TABLE
OF CONTENTS
CHAPTER
1
INTRODUCTION
1.1
BACKGROUND INFORMATION
1.2
PROBLEM STATEMENT
1.3
RATIONALE AND JUSTIFICATION
1.4
OBJECTIVES
1.4.1
GENERAL OBJECTIVES
1.4.2
SPECIFIC OBJECTIVE
1.5
CONCEPTUAL FRAMEWORK
CHAPTER
2
LITERATURE
REVIEW ON FAMILY PLANNING
2.1
INTRODUCTION
2.2
FAMILY PLANNING METHODS
2.2.1
Classification
2.2.1.1
COMBINED ORAL CONTRACEPTIVE PILLS
2.2.1.2
PROGESTOGEN-ONLY CONTRACEPTION
2.2.1.3
INTRAUTERINE DEVICE CONTRACEPTION
2.2.1.4
BARRIER METHODS OF CONTRACEPTION
2.3
BENEFIT OF FAMILY PLANNING
2.4 UNMET NEED FOR FAMILY
PLANNING
2.5 CONCLUSION
CHAPTER
THREE
METHODOLOGY
3.1 DESCRIPTION
OF THE STUDY AREA
3.2 STUDY DESIGN
3.3 STUDY POPULATION
3.4 SAMPLING TECHNIQUE AND METHOD
3.5
MINIMUM SAMPLE SIZE DETERMINATION
3.6
RESEARCH INSTRUMENT
3.7
DATA COLLECTION, ANALYSIS AND PRESENTATION
3.7.1
Data Collection Method
3.7.2
Data Analysis
3.7.3
Method of Data Presentation
3.8
Ethical Consideration
3.9
Method of Data Dissemination
3.10
Limitations of the Study
CHAPTER
FOUR
RESULTS
4.1
SOCIO-DEMOGRAPHIC CHARACTERISTICS:
4.2
GYNECOLOGIC AND REPRODUCTIVE HISTORY
4.3
LEVEL OF AWARENESS OF FAMILY PLANNING
4.4 LEVEL AND DETERMINANTS OF
UTILIZATION OF FAMILY
PLANNING
4.5
PERCEPTION ON FAMILY PLANNING
4.6
CROSS-TABULATIONS
CHAPTER
FIVE
DISCUSSION
CHAPTER
SIX
CONCLUSION
AND RECOMMENDATION
Recommendations
REFERENCES
CHAPTER 1
INTRODUCTION
1.1
BACKGROUND INFORMATION
Family planning, as explained by World Health
Organization (WHO), allows individuals and couples anticipate and attain their desired
number of children and the spacing and timing of their birth. It is achieved
through the use of contraceptive methods. A woman’s ability to space and limit
her pregnancies has a direct impact on her health and wellbeing as well as
outcome of each pregnancy.
Uptake of family planning methods remains low in
Sub-Saharan Africa including Nigeria. This may be associated with high
incidence of unintended pregnancies, unsafe abortions and maternal death [1,
2]. The United Nations Sustainable Development Goal (SDG) 5 aims at
improving maternal health and reducing maternal mortality by three quarters
between 1990 and 2015. An important intervention towards achieving this target
is the promotion of family planning among women of Sub-Saharan Africa [1,
3].
Several studies have been conducted on determinants of
family planning use. In some cases strong associations have been established
between family planning and some socio-demographic, socio-cultural and
socio-economic characteristics of women. Studies have revealed that use of
family planning methods was found more in women of older age group [4, 5].
Education has also been observed in many other studies to be associated with
contraceptive use [4, 6, 7].
1.2
PROBLEM STATEMENT
United Nations MDG5 aims at improving maternal health
and reducing maternal mortality by 75% between 1990 and 2015. An important tool
towards achieving this target is the promotion of family planning among women.
Unfortunately, uptake of family planning methods remains low in Sub-Saharan
Africa.
In a study conducted in Ghana, it was estimated that
about 17% of married women use modern contraceptive method [8]. This
suggests that the use of contraceptive methods, especially modern ones, still
remains low among women in Ghana. In the same study, it was estimated that
unmet need increased from 30% to 34% in 2008. It is therefore imperative to
establish and understand the factors that serve as barrier to the use of
contraceptives and available family planning services.
1.3
RATIONALE AND JUSTIFICATION
The world’s population is increasing rapidly and increasing
birth rate contributes immensely to this rapid growth. Family planning has been
shown to have control over population growth, therefore knowing the
determinants of utilization of the available modern family planning methods
will go a long way in encouraging family planning and population control.
Evidence also exists that if couples can space their pregnancies by at least
2years through the use of family planning, up to 35% of maternal death and up
to 13% of child mortality could be averted [9-11], whilst 25% of
under-five mortalities could be averted if birth intervals were at least 3years
[10].
The cost effectiveness of family planning in poverty reduction and socio-economic
development due to population control in the developing world cannot be
disputed [12, 13]. If individuals and couples plan their pregnancies
and family with improved use of contraception, they are more likely to have
fewer and healthier children.
Hence, having known the benefits of family planning, this
study is carried out to know the factors that determine the level of utilization
of family planning among women of Gambari ward in Ilorin, Kwara state.
1.4
OBJECTIVES
1.4.1
GENERAL OBJECTIVES
1. To
identify the determinants of utilization of family planning among women in
Gambari Ward.
1.4.2
SPECIFIC OBJECTIVE
1. To
identify the determinants of utilization of modern family planning methods.
2. To
assess the level of knowledge of family planning among women of reproductive
age group in Gambari Ward.
3. To
determine the proportion of women currently using family planning methods in
Gambari Ward.
4. To
determine the proportion of women who wish to use family planning services but
cannot access the services.
5. To
make recommendations based on findings in the study.
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