Utilisation of Modern Contraceptives Services Among Women of Reproductive Age in a Tertiary Hospital in North-eastern Nigeria. A 6 Year Review

Abstract

ABSTRACT:

Background: Contraceptive use is one of the key factors in protecting women health and right, when generally accepted and properly utilize in any community is proven to reduces unwanted pregnancies, high parity and maternal death. Objective: To determine the prevalence and trend of modern contraceptive use and the reasons for their discontinuation among women of reproductive age accessing family planning clinic in Modibbo Adama University Teaching Hospital Yola, Adamawa state. Method: Retrospective descriptive studies of all the new contraceptive acceptors over a period of 6 years (2014-2019 inclusive) was carried out. Data obtained was analyzed using SPSS version 16.0. Results were presented in simple proportions and compare where necessary using chi square Results: In this study there were 1746 new contraceptive acceptors including Bilateral tubal ligations during the. period under review. A total of 9833 deliveries were conducted during the same period, giving rise to contraceptive prevalence of 17.8%. The commonest contraceptive method patronized was injectables 510(29.2%) followed by implantable contraceptives 486 (27.8%)) while the least contraceptive method utilized was barrier method 149(8.5%). The commonest reasons for discontinuation of method was irregular menstrual bleeding 90(29.1%) fallowed by desire for pregnancy 79(25.6%). there was strong association between age (p-v= 0.001), marital status(p-v=0.000). and parity p-v= 001 and discontinuation of contraceptive method, no significant relationship between education, religion and discontinuation of contraceptive method. Conclusion; Contraceptive acceptance in this environment is still low despite wide spread awareness campaign worldwide.

Key words: Modern contraceptives, reproductive right, utilization, reproductive age, Yola.