Barriers to contraceptives use among women in a low resource setting in Enugu, south east Nigeria

Submitted: 23 October 2020
Accepted: 10 November 2020
Published: 21 January 2021
Abstract Views: 2252
PDF: 259
Publisher's note
All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.

Authors

Objective of the study: The study was aimed to determine barriers to modern contraceptive use among pregnant women attending antenatal care at Enugu State University Teaching Hospital from 1st March to 31st May 2014.

Materials and Methods: Using a semi-structured questionnaire, relevant data were extracted. Data were entered and analyzed using Epi InfoTM statistical software version 7. p value<0.05 was considered statistically significant.

Results: A total of 432 women participated in the study. Their mean age was 28.6±4.4 years. The majority were married (93.06%), multiparous (59%) and mainly Igbos (93.06%). Although the level of awareness of modern contraceptive among the respondents was high (91.8%), only about 35% of them (n=151/432) had ever used modern contraceptives in the past. Over one-third (36.3%, n=144/397) of the respondents who were aware of modern contraceptive do not intend to ever use modern contraceptive in future. The self-reported barriers to the use of modern contraceptive were; religious barrier (53.9%), fear of side effect (24%), husband’s disapproval (17.8%) and cost.

Conclusions: Addressing these identified barriers hopefully will promote the use of modern contraceptive for family planning thus preventing unintended pregnancy in our sub region.

Dimensions

Altmetric

PlumX Metrics

Downloads

Download data is not yet available.

Citations

World Bank Group, Nigeria | Data. Accessed 28 May 2019. Available from: http://data.worldbank.org/country/nigeria
National Population Commission, Data for national development, Nigeria. Accessed December 2020. Available form: https://www.worldometers.info/world-population/nigeria-population/
Oramah TI. The effects of population growth in Nigeria. J Appl Sci 2006;6:1332–7. DOI: https://doi.org/10.3923/jas.2006.1332.1337
Nigeria Demographic and Health Survey. National Demographic and Health Survey for Nigeria. 2013. Available from: https://dhsprogram.com/pubs/pdf/fr293/fr293.pdf
United Nations Population Fund. Fact sheet; Investing in Sexual and Reproductive Health in Sub-Saharan Africa. 2014. Accessed July 13, 2015. Available from: http://www.unfpa.org/resources/adding-it-2014-sub-saharan-africa-fact-sheet
Adinma E. Unsafe abortion and its ethical, sexual and reproductive rights implications. West Afr J Med 2011;30:245–9.
Ezugwu EC, Agu PU, Nwoke MO, Ezugwu FO. Reducing maternal deaths in a low resource setting in Nigeria. Niger J Clin Pract 2014;17:62–6. DOI: https://doi.org/10.4103/1119-3077.122842
Asekun-Olarinmoye EO, Adebimpe WO, Bamidele JO, et al. Barriers to use of modern contraceptives among women in an inner city area of Osogbo metropolis, Osun State, Nigeria. Int J Womens Health 2013;5:647–55. DOI: https://doi.org/10.2147/IJWH.S47604
Lwelamira J, Mnyamagola G, Msaki M. Knowledge, Attitude and Practice (KAP) towards modern contraceptives among married women of reproductive Age in Mpwapwa District, Central Tanzania. Curr Res J Soc Sci 2012;4:235–45.
Aryeetey R, Kotoh AM, Hindin MJ. Knowledge, perceptions and ever use of modern contraception among women in the Ga East District, Ghana. Afr J Reprod Health 2010;14:26–31.
Mathe JK, Kasonia KK, Maliro AK. Barriers to adoption of family planning among women in Eastern Democratic Republic of Congo. Afr J Reprod Health 2011;15:69–77.
Opoku B, Kwaununu F. Knowledge and practices of emergency contraception among Ghanaian women. Afr J Reprod Health 2011;15:147–52
Ochako R, Mbondo M, Aloo S, et al. Barriers to modern contraceptive methods uptake among young women in Kenya: a qualitative study. BMC Public Health 2015;15:1–9. DOI: https://doi.org/10.1186/s12889-015-1483-1
Oye-Adeniran BA, Adewole IF, Odeyemi KA, et al. Contraceptive prevalence among young women in Nigeria. J Obstet Gynaecol 2005;25:182–5. DOI: https://doi.org/10.1080/01443610500041156
Arowojolu AO, Ilesanmi AO, Roberts OA, Okunola MA. Sexuality, contraceptive choice and AIDS awareness among Nigerian undergraduates. Afr J Reprod Health 2002;6:60–70 DOI: https://doi.org/10.2307/3583131
Rutstein S. Further evidence of the effects of preceding birth intervals on neonatal, infant and under-five-year mortality and nutritional status in developing countries: evidence from the demographic and health surveys. DHS Working Paper No. 41. Int J Gynaecol Obstet 2008:S7-S24 p DOI: https://doi.org/10.1016/j.ijgo.2004.11.012
Conde-Agudelo A, Belizán JM. Maternal morbidity and mortality associated with interpregnancy interval: cross sectional study. BMJ 2000;321:1255–9. DOI: https://doi.org/10.1136/bmj.321.7271.1255
Gillespie DG. Whatever happened to family planning, and, for that matter, reproductive health? Int Fam Plan Perspect 2004;30:34–8. DOI: https://doi.org/10.1363/3003404
Ezugwu EC, Nkwo PO, Agu PU, et al. Contraceptive use among HIV-positive women in Enugu, southeast Nigeria. Int J Gynecol Obstet 2014;126:14–7 DOI: https://doi.org/10.1016/j.ijgo.2013.12.014
Chigbu CO, Onyebuchi AK, Onwudiwe EN, Iwuji SE. Denial of women’s rights to contraception in southeastern Nigeria. Int J Gynecol Obstet 2013;121:154–6. DOI: https://doi.org/10.1016/j.ijgo.2012.12.010
Randrianasolo B, Swezey T, Van Damme K, et al. Barriers to the use of modern contraceptives and implications for woman-controlled prevention of sexually transmitted infections in Madagascar. J Biosoc Sci 2008;40:879–93 DOI: https://doi.org/10.1017/S0021932007002672
Casterline JB, Sinding SW. Unmet need for family planning in developing countries and implications for population policy. Popul Dev Rev 2000;26:691–723. DOI: https://doi.org/10.1111/j.1728-4457.2000.00691.x
Nagase T, Kunii O, Wakai S, Khaleel A. Obstacles to modern contraceptive use among married women in southern urban Maldives. Contraception 2003;68:125–34. DOI: https://doi.org/10.1016/S0010-7824(03)00113-6

How to Cite

Ezugwu, O. C., Ezugwu, E. C., Mbah, B. O., & Ukwe, C. V. (2021). Barriers to contraceptives use among women in a low resource setting in Enugu, south east Nigeria. Annals of Clinical and Biomedical Research, 2(1). https://doi.org/10.4081/acbr.2021.113