Full Text Available
Access Repository
Search Results - "Family planning"
- Go to Previous Page
- Showing 21 - 24 results of 24
-
Process evaluation of an intervention to improve access to injectable contraceptive services through patent medicine vendors in Nigeria: a mixed methods study
Published 2021Subjects: “…Family planning…”
Call Number: Loading…
Located: Loading…Article Loading… -
Contextual factors influencing the roles of patent medicine vendors in the provision of injectable contraception services in Nigeria
Published 2023Subjects: “…Family planning…”
Call Number: Loading…
Located: Loading… -
Multidimensional poverty status of rural households in Nigeria-does family planning have any effect?
Published 2017Subjects: “…Family planning…”
Call Number: Loading…
Located: Loading… -
Access to Information on Family Planning and Use of Modern Contraceptives Among Married Igbo Women in Southeast, Nigeria
Published 2019Subjects: “…family planning information…”
Call Number: Loading…
Located: Loading…
Search Tools:
Refine Results
Page will reload when a filter is selected or excluded.- Family planning 12 results 12
- Attitude 4 results 4
- Family Planning 4 results 4
- Knowledge 3 results 3
- Nigeria 3 results 3
- Access to healthcare 2 results 2
- Contraceptive use 2 results 2
- Family planning services 2 results 2
- HIV/AIDS 2 results 2
- Injectable contraceptives 2 results 2
- Perceived benefits 2 results 2
- Perceived side effect 2 results 2
- Practice 2 results 2
- Alkire and foster method 1 results 1
- Attitude of women 1 results 1
- Awareness 1 results 1
- Background Patent medicine vendors (PMVs) play vital roles in the delivery of family planning services in Nigeria and other developing countries. There is a growing recognition of the need to integrate them into the formal health care system as a strategy to increase the contraceptive prevalence rate and achieve universal health coverage.Though promising, the success of this proposition is largely dependent on a critical analysis of the factors which influence their operations. This study was designed to identify the contextual factors influencing the provision of injectable contraceptive services by PMVs and the broader effects of their activities on the health system to inform similar interventions in Nigeria. Methods This was a qualitative study guided by the UK Medical Research Council’s Framework for Complex Interventions. Twenty-seven in-depth interviews were conducted among officials of the association of PMVs, health workers, government regulatory officers and programme implementers who participated in a phased 3-year (2015–2018) intervention designed to enhance the capacity of PMVs to deliver injectable contraceptive services. The data were transcribed and analyzed thematically using NVIVO software. Results The contextual factors which had implications on the roles of PMVs were socio-cultural and religious, the failing Nigerian health system coupled with government regulatory policies. Other factors were interprofessional tensions and rivalry between the PMVs and some categories of health care workers and increasing donors’ interest in exploring the potentials of PMVs for expanded healthcare service provision. According to the respondents, the PMVs bridged the Nigerian health system service delivery gaps serving as the first point of contact for injectable contraceptive services and this increased contraceptive uptake in the study sites. A negative effect of their operation is the tendency to exceed their service provision limits, which has spurred a planned tiered PMV accreditation system. Conclusions This study has highlighted the contextual factors which define the roles and scope of practice of PMVs involved in injectable contraceptive service provision. Strategies and interventions aimed at expanding the healthcare delivery roles of PMVs must be encompassing to address the broader contextual factors which underpin their capacities and functions. 1 results 1
- Background: Cervical cancer screening (CCS) continuously has low awareness and is poorly utilized in developing countries despite higher incidence of cervical cancer (CC). Increasing incidence of CC has been associated with late reporting of symptoms, ignorance about the disease, and its preventive measures. This study was conducted to further investigate the determinants of CCS uptake among women attending selected family planning clinics in Ibadan, Nigeria. Materials and Methods: Adopting a cross‑sectional design, 205 consenting respondents attending family planning clinics were interviewed using an interviewer‑administered questionnaire. The data collected were analyzed using Statistical Package for the Social Sciences version 21. The hypotheses were tested using Chi‑square, odds ratio, and logistic regression at P < 0.05. Results: The mean age of the respondents was 33 ± 8 years; 176 (85.9%) were married and 72 (35.1%) had tertiary education. Although 71% of the respondents were aware of CC, only 37.1% had good knowledge and 16.1% had previously utilized CCS. About two‑thirds (68.8%) of the respondents were willing to uptake CCS, except for perceived barriers such as lack of understanding of the disease and inadequate information about the services coupled with limited availability of the CCS services. There was a significant association between uptake of CCS and knowledge (χ2 = 17.944, P < 0.001), education (χ2 = 7.724, P < 0.024), and income (χ2 = 32.22, P < 0.001). On logistic regression, the uptake CCS remained influenced mainly by income of >40,000 Naira (OR = 5.355, CI = 1.678–17.083) and knowledge (OR = 3.112, CI = 1.247–7.768). Conclusion: Family planning clinics are readily available centers for increasing the knowledge base of the women on the need for regular CCS. This needs to be duly incorporated into our routine services. 1 results 1
- Background: Decisions about the number of children are very important choices among couples in Ibadan. Some socio-cultural and norm factors influence such decisions to a large extent This study established the influence of socio-cultural and norms factors on couples' family planning choices. Method: Couples involved in the study were randomly selected from. 5 different professions in Ibadan, constituted the sample for the study. The two instruments used were author-constructed questionnaires with 0.62 and 0.69 reliability co-efficient, respectively. The data obtained were analyzed using chi-square statistics and multiple regression analysis. Results: The results indicated that significant relationship existed between social and cultural factors (252.959); gender roles (176.849); social networks (95.424); religion (125.742) and local belief factors (205.196). The results further indicated that a combination of the 5 independent variables significantly predicted couples family planning choices yielding a co-efficient multiple Regression (R) of 0.467 and F -ratio of 57.241. The results further revealed that significant relationship existed between each of the independent variables except local belief factors. Conclusion: Based on the results of this finding, it was recommended that those in the helping professions should take cognizance of those variables that have been found to influence family planning choices among couples. 1 results 1
- Background: Maternal mortality in Liberia is one of the highest in Sub Saharan Africa. Post partum family planning (PPFP) can reduce the risk of maternal mortality by preventing unwanted and closely spaced pregnancies. Yet, the uptake of PPFP is low in Liberia. Objective: We investigated the barriers to acceptance of PPFP use among women in Montserrado County, Liberia. Materials and Methods: Across-sectional facility based survey was conducted using a multistage sampling technique to select 378 women within 12 months’ post partum period. Results: About half of our respondents were were married, 66.4% had at least secondary education and 92.1% were Christians. The most commonly reported barriers were the fear of side effects(22.0%) and the post partum abstinence (22.2%). Binary logistic regression analysis showed that being within the early post partum period, i.e., within the first 6 months (adjusted odds ratio [AOR] = 0.23, 95% confidence interval [CI] [0.09–0.60] and lack of access to PPFP [AOR = 0.22, 95% CI [0.09–0.52]). Importantly, women who were married [AOR = 1.686, 95% CI (0.65, 4.36)] and those who were aware of PPFP [AOR 3.69, 95% CI (1.224, 11.096)] increased the likelihood of using PPFP. Conclusion: Important barriers to the utilisation of PPFP in Liberia were being within early post partum period, lack of access and awareness of PPFP including myths and misconception. Therefore, health communication targeting mothers for PPFP at every contact with maternal and childcare services should be encouraged 1 results 1
- Background: Postpartum family planning is vital in the prevention of unintended pregnancy and closely spaced pregnancies in the first year post-delivery. This study was designed to examine the postpartum women's knowledge, attitude, belief and readiness to contraceptive use. Methods: This descriptive cross-sectional study was conducted among one hundred and ninety-four consenting women, six weeks post-delivery, at the University College Hospital, Ibadan, Nigeria using an interviewer-assisted structured questionnaire. Data was analysed using IBM Statistics for Windows Version 23.0. Tests of association was done using chi-square and statistical significance was set at p-value of < 0.05. Results: Many of the respondents (60.8%) were in the age group 30-39 years and the majority (90.3%) had tertiary level of education. Most of the respondents got their information from health talks at antenatal clinic (42.8%) and health workers (42.3%).The majority (82.5%) of respondents were aware of contraception and 157(80.9%) intended to use contraceptives. The most preferred contraceptive methods were implants (19.1%). Respondents with three or more children alive(p=0.001), had statistically significant associations with prior use of contraception while those with the tertiary level of education(p=0.001), of the Christian religion (p=<0.001) and had contraceptive counselling during pregnancy (p=0.031)had statistically significant associations with good knowledge of contraception. Conclusion: The knowledge and readiness to use contraceptives was high but only about half were willing to adopt contraception post-delivery. There is therefore the need for the enactment of government policy and legislation that will ensure wide coverage and availability of contraception counselling among pregnant women. 1 results 1
- Background: The low utilisation of modern contraceptives in many low- and middle-income countries remains a challenge. Patent medicine vendors (PMVs) that operate in the informal health sector, have the potential to address this challenge. Between 2015 and 2018, the Population Council, in collaboration with the Federal and State Ministries of Health and the Pharmacy Council of Nigeria, trained PMVs in six states to deliver injectable contraceptive services. Outcome evaluation demonstrated increased client uptake of injectable contraceptive services; however, there is limited information on how and why the intervention influenced outcomes. This study was conducted to elucidate the processes and mechanism through which the previous intervention influenced women’s utilisation of injectable contraceptive services. Methods: The study utilised a mixed methods, convergent parallel design guided by the UK Medical Research Council framework. Quantitative data were obtained from 140 trained PMVs and 145 of their clients in three states and 27 in-depth interviews were conducted among relevant stakeholders. The quantitative data were analysed descriptively, while the qualitative data were analysed thematically. Results: The results revealed that even after the completion of the PMV study which had a time-bound government waiver for injectable contraceptive service provision by PMVs, they continued to stock and provide injectables in response to the needs of their clients contrary to the current legislation which prohibits this. The causal mechanism that influenced women’s utilisation of injectable contraceptives were the initial training that the PMV received; the favourable regulatory environment as demonstrated in the approval provided by government for PMVs to provide injectable contraceptives for the duration of the study; and the satisfaction and the confidence the female clients had developed in the ability of the PMVs to serve them. However, there were gaps with regards to the consistent supply of quality injectable contraceptive commodities and in PMVs use of job aids. Referral and linkages to government or private-owned facilities were also sub-optimal. Conclusion: PMVs continue to play important roles in family planning service provision; this underscores the need to formalize and scale-up this intervention to aid their integral roles coupled with multi-faceted initiatives to enhance the quality of their services. 1 results 1
- Barriers 1 results 1
- Cervical Cancer 1 results 1
- Cervical cancer screening 1 results 1
- Cervical cancer screening (CCS) access has remained a major challenge in developing countries. Integration of CCS into family planning services (FPS) is one strategy that could increase access and uptake of CCS services (CCSS). There are limited data on the integration of CCS into FPS, in Ibadan; hence, this study assessed the need for integration of CCS into FPS in Ibadan, Nigeria. This cross-sectional study was conducted among 202 female family planning clinic attendees selected using purposive sampling technique. A structured interviewer-administered questionnaire was used for data collection. Quantitative data were analyzed using descriptive and inferential statistics at 0.05 level of statistical significance. Mean age of the women was 32.7±6.5 years, 74.3% had poor knowledge of cervical cancer 80.2% had positive perception of the integration of CCS into FPS, 7.4% had utilized CCS, 76.2% were willing to uptake CCSS. There was also a significant association between educational level and knowledge on CCS (p= 0.000); also with the perception of inclusion of CCS into FPS and willingness to utilize CCSS (p= 0.000). The need for integration was evident as the respondents had positive perception of integration of CCS into family planning services. 1 results 1
- Childbearing women 1 results 1
- Chlamydia trachomatis 1 results 1
- Choices about childbearing and contraceptive use are important health decisions. Restriction of choices and lack of information on methods is a constraint for contraceptive users to obtain a method that suits their needs, thereby resulting in lower levels of contraceptive uptake. Hence, this study was designed to assess the factors influencing modern contraceptive choices among women attending the family planning clinic of University College Hospital, Ibadan. A cross-sectional study using systematic random sampling technique to select 341 consenting women was conducted. A pre-tested interviewer-administered questionnaire which contained respondents' demographic characteristics, factors influencing the choice of modern contraceptives, factors responsible for continuation of chosen method of contraception, previous and current experiences relating to contraceptive use and level of satisfaction with modern contraceptive was adopted. Contraceptive continuation scores were categorised into unlikely (≤ 4), likely (5-6) and very likely (≥7). Satisfaction scores of ≤ 6 and ˃ 6 were categorized as low and high respectively. Data were analysed using descriptive statistics, Chi-square and multinomial logistic regression at 5% level of significance. Age of the respondents was 35.5 ± 6.4 years; 99.4% were married and 89.0% were in monogamous marriage. Forty-seven percent had tertiary education and 41.3% had senior secondary school certificate. Current method of contraception was influenced by perceived effectiveness (72.8%) and few side effects (56.1%). Implant was the commonest choice for women with secondary (48.2%) and tertiary education (42.9%) while IUCD (22.7%) and injectables (18.6%) was the least common respectively. Majority (78.5%) reported irregular menstruation, weight gain/loss (27.2%), breast tenderness (5.0%), stomach pain (4.1%) and frequent headache (1.7%). Of the 121 women that encountered problems, 85.0% were likely to continue, 6.1% likely to adopt traditional methods while 6.1% would rather opt out completely. However, among the 213 that had not encountered problems, 60.0% were likely to continue and 19.0% were very likely to continue their chosen methods even if they eventually encounter problem. A significant association was found between satisfaction with modern contraception and continuation. Factors influencing continuation of chosen method included availability (95.9%), easy discontinuation of method (90.3%) and husband support (88.3%). A major reason for being satisfied with chosen method was adequate information before choice (98.2%). A significant association was found between the chosen modern contraceptive and higher level of education. Husbands with secondary and higher education had significant influence on the kind of contraceptive chosen by their wives. Women whose choice of a particular method was not because it had worked for their mothers were twice (OR=0.54, 95%: 0.39-0.94) less likely to have chosen IUCD over implant than women who said yes. Women who had secondary education were (0R=0.44, 95% CI: 0.24-0.82) less likely to have chosen IUCD over implant than women who had tertiary education. Higher level of education and previous use of contraceptives by respondents’ mothers are factors influencing modern contraceptive choices. More emphasis should be geared towards public awareness and sensitization on the availability of various modern contraceptive methods. Advocacy on girl child education should be intensified. 1 results 1
- Civil servants 1 results 1
- see all…