UTILIZATION OF FAMILY PLANNING SERVICES IN A NIGERIAN TERTIARY HOSPITAL: A SIX YEAR REVIEW
Authors:
OLALEYE Atinuke
Publication Type: Journal article
Journal: Tropical Journal Of Obstetrics And Gynecology
ISSN Number:
0
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Abstract
Context: Family planning is an integral part of maternal health as its uptake is a significant factor in the
reduction of maternal mortality and in ensuring positive child health outcomes.
Objectives: To describe prevalence and pattern of contraceptive use, and identify reasons for
discontinuation among women accessing family planning facilities.
Study design: A six year retrospective review of hospital records of new family planning clinic clients at the
teaching hospital was conducted. Data was obtained from the client cards and proportions expressed as
simple percentages.
Results: A total of 1,284 clients accepted a family planning method during the period. Contraceptive
prevalence rate in relation to hospital deliveries was 18·1%. Modal age group of clients was 31–40(50.4%),
while modal parity was Para 2-3 (43·4%). A third of the clients sought contraception within 6 months of
delivery. Intrauterine contraceptive device was the most common method (65.0%). Information on family
planning was mainly from nurses (66.7%). Contraceptive discontinuation rate was 21.2%, mainly due to
desire for another pregnancy (62%). Menstrual irregularity and husband's decision were some other reasons.
Conclusion: There is an identified need for promotion of uptake of family planning methods. Involvement
of men in contraception counselling and services is essential to improve its uptake and continuity.