Determinants of Intention to Use Post Partum Family Planning among Women Attending Immunization Clinic of a Tertiary Hospital in Nigeria

Ajibola Idowu¹, Samson Ayo Deji^2, , Olumuyiwa Ogunlaja³ and Samuel Olalere Olajide⁴

¹Department of Community Medicine, Bowen University Teaching Hospital, Ogbomoso, Oyo State, Nigeria

²Department of Epidemiology and Community Health, Faculty of Clinical Sciences, Ekiti State University, Ado-Ekiti, Ekiti State, Nigeria

³Department of Obstetrics and Gynaecology, Bowen University Teaching Hospital, Ogbomoso, Oyo state, Nigeria

⁴Clinical services unit, AIDS Prevention Initiative in Nigeria, Ibadan Regional Office, Oyo State, Nigeria

Cite this paper

Ajibola Idowu, Samson Ayo Deji, Olumuyiwa Ogunlaja and Samuel Olalere Olajide. Determinants of Intention to Use Post Partum Family Planning among Women Attending Immunization Clinic of a Tertiary Hospital in Nigeria. American Journal of Public Health Research. 2015; 3(4):122-127. doi: 10.12691/AJPHR-3-4-1

Abstract

Background The period immediately after childbirth offer a window of opportunity for counseling and adoption of family planning. Little is currently known about intention of women particularly in Nigeria to adopt PPFP and factors associated with such intentions. Nevertheless, this information is vital to the design of strategies to increase the uptake of PPFP. Objectives: The study assessed the factors associated with the intention of women in south-west Nigeria to use post partum family planning (PPFP). Methodology: This cross-sectional study was carried out between September to November, 2014. Systematic sampling technique was employed to recruit 444 women attending immunization clinic of Bowen University Teaching Hospital, Ogbomoso, Nigeria. A pre-tested questionnaire was used for data collection and data analysis was done using SPSS version 17. Chi-square test was used for bivariate analysis while binary logistic regression was used for multivariate analysis. Statistical significance was set at p <0.05. Result: Most (65.0%) of the respondents had intentions to use PPFP. Intention to use PPFP was significantly associated with respondents’ social class (AOR; 2.67, 95% C.I; 1.11-6.42), their age (AOR; 0.43, 95% CI; 0.20 – 0.91), their level of awareness about PPFP (AOR; 0.15, 95% C.I; 0.08-0.28) and their prior use of any family planning method (AOR; 4.48, 95%C.I; 2.61-7.69). Conclusion: Most women in the south western part of Nigeria had intention to adopt post partum family planning, thus family planning policies should be focused on women in their extended postpartum periods. To be very effective, such efforts should particularly target women in middle socio-economic class who are less than 30 years of age and those who had ever used any family planning method.

Keywords

determinants, post partum, family planning, intention

Copyright

This work is licensed under a Creative Commons Attribution 4.0 International License. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/

References

[1]	Ross AJ, Winfrey WL. Contraceptive use, intention to use and unmet need during the extended post partum period. International family planning perspective. 2001; 27(1): 20-27.
[2]	Warren C, Mwangi A, Oweya E, Kamunya R, Koskei N. Safeguarding maternal and newborn health: improving the quality of postnatal care in Kenya. International Journal of quality health care. 2010; 22:24-30.
[3]	McKaig C and Deller B. After the fact: family planning for the postnatal period. ACCESS-FP/JHPIEGO.
[4]	Barber L.S. Family planning advice and postpartum contraceptive use among low-income women in Mexico. International family planning perspectives. 2007; 33(1): 6-12.
[5]	Cates W Jr, Abdool Karim Q, El-Sadr W, Haffner DW, Kalema-Zikusoka G,et al: Global development. Family planning and the millennium development goals. Science 2010; 329:1603.
[6]	Crossette B. Reproductive health and the millennium development goals: the missing link. Stud Fam Plann 2005; 36:71–79.
[7]	National Population Census. Federal Republic of Nigeria; Nigeria Demographic and Health Survey Report (NDHS), 2008.
[8]	National Population Census. Federal Republic of Nigeria; Nigeria Demographic and Health Survey Report (NDHS), 2013.
[9]	Roy T.K, Ram F, Nangia P, Saha U, Khan N. Can women’s childbearing and contraceptive intentions predict contraceptive demand? Findings from longitudinal study in Central India. International family planning perspective. 2003, 29 (1);25-31.
[10]	William W, Kishitiz R. Use of family planning in the post partum period. DHS comparative reports number 36. Rockville, Maryland, USA: ICF international.
[11]	Akinlo A, Bisiriyu A, Esimai O. Influence of use of maternal health care on postpartum contraception in Nigeria. DHS working papers No. 92. Calverton, Maryland, USA: ICF International.2013.
[12]	Borda M, Winfrey W, McKaig C. “Return to sexual activity and modern family planning use in the extended postpartum period: An analysis of findings from seventeen countries.” African Journal of Reproductive Health. 2010; 14 (4): 75-82.
[13]	National Population Census, Federal Republic of Nigeria. 2006.
[14]	Oyedeji G. Socio-economic and cultural background of hospitalized children in Ilesha. Nigerian Medical Practitioner. 1985; 12: 111-117.
[15]	Sian C, Emily E, William S. Contraceptive discontinuation and unintended pregnancy: An imperfect relationship. International perspective on sexual and reproductive health. 2011; 33:2.
[16]	Sebastian E., Frank B., Gloria Q., Yvonne G., Derek B. et al. Factors influencing the intention of women in rural Ghana to adopt post partum family planning. Reproductive health. 2013, 10:34.
[17]	MEASURE Evaluation/USAID. Factors influencing the adoption of postpartum family planning. Available at www.measureevaluation.org/publication/wp-10-117. Accessed 24th May, 2015.
[18]	John A.R., William L.W. Contraceptive use, intention to use and unmet need during the extended post partum period. International family planning perspective. 2001;27;1.
[19]	Syed EM, Anurag S, Ved PS, Iram S, Puyal M. Postpartum contraceptives use in rural Barailly. Indian Journal of Community Health. 2011; 23:2.
[20]	Gideon R, Allen K, Stephen O.W, Tapiwa J, Edith A, Hellen LN. Predictors of modern contraceptives use during postpartum period among women in Uganda: a population-based cross-sectional study. BMC Public Health. 2015; 15:262.
[21]	Singh KK, Shruti V and Shilpi T. Contraceptive use among postpartum women in India. Asian Population Studies. Accessed 24th May, 2015.
[22]	Sileo KM. Determinants of family planning service uptake and use of contraception among postpartum women in rural Uganda. Master’s Theses paper 602. Available at http://digitalcommons.uconn.edu/gs_theses/602.