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      Contraception awareness and practice among antenatal attendees in Uyo, Nigeria

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          Abstract

          Introduction

          Contraception is major component of reproductive health. The study aims to document the awareness of contraception and its use in Uyo, South-south Nigeria and provide useful information for future intervention strategies.

          Methods

          A cross-sectional study using pretested questionnaires among antenatal attendees in a tertiary and a secondary health facility in Uyo.

          Results

          A total of 550 women took part in the study. Majority of respondents (92.4%) were aware of contraception while 52.6% had ever used any form of contraception. The condom (60.3%) and the pill (49.9%) were the most common forms of contraception that the women had heard of, mostly from the doctor (36.9%), radio (33.8%) and nurse (28.5%). The condom (46.7%), withdrawal method (14.1%) and the pills (13.3%) were the most commonly used forms of contraception. Majority of the women (70.5%) planned to use contraception in the future and this intention was significantly related to the woman's educational status (p<0.05) but not to religion or occupation. Fear of side effects, uncertainty about its need, partner objection and previous side effects were the common reasons given for unwillingness to use contraception in the future.

          Conclusion

          Our study has shown that while there is good contraceptive awareness in Uyo, Nigeria, this is not matched by commensurate contraceptive prevalence but prospects for improvement exist. There's need to tackle known obstacles to contraceptive uptake. Also targeted campaigns and every available opportunity should be used to provide reproductive counseling to women especially on contraception.

          Most cited references25

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          Nigeria Demographic and Health Survey 2006

          (2006)
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            Community-based study of contraceptive behaviour in Nigeria.

            A cross sectional, community-based, descriptive study among women of reproductive age group (15-49 years) in Nigeria to explore the possible reasons for contraceptive non-use despite reported high awareness was carried out. Data were obtained using a standard questionnaire instrument and applied on 2001 respondents. Contraceptive prevalence among sexually active respondents was 14.8% for all methods, 10.1% for modern methods and only 0.8% for emergency contraceptives. The most frequently stated reasons for non-use of contraceptives, among those who had never used any contraceptives but who did not want more children were: "did not think about it", "against religious belief" and "fear of side effects." Prior counseling significantly improved the continuation rate of contraception. Multivariate analysis showed that older, married and more educated women tended to use contraceptives more. Health-care providers should be trained to offer counseling services to all clients in general, and young, unmarried and uneducated women in particular in order to improve their acceptance of contraceptives.
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              Knowledge and perception of emergency contraception among female Nigerian undergraduates.

              The reproductive health hazards of unintended pregnancies and unsafe abortions are well documented. The potential of emergency contraceptives to prevent unwanted pregnancy in developed countries has been described, but in Nigeria, the awareness about the method is poor and no study has looked at efficacy. Between September and October 2001, a randomly selected sample of female undergraduate students at the University of Benin, Nigeria, were surveyed about their demographic information, sexual history and contraceptive use, and their awareness and knowledge of emergency contraception. Of the 880 respondents, 43% were sexually active, 39% had ever practiced contraception and 34% had ever had an induced abortion. Overall, 58% of respondents reported knowing about emergency contraception; sexually active respondents were significantly more likely than those who were not and those who had ever practiced contraception were more likely than those who had not to be aware of emergency contraceptives. However, only 18% of respondents who reported knowing about emergency contraception knew the correct time frame in which emergency contraceptives must be used to be effective. There is an urgent need to educate Nigerian young people about emergency contraception, emphasizing available methods and correct timing of use.
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                Author and article information

                Journal
                Pan Afr Med J
                PAMJ
                The Pan African Medical Journal
                The African Field Epidemiology Network
                1937-8688
                06 December 2011
                2011
                : 10
                : 53
                Affiliations
                [1 ]Department of Obstetrics and Gynaecology, University of Uyo Teaching Hospital, Uyo, Nigeria
                Author notes
                [& ]Corresponding author: Augustine Vincent Umoh, Department of Obstetrics and Gynaecology, University of Uyo Teaching Hospital, PMB 1136, Uyo, Nigeria
                Article
                PAMJ-10-53
                3290883
                22384299
                17da64ab-8f52-45ea-bf77-ee1d9072f6d6
                © Augustine Vincent Umoh et al.

                The Pan African Medical Journal - ISSN 1937-8688. This is an Open Access article distributed under the terms of the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

                History
                : 07 July 2011
                : 29 November 2011
                Categories
                Research

                Medicine
                contraception,prevalence,awareness,antenatal care,maternal mortality,nigeria
                Medicine
                contraception, prevalence, awareness, antenatal care, maternal mortality, nigeria

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