Factors Influencing the Uptake of Modern Family Planning Methods among Women of Reproductive Age in A Rural Community in Lagos State

Abstract

Aims: Pregnancies which are too many, too early and too frequent result in maternal/child morbidity and mortality. Delivery of effective family planning services has a direct impact on maternal/child wellbeing. Though awareness of modern contraceptive methods was high, the uptake rate remained low in Agbowa Ikosi, like in many rural communities of the country. This study was therefore conducted to determine the knowledge, prevalence and factors influencing the uptake of modern family planning among women of reproductive age in Agbowa community in Lagos state. Study Design: A cross-sectional descriptive. Place and Duration of Study: The study was conducted among women of reproductive age group in Agbowa community, Epe Local Government area of Lagos State, Nigeria, between February and July 2013. Methodology: A household survey of 220 women aged between 15-49 years was undertaken at Agbowa community in Lagos, Nigeria, to determine their knowledge, practice and factors influencing the use of modern family planning methods. Data was collected using a pretested, structured, interviewer-administered questionnaire. Results: The ages of study participants ranged from 15-49 years with a mean age of 28.42±7.5 years. The majority 192 (87.3%) were married, and 183 (83.2%) were aware of family planning. The commonest source of information about contraceptives was from health workers 68 (30.9%). Despite the high level of awareness of modern family planning methods, the prevalence of contraception among the respondents was low (38.6%). The most popular contraceptive method known by respondents was the male condom 118 (64.5%). Overall, 5 (2.7%) of the respondents had good knowledge, 102 (55.8%) had fair and 76 (41.5%) had poor knowledge of family planning. The main reasons given for non-use were fear of side effects (56.3%), lack of spousal consent (48.9%) and desire for more children (48.9%). The significant socio-demographic determinants of contraceptives uptake were marital status, religion and nature of work (p<0.05). Conclusion: Contraceptives usage remains poor despite high level of awareness. Effective educational and counseling interventions are required to improve women’s knowledge and subsequent uptake of contraceptive usage.