CONTRACEPTIVE METHOD CHOICE AND COMMODITY SOURCES AMONG WOMEN OF REPRODUCTIVE AGE CURRENTLY USING ANY FORM OF CONTRACEPTION IN COMMUNITIES IN IMO STATE, NIGERIA
Introduction: The choice and use of a particular contraceptive method and their sources varies globally. The common modern contraceptive methods used were; condoms, injectables, pills and Intra Uterine Contraceptive Devices (IUCD).
Aim: The aims of this study was to determine the pattern of contraceptive method choice and commodityÂ sources among women of reproductive age who are currently using any contraception in communities in Imo State, Nigeria.
Methodology: This study was a community based cross-sectional study carried out among 1123 women of reproductive age (15-49 years) living in communities in Imo State, Nigeria. Eligible participant were selected using a multistage random sampling technique and data was collected using a pretested, semi structured and interviewed administered questionnaire. Data was analyzed using a computer software (EPI-INFO Version 3.3.2).
Results: The mean age of the women was 32.0Â±8.0 years. Out of the 1123 women studied, only 305 (27.2%) were current contraceptive users. About two-third of the users (18.2%) were using any form of modern contraceptive method. The common contraceptive methods used were; condoms, periodic abstinence, injections and pills. Contraceptive choice varies with age, marital status, religion and resident of women. Overall most women sourced their contraceptives from the private sector. Most of the barrier methods and pills were sourced from the chemist while the injections, IUCD tubal ligation and implants were sourced from the hospitals.
Conclusion: Use of modern contraceptive method was low and the choice of a particular contraceptive type and source of the commodity varies with socio-demographic characteristics of the women. There is need to make contraceptives available and family services accessible to women in a way that will be culturally acceptable to them.
Keyword: Contraceptive method, choice, commodity sources, communities, Imo State
2. World Health Organization (WHO) Family Planning. WHO, Geneva. 2013. Online at http:www.who.int/mediacentre//factsheet. Accessed 25/05/2017.
3. Kassie G M, Duga AL, Adem B. Assessment of pattern and determinants of contraceptive use among females of reproductive age in Kelala Town, Northern Ethiopia. The Experiment. 2014; 22(1): 1503-1510.
4. Cheng Y, Xu X, Xu J, et al. The need for integrating family planning and post abortion care in China. Int J. Gynaecol. 2008; 103: 140-143.
5. Gosavi A, Ma Y, Wong H, Singh K. Knowledge and factors determining choice of contraception among Singaporean women. Singapore Med J. 2016; 57(11):610-615. Doi:10.11622/smedj2015181.
6. Govan ADT, Hodge CH, Calendar H, and Garrey MM. Contraception. Gynaecology illustrated 4th edition. Churchill Livingston, 23 Ravelston Terrace Edinburg UK. 1977; 400-407.
7. Oye-Adeniran BA, Adewole IF, Umo AV, Oladokun A, Gbadegesin A, Odeyemi KA, Ekaneme AE. Sources of contraceptive commodities for users in Nigeria. PLoS Med. 2005; 2 (11):e306. doi:10.1371/journal.pmed.0020306.
8. National Population Commission (NPC) Nigeria and ICF International. Nigerian Demographic and Health Survey 2013, Abuja Nigeria, Rockville, Maryland USA: NPC and ICF International, 2014.
9. Ghana Population Commission and ORC Macro. The Ghana Demographic and Health Survey 2003. Calverton, Maryland USA, Ghana Population Commission and ORC Macro Maryland USA, 2004.
10. Kenya Population Commission and ORC Macro. The Kenyan Demographic and Health Survey 2003. Kenya Population Commission and ORC Macro Maryland Calverton, Maryland USA, 2004.
11. Ramesh BM, Gulati SC, Rutherford RD. Contraceptive Use in India 1992-1993. National Family Planning Health Survey Mumbai India. International Institute for Population Studies Subject Report. 1996; 2:108.
12. Zimbabwe Population Commission and ORC Macro. The Zimbabwe Demographic and Health Survey 2003. Zimbabwe Population Commission and ORC Macro, Calverton, Maryland USA 2004.
13. Chen S, Guilkey DK. Determination of contraceptive method choice in rural Tanzania between 1999-2002. Stud Fam Plan. 2003; 34: 363-376.
14. Emmanuel A, Achema G, Omale PO. Contraceptive Choices of married women in a North central state of Nigeria. International Journal of Nursing and Health Science. 2014; 1(6):41-45.
15. Federal Ministry of health (FMOH) Nigeria. The Maternal and Newborn Roadmap. FMOH, Abuja Nigeria, 2005.
16. Population Reference Bureau (PRB). Women of our world. PRB, Washington DC, USA, 2005: 4. Online at www.prb.org. Accessed 25/05/2017.
17. Nwachukwu I, Obasi O O. Use of modern birth control methods among rural communities in Imo State, Nigeria. Afr J Repro Health. 2008; 12(1):101-108.
18. Mannam HR. Factors in contraceptive method choice, Bangladesh: Goal-competence evaluation and access. Advances in Contraception. 2002; 65(5):337-364.
19. Ibnouf AH, Vander BHW, Maarse JAM. Utilization of family planning services by married Sundance women of reproductive age. Eastern Mediterranean Health Journal. 2007; 13(6):1-8.
20. Amin R. Choice of contraceptive method among females attending family planning center in Hayat Abad Medical Complex, Peshawa. J Pak Med Assoc. 2012; 62(10): 1023-1028.
21. Chingwalu J, Souza E, Kaneka B. Factors influencing contraceptive use and method choice among married women in Malawi. University of Malawi. Online at vaps2015.princeton.edu/uploads/151136. Accessed 22nd May 2017.
22. Spinelli A, FigaTalamanca I, Lauria L, and The European Study Group on Infertility and Subfecudity. Patterns of contraceptive use in 5 European Countries. Am J. Public Health. 2000; 90(9):1403-1408.
23. Chadwick N, Dhillon BS, Kumbo I, Saxena NC. Contraceptive knowledge, practice and utilization of services in the Rural Areas of India. India Journal of Medical Sciences. 2003; 57(7&9):303-310
24. Ullah S, Chakraborty N. Factors affecting the use of contraception in Bangladesh: a multivariate analysis. Asian Pacific Population Journal. 1993; 8(3):19-30.
25. Omedi G. Nyguchi B. Influence of women factors on modern contraceptive usage among currently married women in Malawi. Research on Humanities and Social Sciences. 2015; 5(10):156-164.
26. Palamuleni ME. Demographic and Socio-Economic factors affecting contraceptive use in Malawi. Journal of Human Ecology. 2014; 46 (3):331-341.
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