Factors Militating Against Family Planning Among Women Attending Alimosho General Hospital Lagos
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Factors Militating Against Family Planning Among Women Attending Alimosho General Hospital Lagos
Abstract
Family planning is an important tool in the fight against maternal and newborn mortality and morbidity. It is critical for both reproductive health and overall heath.
Despite efforts by the government and other non-governmental family planning service providers, Nigeria’s suburbs and rural areas continue to have relatively high fertility rates. Despite the high fertility rate, modern family planning technologies have not gained widespread acceptance or use for a variety of reasons.
The purpose of this study is to determine the hurdles to family planning that women confront at Alimosho General Hospital in Lagos State, Nigeria. It is a descriptive cross-sectional study with 364 women aged 15 to 49 who were recruited using the multi-stage sampling approach.
All respondents were married (100%), and 135 (37%) had more than five children. Among the respondents, 139 (37%) were aged 15 to 24. 48.7% of responders, or approximately half, lacked a formal education.
Few people were now using a contraceptive method, but the majority of those who weren’t mentioned availability, a lack of basic education about family planning, and a fear of its side effects as their primary deterrents.
The most significant sociodemographic characteristics impacting the utilisation of family planning services were religion (p-value 0.01), family environment (p-value 0.001), age (p-value 0.01), and male engagement (p-value 0.001). Rural women used family planning services infrequently, citing religion, fear of adverse effects, and husbands’ disapproval as the primary reasons.
Chapter one
INTRODUCTION
1.1.1. Background to the study
Family planning has the potential to save approximately 30% of maternal deaths and 10% of child deaths, making it one of the most cost-effective and health-promoting activities in public health promotion. Thus, FP contributes to achieving the Millennium Development Goals (MDGs) by encouraging appropriate birth spacing and reducing pregnancy-related mortality and morbidity.
The majority of the developing world has witnessed significant (although unequal) increases in contraceptive use as a result of decades of research and investment in family planning programs, which has resulted in vastly improved program coverage and biomedical technology.
There are numerous hormonal regimens and delivery methods available to women (e.g., pills, injectables, implants, patches, vaginal rings, medicated intrauterine devices), as well as improved male and female condoms, spermicides, cervical caps and other vaginal barriers, post-coital (emergency) contraception, improved fertility awareness-based methods, and simpler and more effective surgical techniques. However, not all of these approaches are available in many impoverished nations.
Read More: Benefits of Modern Family Planning Methods Among Women Aged 25-45 in Gassol Lga Area of Taraba State.
According to Demographic and Health Surveys (DHS), 40% or more of women who recently gave birth said that the pregnancy was either unplanned or sought later in life in a variety of nations, including several with relatively high contraceptive prevalence. In some countries, the percentage of married women without access to contraception can approach 40% or more.
Both of these situations reveal flaws in the programs and methods used to varying degrees, including contraceptive failures for a variety of reasons, as well as individual and environmental factors such as partner opposition or women’s experiences with or concerns about side effects that require attention.
Contraceptive knowledge, needs, and motivations change over the course of a person’s life as male and female adolescents begin sexual activity before marriage or cohabitation (possibly with multiple partners) or at the time of marriage, as couples decide whether or not to start a family (if they haven’t already accidentally done so), as they gain experience with contraception (or its lack), as well as with pregnancy and childbearing, as they consider spacing out their children.
After a divorce, some men and women will remarry and have another child; others will opt not to marry or have children (whether they are wanted or not). There are numerous environmental and contextual situations, and personal journeys are even more diverse. Meeting these changing expectations requires extensive understanding of pregnancy risks, appropriate contraceptive choices, and proper and regular usage.
Interventions address adolescent misunderstandings about ineffective approaches, as well as erroneous concerns about the negative effects of contraception.
Family planning is an important tool in the fight against maternal and newborn mortality and morbidity. It is critical for both reproductive health and overall heath.
It makes a major contribution to the reduction in maternal and neonatal morbidity and mortality. It provides considerable health and development benefits to people, families, communities, and the country as a whole.
To promote reproductive health, it helps women avoid unplanned pregnancies and reduce the number of children. This helps to achieve both the Health for All Policy Target and the Millennium Development Goals. Between 1990 and 2020, the MDGs aim to reduce maternal death by 75% and child mortality by two-thirds.
As a result, optimal use of family planning services is critical to accomplishing these goals, which will improve health and accelerate regional development. Access to family planning has the potential to curb population growth and, over time, reduce the risk associated with greenhouse gas emissions.
In a similar line, using family planning has been calculated to save 4.6 million Disability Adjusted Life Years in total. 16 It is estimated that 17% of all married women worldwide would prefer to avoid pregnancy but are unwilling to use any form of family planning, despite the importance and benefits of doing so. Because of this, 25% of all pregnancies are unplanned, particularly in developing nations.
This leads to an estimated 18 million abortions each year, increasing maternal morbidity and injury rates. Only 10% of the world’s women live in Sub-Saharan Africa, but the region accounts for 40% of all pregnancy-related deaths worldwide and 12 million unwanted or unplanned pregnancies each year.
Despite evidence of the crucial relevance of family planning, the anticipated contraceptive prevalence in Sub-Saharan Africa is only 13%, while in Nigeria it is estimated to be 8.0% with a 17% unmet demand. This contributes greatly to the high number of unplanned pregnancies that result in induced abortion and the complications that ensue.
Nigeria is responsible for 10% of maternal mortality worldwide, despite having only 2% of the world’s population. Despite efforts by the government and other non-governmental family planning service providers, Nigeria’s suburbs and rural areas continue to have relatively high fertility rates.
Despite the high fertility rate, modern family planning technologies have not gained widespread acceptance or use for a variety of reasons. Poverty, ineffective program coordination, and dwindling donor funding all impede the delivery of family planning services in Africa. Furthermore, societal norms that promote high fecundity, religious barriers, side effect fear, and a lack of male participation have all harmed family planning efforts.
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