-theory.

Chioma Obinna (2017). Family Planning: Uganda’s Success, Lesson for Nigeria. Available online @ http://www.vanguardngr.com/2017/05/family-planningugandas

Federal Government of Nigeria (2014). Nigeria Family Planning Blueprint (Scale-Up Plan) Abuja: Federal Ministry of Health available on @www.health.gov.ng/doc/Nigeria

Ghazi, M. A. (1993). A Family Decision: The Muslim View. Asia Week. PMID 12345272.

Hoke (2010). Community-Based Provision of Injectable Contraceptives in Madagascar: ‘task shifting’ to expand access to injectable contraceptives’, Health Policy and Planning

Homans, G.C. (1984). Exchange and Rational Choice Theories, https://hirr.hartsem.edu.

Johnson O & Ekong I. (2015). Knowledge, Attitude and Practice of Family Planning among Women in a Rural Community in Southern Nigeria. Journal of Advances in Medicine and Medical Research, pp1-8. DOI:10.9734/BJMMR/2016/1840, 2 November, 2015.

Kennedy, G. N, Azzopardi P & Creati M. (2011). Adolescent fertility planning in East Asia and the pacific: a review of DHS reports. Available at http: www.reproductivehealthjournal.com

Muhammad, R. (2018). How Family Planning Reduces Mother, Child Deaths. Daily Trust Newspaper, January, 2, P.28

National Population Commission (NPC), (2006). Nigerian Population Census 2006

Nigerian Family Planning Blue Print (2014). [Scale Up Plan] Federal ministry of Health October Edition.

Nalwadda G, Mirembe F, Byamugisha J & Faxelid E (2009). Persistent High Fertility in Uganda: Young People Recount Obstacles and Enabling Factors to Use of Contraceptives BMC Public Health. 2010; 10 (1):1–13.

NDHS (2013). The Nigeria Fertility Survey. Lagos: Nigeria Demographic and Health Survey (NDHS). 2013

Olarinmoye (2013). Barriers to use of Modern Contraceptives among Women in an Inner City area of Osogbo Metropolis, Osun State, Nigeria. International Journal of Women’s Health, 5: 647–655.

Okech T. C, Wawire N. W & Mburu T. K (2011). Contraceptive Use among Women of Reproductive Age in Kenya’s City Slums. International Journal of Bus Soc Sci. 2 (1): 22–43

Oyeniran O.F, Ononuju C, Ayeni H.A.D & Ogbe A.E, (2020) Modern Contraceptive Preferences among Women accessing Family Planning Services at a Specialist Hospital in North Central Nigeria. Jos Journal of Medicine. ISSN:2006-0734.

Qasim M, (2013). Middle-East Journal of Scientific Research 17 (12):1626, 2013, ISSN 1990-9233 (c) IDOSI Publications, 2013; DOI: 10.5829/IDOS2013.17.12.7676

Radhika, S et al, (2019). How Gender and Religion Impact Uptake of Family Planning: Results from a Qualitative Study in Northern Tanzania. BMC Women’s Health. 19 (99).

Ringheim, K. & Bribble, J. (2010). Improving the Reproductive Health of Sub-Saharan African’s Youth. A Route to Achieve the Millennium Development Goals -Population Reference Bureau, Washington, DC 20009.

Sweta, M. B & Singh, S (2010). Knowledge and Pattern of Family Planning Adoption In Kashi Institute of Social and Economic Research, Nigeria, pp: 1-20.

Singh S. & Darroch J (2012). Adding It Up: The costs and Benefits of Contraceptive Services Estimates for 2012, New York: Guttmacher.

Save the Children and UNICEF (2012) Progress in Child Well-being: Building on What Works.

United Nations Population Facts (2007). Speeding Progress on the Millennium Development Goals. Department of Economic and Social Affairs, Population Division.

United Nations Population Fund (UNFPA) (2017). Available online @ http://www.unfpa.org

World Health Organization. (2008). Women Pregnancy: Fact Sheet. Geneva available at http://www.who.int/making pregnancy safer/events/2008/mdg5/adolescent_preg.pdf Retrieved on 29/06/11.


Refbacks

  • There are currently no refbacks.


International Journal of Humanities and Social Sciences

Print version: 1694-2620
Online version: 1694-2639