KNOWLEDGE, ATTITUDE, AND CONTRACEPTIVE USE AMONG POST-PARTUM WOMEN ATTENDING THE POST-NATAL CLINIC OF A MODEL PRIMARY HEALTHCARE CENTRE IN NIGERIA
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Abstract
Background of study: Family planning is a positive health attribute that benefits the pregnancy, child, the father, the mother, and society, yet it is not adequately utilised, especially in developing countries. The study aimed to assess the knowledge, attitude and contraceptive use among post-partum women.
Methodology: A facility-based cross-sectional research in a Model Primary Healthcare Centre, located in Ozuoba, Rivers State, was carried out. Four hundred post-natal women participated in the study and were sampled by a simple random sampling technique. Interviewer interviewer-administered questionnaire was used to collect data after written informed consent was obtained from the participants.
Results: The mean age of the respondents was 30.1(±6.2). The percentage of post-partum women who know about family planning was 97.8%. The major sources of information were the hospital (63.0%), Friends and relatives (18.0%), and the mass media (13.8%). The percentage of good attitudes toward family planning was 32.8%. The prevalence of the utilisation of family planning was 57.6%. The most common family planning services used were implants (31.0%), injectables (20.3%), exclusive breastfeeding (18.5%) and safe period (11.5%). The factors that were significantly associated with family planning were the age of the women, the occupation of the woman, and the number of children in the household and the educational status of the husband.
Conclusion: The major reasons for practising family planning were child spacing, economic reasons, and husband approval. The major deterrents to family planning utilisation were the fear of side effects, wanting more children, husband's disapproval and religious barriers. Achieving maximum utilisation of family planning is indispensable, and it requires a holistic approach at the individual, health facility, community, government and Non-governmental levels.
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