DETERMINANTS OF UTILIZATION OF FAMILY PLANNING AMONG WOMEN (A STUDY OF GAMBARI, ILORIN, KWARA STATE)

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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