Investigation Into The Attitudes Of Family Planning Among Health Care Users And Market Women
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Investigation Into The Attitudes Of Family Planning Among Health Care Users And Market Women
ABSTRACT
This study looked at how health workers and market women in Ikosi/Iheri Local Government Area, Lagos State, viewed family planning. The purpose of this study was to determine the impact of family size, socioeconomic position of families, marital status, and religion on the attitudes of health care consumers and market women towards family planning.
The study had four research questions and hypotheses, and the research design was survey-based. A total of 90 women of childbearing age were chosen using the basic random approach.
The study’s null assumptions were tested using a t-test of significance. The findings of this study demonstrated that family size has a substantial influence on health care users’ attitudes towards family planning. It was also discovered that a couple’s attitudes towards family planning are greatly influenced by their family’s socioeconomic situation.
According to the study, couples’ attitudes towards family planning are highly influenced by their marital status. The study also found that religion had no substantial influence on couples’ attitudes regarding family planning. The study’s findings led to the following recommendations:
The government should make it a policy to incorporate sex education and family planning into the post-primary school curriculum. Enlightenment: State and local governments should conduct extensive enlightenment efforts about the concept of family planning and its benefits. This campaign should take the shape of seminars, workshops, and symposiums.
Family Planning Clinics: The government and nonprofit organisations should set up family planning clinics in both urban and rural locations. They could render such services as advice to couples, processes involved in the practice of family planning
use of contraceptives and other methods of birth control, mobile clinics should also be provided to carry the campaigns to rural areas where family planning clinics do not exist, contraceptives and other control measures and services relating to family planning should be made relatively cheap to enhance acceptance of family planning by people who need it, and men’s
Chapter one
INTRODUCTION
Background of the Study
Modern family planning enables women to avoid undesired pregnancies, illegal abortions, and childbearing, which endangers their own and their children’s health (Ogunbayo, 2007).
Family planning consists of two concepts: contraception use and family planning services, which are used by couples to establish healthy sexual relationships without worry of unplanned pregnancies and sexually transmitted infections (Duzo and Mohammed, 2011).
Family planning is the process of deciding when to have children and implementing those decisions through birth procedures. Other often utilised techniques include sexual education, prevention and management of sexually transmitted illnesses, pre-conception counselling, management, and infertility management (Derose, Mohammed, Helman).
Moronkola and Blumenthal (2010). However, the term “family planning” is commonly used interchangeably with the use of birth control. It is most commonly used by couples who desire to limit the number of children they have and control pregnancy timing, sometimes known as child spacing (Derose et al., 2005). Family planning may include both sterilisation and pregnancy termination.
It also includes raising a child using ways that take major resources, such as time, social, financial, and environmental. Family planning measures are intended to restrict the number and spacing of children within a family, primarily to reduce population increase and guarantee that each family has access to limited resources (Olaitan, 20012).
Private groups launched the first attempts to provide family planning services, which were frequently met with considerable hostility. Activists such as Margaret Sanger in the United States, Marie Stopes in England, and Dhanvanthis Rama Rou in India finally established family planning and health clinics. Many nations have implemented national policies to promote the use of public family services (World Health Organisation, 2010).
The concept of informed choice in family planning can be extended to a variety of sexual and reproductive health decisions. It discusses whether to pursue or avoid conception, how to spacing and time childbearing, whether to use contraception, what family techniques to utilise, and when to continue or switch methods.
The term “family planning choice” can also refer to family decision-making; the principles of informed choice centre on the person, but they also affect a variety of external elements such as social, economic, and cultural standards, gender roles, social networks, religious, and local views.
Limited Awareness and information as a Barrier In a variety of cultures with low resource circumstances, a lack of awareness and information has been identified as a significant barrier to couples’ adoption of family planning methods.
The Health Belief Model (HBM) is a theoretical framework that has been widely utilised to explain why people choose to engage in health-promoting behaviours such as family planning services.
There is a need for increased awareness of the individual, societal, and broader contextual factors that influence important health outcomes. Proposed family planning interventions should be justified based on knowledge of the benefits and advantages associated with their implementation.
Harlap (2011) defined family planning as “the arrangement, spacing, and initiation of children in a family based on the wishes and social circumstances of the parents.” It could also refer to the spacing of births in order to maximise health and comfort for the mother, child, and family. N.P.C. (2011) defined family planning methods as total abstinence, withdrawal, methods such as condoms or diaphragms, spermicides, injectables, oral contraceptives, implants, intrauterine contraceptive devices (IUCD), sterilisation, the Billings method, and natural family planning methods.
Individuals are expected to choose any of the mentioned family planning techniques based on the availability of the device, medical care facility, applicant’s age, size, and body composition. Occasionally, people pay for family planning services.
Certain variables have influenced the application of family planning, and Nigeria is no exception. In Nigeria, for example, more than 70% of the population lives in rural areas or peasant communities, and one of the characteristics of rural people is that they have limited access to correct information and find it difficult to accept changes due to ignorance and, in some cases, fear of the unknown, so family planning is widely accepted.
Several factors have been discovered that can influence the choice of family planning method, including literacy level, socioeconomic situation of the family, availability of family planning services, family size, and access to medical care.
Health experts have worked to educate mothers and couples about the various types and options for family planning methods through workshops, awareness campaigns, health talks, and seminars on family planning tactics held throughout the country.
Education programs on population control measures are designed to avoid post-abortion problems and promote safe motherhood.
Statement of the Problem
Despite various efforts by health care providers to provide safe family planning and population control methods in the community, there has been apathy, poor patronage, and non-acceptance of the practice
which has resulted in a series of pregnancy-related problems such as unwanted pregnancies, abortions, post-abortion complications, and deaths caused by the use of unscientific and crude family planning practices.
Purpose of Study
The goal of this study is to evaluate the views towards family planning among health care consumers and market women.
Research Questions
This study will formulate and address the following research questions:
1. Will family size alter health-care users’ attitudes towards family planning?
2. Will a family’s socioeconomic situation alter couples’ attitudes towards family planning?
3. Will marital status alter couples’ attitudes towards family planning?
4. Will religion alter couples’ attitudes regarding family planning?
Hypotheses
The following study hypotheses were developed and tested at the 0.05 alpha level of significance:
1. Family size has no substantial influence on health care users’ attitudes towards family planning.
2. A couple’s attitude towards family planning is not greatly influenced by their family socioeconomic situation.
3. A couple’s attitude towards family planning is not considerably influenced by their marital status.
4. Religion will have little influence on couples’ attitudes towards family planning.
Significance of the Study
The study’s conclusions were valuable to the following organisations, including:
§ Encourages mothers and partners to control family size and promote maternal health.
§ Family planning practitioners, particularly market women, should guarantee proper utilisation of services.
§ The study provided significant benefits to healthcare users and medical centres.
The findings may provide insight into how to appropriately provide and manage family planning programmes to market women in Nigeria.
Limitations of the Study
The study’s drawbacks include some participants’ reluctance to provide personal information, which resulted in an unusual delay. However, the participants were assured of confidentiality by the researcher, thus they were able to engage in the study.
Delimitation
The study focused on three tiny communities in Lagos State’s Kosofe Local Government Area: Ikosi/Isheri, Ketu, and Oworoshoki. Thirty (30) respondents from each Local Government Area participated, bringing the total sample size to ninety.
Operational Definitions of Key Terms
Attitude is the inclination to hold certain beliefs and to experience specific emotions towards people, objects, or ideas.
A family is a collection of people who are linked together by birth, marriage, or adoption, as well as by common residence or strong emotional bonds.
Family planning refers to the arrangement, spacing, and limits of children in a family based on the parents’ choices and social circumstances. Family planning is the process of deciding when to have children and implementing those decisions through birth procedures.
Health refers to an individual’s physical, mental, social, and emotional well-being.
An educator is someone who facilitates the acquisition of knowledge.
A contraceptive is an agent that prevents conception.
The vagina is a channel lined with mucous membrane that connects the vulva to the cervix uteri.
Conception is the act of getting pregnant by the fertilisation of an ovum.
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