Rezumat
Background: Most women in extended post partum period often have desire to use family planning. Disappointedly, majority of such women end up having unplanned or unwanted children. Little is currently known about factors responsible for such unmet family planning need among Nigerian women.
Objectives: To assess the prevalence and determinants of unmet need for post partum family planning (PPFP) among women in Oyo State, south-west, Nigeria.
Methodology: This cross-sectional analytic study was carried out using systematic sampling technique among 444 women attending immunization clinic in Ogbomoso, Nigeria. A pre-tested questionnaire was used for data collection and data analysis was done using SPSS version 17. Chi-square test and binary logistic regression were used for analysis.
Result:The mean age of the respondents was 36±9. Majority (65.7%) of the respondents demonstrated poor knowledge on PPFP. More than half (54.0%) of them had unmet need for limiting while 46.0% had unmet need forspacing. Fear of side effects was the commonest reason for lack of PPFP use (17.4%). Unmet need was significantly associated with marital status, educational status and level of awareness about PPFP. Level of awareness was the only significant predictor of unmet need among our study participants (OR; 2.973, 95%C.I; 0.119-0.459).
Conclusion: Our study shows a high unmet need for PPFP among women in Ogbomoso, thus there is need for a more programmatic focus on women in their extended post partum periods. There is need for more awareness program on PPFP to increase contraceptive uptake in Nigeria.
Keywords: Knowledge, determinants, post partum, family planning, unmet need
Résumé
Contexte: La plupart des femmes en période de post-partum étendue ont souvent le désir d’utiliser la planification familiale. Désenchantement, la majorité de ces femmes finissent par avoir des enfants non planifiées ou non désirées. La connaissance est à présent peu sur les facteurs responsables de ces besoins non satisfaits de planification familiale chez les femmes nigérianes.
Objectifs: Pour évaluer la prévalence et les déterminants de besoins non satisfaits en matière de planification familiale post-partum (PFPP) chez les femmes dans l’État d’Oyo, sud-ouest, Nigeria.
Méthodologie:Cette étude transversale analytique a été réalisée en utilisant la technique d’échantillonnage systématique parmi 444 femmes fréquentant la clinique de vaccination à Ogbomosho, Nigeria. Un questionnaire testé auparavant a été utilisé pour la collecte des données et l’analyse des données a été réalisée à l’aide du logiciel SPSS version 17. Le test du chi carré et de régression logistique binaire ont été utilisés pour l’analyse.
Résultat: L’âge moyen des répondants était de 36 ± 9 ans. La majorité (65,7%) des personnes interrogées ont manifesté une mauvaise connaissance sur PFPP. Plus de la moitié (54,0%) d’entre eux avaient besoin non satisfait d’abandon 46,0% avaient besoin non satisfait d’espacement. La crainte des effets secondaires était laraisonlapluscommunepourdéfautd’usagePFPP(17,4%).Lebesoi nnonsati sfai test si g nifIcatIvementassoci éeàl’étatmatri moni al,auni veaud’éducati onetauni veaudepri sedeconsci encedesrépondantssurPFPP.Leni veaudesensi bilisationétai tleseulfacteurprédi cti fsi gnifi cati fdesbesoi nsnonsati sfai tsparminosparti ci pantsàl’étude(OR; 2,973, IC 95%; 0,119 -0,459).
Conclusion: Notre étude montre une forte demande non satisfaite de PFPP chez les femmes à Ogbomosho, donc il y a un besoin de concentration plus programmatique sur les femmes dans leurs périodes post-partum étendues. Il y a une nécessité pour plus de programme de sensibilisation sur la PFPP pour augmenter l’intégration de la contraception au Nigeria.
Mots-clés: Connaissance, déterminants, post-partum, planification familiale, besoins non satisfaits
Correspondence: Dr. Idowu Ajibola, Department of Community Medicine, Bowen University Teaching Hospital, Ogbomoso, Oyo State, Nigeria. E-mail: idajibola@yahoo.com
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