An Assessment of Knowledge, attitude and practice of family planning methods among the rural Hausa Women in Kano, Nigeria.

Volume 3, Issue 4, August 2019     |     PP. 79-88      |     PDF (219 K)    |     Pub. Date: August 21, 2019
DOI:    269 Downloads     7407 Views  

Author(s)

Ibrahim S. Yar’Zever, School of Continuing Education, Bayero University Kano, Nigeria
Ibrahim Rabiu, Department of Community Medicine, Gombe State University, Nigeria

Abstract
If many women in rural Kano are not using family planning, it is not due to a lack of knowledge. Knowledge of contraception is nearly universal; 98 percent of currently married women know at least one modern family planning method. About two out of every five women (43 percent) have knowledge of at least one traditional method. Yet only 45 percent of married women in Kano are currently using some method of contraception, but less than the national average (48 percent). Contraceptive prevalence in Kano is considerably higher in urban areas (59 percent) than in rural areas (42 percent).ObjectivesTo assess the knowledge, attitude and practice of family planning methods, and factors that could affect their use, among the rural females of reproductive age group (15-49 years). MethodsA total of 326 females of reproductive age group (15-49years) from the thirty seven rural local government areas of Kano state were selected randomly and interviewed with the help of semi-structured interview schedule, which consists of demographic data, questions related to knowledge, attitude and practice of different contraceptive methods and factors affecting the use of these methods.ResultsMost of the respondents (79%) were aware of at least one contraceptive method. The most common source of information on contraception was Health staffs (46%), followed by non-governmental organization workers (42.5%), media (7.5%) and relatives/friends (4%). Knowledge of non-contraceptive benefits of family planning methods was claimed by only 19% of the respondents, while knowledge about various adverse effects was reported by 32% of the respondents. About 62% of respondents showed favorable attitude towards family planning methods while other (34%) are against it and rest 4% didn't responded. About 53% of respondents had ever used any family planning methods. 26% respondents were using contraceptive methods at the time of study. Intrauterine devices were the most commonly used method (46%) followed by condom (22%), female sterilization (21%) and oral contraceptive pills (11%). The most common reason for discontinuation of contraceptive methods was stated as refusal by husband and side effects.ConclusionThis study reveals that with increase in level of education, awareness also increased. Most of the respondents have the considerable knowledge and favorable attitude towards contraceptive methods but a wide knowledge practice gap was evident in this study, which was similar to the findings of studies done in other developing countries. Improved female education strategies and better access to services are needed to solve these problems. The use of communication media suitable for audience and adequate message is important in conducting effective family planning awareness activities. Efforts should be made to educate the public about the safety and convenience of modern, long term, reversible methods of contraception among both healthcare professionals and the public.

Keywords
Knowledge, Attitude, Practice, Family Planning, Contraceptives, Rural Females

Cite this paper
Ibrahim S. Yar’Zever, Ibrahim Rabiu, An Assessment of Knowledge, attitude and practice of family planning methods among the rural Hausa Women in Kano, Nigeria. , SCIREA Journal of Health. Volume 3, Issue 4, August 2019 | PP. 79-88.

References

[ 1 ] Baveja R, Buckshee K, Das K et al. Evaluating contraceptive choice through the method-mix approach. An Indian Council of Medical Research (ICMR) task force study. Contraception 2000; 61: 113¬
[ 2 ] Bongaarts J, Johansson E. Future trends in contraceptive prevalence and method mix in the developing world. Stud Fam Plan 2002; 33: 24-36.
[ 3 ] Dabral S, Malik SL. Demographic Study of Gujjars of Delhi: IV. KAP of Family Planning. J Hum Ecol 2004; 16: 231-7.
[ 4 ] Bhat PNM. Contours of fertility decline in India. Adistrict level study based on the 1991 Census. Shrinivasan K, editor, Population Policy and Reproductive Health. New Delhi: Hindustan Publications. 1996.
[ 5 ] Ramesh BM, Gulati SC, Retherford RD. Contraceptive use in India 1992-93. 11 PS: Mumbai and Hono
[ 6 ] Government of Nepal, Ministry of Health and Population, Family Health Division. National Medical Standard for Reproductive Health. Vol. 3, July, 2007.
[ 7 ] Bongaarts J. The KAP-Gap and unmet need for contraception. Population and Devt Rev 1991;17:293-313.
[ 8 ] Fawcett. JT. Psychology and population behavioral research issues in fertility and family planning. The Population Council, New York 1970.
[ 9 ] Park K. Park's textbook of Preventive and Social Medicine. 17thedn. Jabalpur. BanarasidasBhanot. 2002:325-58.
[ 10 ] Gandotra, M.M. and Das, N.P.: Contraceptive choice, shift and use continuation: A prospective study. Journal of Family Welfare, 36(3): 54-69 (1990).
[ 11 ] Ghosh, Rima: Intention not to use contraception: A comparative study of Northern and Southern States of India. Demography India, 30(2): 261-280 (2001).
[ 12 ] Gulati, S.C.: Contraceptive method's use and choice in Kerala and Uttar Pradesh: Multinomial logit analysis of NFHS Data. Demography India, 25(1): 205¬220 (1996).
[ 13 ] Rajaram, S.: Timing of sterilization in two low fertility states in India. Demography India, 27: 179-191 (1998).
[ 14 ] Rajaretnam, T.: Socio-cultural determinants of contraceptive method choice in Goa and Kerala, India. Journal of Family Welfare, 46(2): 1-11 (2000).
[ 15 ] Reddy, M.M.K.: Fertility and Family Planning Behaviour in Indian Society.Kanishka Publishers and Distributors, New Delhi (1996).