ABSTRACT
Choices about childbearing and contraceptive use are important health decisions.
Restriction of choices and lack of information on methods is a constraint for contraceptive
users to obtain a method that suits their needs, thereby resulting in lower levels of
contraceptive uptake. Hence, this study was designed to assess the factors influencing
modern contraceptive choices among women attending the family planning clinic of
University College Hospital, Ibadan.
A cross-sectional study using systematic random sampling technique to select 341
consenting women was conducted. A pre-tested interviewer-administered questionnaire
which contained respondents' demographic characteristics, factors influencing the choice
of modern contraceptives, factors responsible for continuation of chosen method of
contraception, previous and current experiences relating to contraceptive use and level of
satisfaction with modern contraceptive was adopted. Contraceptive continuation scores
were categorised into unlikely (≤ 4), likely (5-6) and very likely (≥7). Satisfaction scores
of ≤ 6 and ˃ 6 were categorized as low and high respectively. Data were analysed using
descriptive statistics, Chi-square and multinomial logistic regression at 5% level of
significance.
Age of the respondents was 35.5 ± 6.4 years; 99.4% were married and 89.0% were in
monogamous marriage. Forty-seven percent had tertiary education and 41.3% had senior
secondary school certificate. Current method of contraception was influenced by perceived
effectiveness (72.8%) andfew side effects (56.1%). Implant was the commonest choice for
women with secondary (48.2%) and tertiary education (42.9%) while IUCD (22.7%) and
injectables (18.6%) was the least common respectively. Majority (78.5%) reported
irregular menstruation, weight gain/loss (27.2%), breast tenderness (5.0%), stomach pain
(4.1%) and frequent headache (1.7%). Of the 121 women that encountered problems,
85.0% were likely to continue, 6.1% likely to adopt traditional methods while 6.1% would
rather opt out completely. However, among the 213 that had not encountered problems,
60.0% were likely to continue and 19.0% were very likely to continue their chosen
methods even if they eventually encounter problem. A significant association was found
between satisfaction with modern contraception and continuation. Factors influencing
iv
continuation of chosen method included availability (95.9%), easy discontinuation of
method (90.3%) and husband support (88.3%). A major reason for being satisfied with
chosen method was adequate information before choice (98.2%). A significant association
was found between the chosen modern contraceptive and higher level of education.
Husbands with secondary and higher education had significant influence on the kind of
contraceptive chosen by their wives. Women whose choice of a particular method was not
because it had worked for their mothers were twice (OR=0.54, 95%: 0.39-0.94) less likely
to have chosen IUCD over implant than women who said yes. Women who had secondary
education were (0R=0.44, 95% CI: 0.24-0.82) less likely to have chosen IUCD over
implant than women who had tertiary education.
Higher level of education and previous use of contraceptives by respondents‘ mothers are
factors influencing modern contraceptive choices. More emphasis should begeared
towards public awareness and sensitizationon the availability of various modern
contraceptive methods. Advocacy on girl child education should be intensified
MAKINDE, A (2021). Factors Influencing Modern Contraceptive Choices Among Women Attending The Family Planning Clinic University College Hospital Ibadan. Afribary. Retrieved from https://afribary.com/works/factors-influencing-modern-contraceptive-choices-among-women-attending-the-family-planning-clinic-university-college-hospital-ibadan
MAKINDE, Adedayo "Factors Influencing Modern Contraceptive Choices Among Women Attending The Family Planning Clinic University College Hospital Ibadan" Afribary. Afribary, 22 Apr. 2021, https://afribary.com/works/factors-influencing-modern-contraceptive-choices-among-women-attending-the-family-planning-clinic-university-college-hospital-ibadan. Accessed 22 Nov. 2024.
MAKINDE, Adedayo . "Factors Influencing Modern Contraceptive Choices Among Women Attending The Family Planning Clinic University College Hospital Ibadan". Afribary, Afribary, 22 Apr. 2021. Web. 22 Nov. 2024. < https://afribary.com/works/factors-influencing-modern-contraceptive-choices-among-women-attending-the-family-planning-clinic-university-college-hospital-ibadan >.
MAKINDE, Adedayo . "Factors Influencing Modern Contraceptive Choices Among Women Attending The Family Planning Clinic University College Hospital Ibadan" Afribary (2021). Accessed November 22, 2024. https://afribary.com/works/factors-influencing-modern-contraceptive-choices-among-women-attending-the-family-planning-clinic-university-college-hospital-ibadan