Pregnancy termination: Results of a community‐based study in Lagos, Nigeria

Olukoya, Adepeju A.

doi:10.1016/0020-7292(87)90182-2

Cited by 19 publications

(15 citation statements)

References 4 publications

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“…This is similar to 65% reported about two decades ago from Benin City in Southwestern Nigeria in 1986 11 but is lower than the 1987 report form Lagos (95.2%) 15 , or more recent reports from Jos and Ife (90%) 5 , Enugu in Southeastern Nigeria (81.7%) 17, among undergraduates in south-western Nigeria (87.5%) 16 , and the Nigeria Demographic and Health Survey, (NDHS) 2003 finding (78.5%) 14 . Contraceptive awareness has always been noted to be higher in the Southwestern Nigeria14 and in this study also, the Southwestern part of the country had the highest awareness rate with more people being aware in the urban (72.1%) than the rural (64.8%) areas.…”

Section: Discussionsupporting

confidence: 80%

“…Instructively none of the respondents in both the urban and rural areas in any of the regions attributed non-usage of contraceptive method to cost. The fear of side effects is a recurring issue in contraceptive use/non use 1,[5][6][7]9,11,12,15,16,[26][27][28][29] . Proper counselling is necessary to allay these fears for those who come forward, and inclusion of appropriate messages to address this issue during information dissemination and contraceptive awareness campaigns.…”

Section: Discussionmentioning

confidence: 99%

“…In Nigeria it ranges between 5-15% 8,[12][13][14] . This is in spite of a high awareness of contraception reported in the country 5,[14][15][16][17] . Studies from Jos and Ife reported awareness by 90% of all respondents of modern methods of contraception 5 .…”

Section: Introductionmentioning

confidence: 99%

“…Studies from Jos and Ife reported awareness by 90% of all respondents of modern methods of contraception 5 . In a study from Lagos, 95.2% of women sampled knew about some modern contraceptive methods yet the unmet need amongst them was estimated at 87.2% 15 . Similarly in a survey of undergraduates in South-Western Nigeria 87.5% were found knowledgeable about contraception, 87% were sexually active but only 34.7% were current users of modern contraceptive methods 16 .…”

Section: Introductionmentioning

confidence: 99%

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Community-based Study of Contraceptive Behaviour in Nigeria

Oye-Adeniran¹,

Adewole²,

Umoh³

et al. 2006

African Journal of Reproductive Health

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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. RÉSUMÉUne étude à base communautaire sur le comportement du contraceptif au Nigéria. Nous avons mené une étude descriptive traversale à base communautaaire auprès des femmes dans le group en âge d'avoir des enfants (15-19 ans) au Nigéria afin d'explorer les raisons qui peuvent expliquer le non-usage des contraceptifs malgré le haut niveau de sensibilisation. Les données ont été recueillies à l'aide d'un instrument de questionnaires standards administrés aux 2001 répondantes. La fréquence contraceptive parmi les répondants qui sont sexuellement actives était de 14,8% pour toutes les méthodes, 10,1% pour les méthodes modernes et juste 0,8% pour les contraceptifs d'urgence. Les raisons les plus fréquemment données pour expliquer le non-usage des contraceptifs parmi ceux qui n'ont jamais utilisé les contraceptifs, mais qui ne voulaient pas encore d'enfants étaient: "je n'y ai pensé", "contre la croyance religieuse" et "la peur des effets secondaires". L'analyse multifactorielle a montré que les femmes les plus âgées, mariées et instruites avaient la tendance d'utiliser les contraceptifs. Il faut former des prestataires de services médicaux pour qu'ils puissent rendre les services d'orientation à tous les clients en général, mais sourtout aux jeunes, aux célibataires et aux femmes non-instruites afin d'améliorer leur acceptance des contraceptifs. (Rev Afr Santé Reprod 2006; 10[2]:90-104)

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Section: Discussionsupporting

confidence: 80%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Community-based Study of Contraceptive Behaviour in Nigeria

Oye-Adeniran¹,

Adewole²,

Umoh³

et al. 2006

African Journal of Reproductive Health

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show abstract

“…5,7 Married women also experience unwanted pregnancy, as they constituted 34.8% and 63.2% of abortion seekers in two studies respectively from Southwestern Nigeria. 2,8 It has been reported that some women use abortion as a means of child spacing instead of contraception. 9 This may be as a result of low contraceptive prevalence rates despite reported high contraceptive awareness and enlightenment drives.…”

Section: Introductionmentioning

confidence: 99%

Prevalence and determinants of unintended pregnancy among women in south-western Nigeria

2015

Ghana Medical Journal

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SUMMARYObjective: To study the prevalence of unwanted pregnancy in urban and rural settlements in Southwestern Nigeria. Design: A prospective cross-sectional study of women within reproductive age. Setting: Community-based study of unwanted pregnancy was conducted in 2012. Participants: They were women of reproductive age who had experienced unintended and/or unwanted pregnancies and they were randomly selected from rural and urban areas of Ogun state in Nigeria. Intervention: A semi-structured questionnaire was used for data collection. Main outcome measure: The prevalence of unintended/unwanted pregnancy, associated factors including the views, perception and attitudes of community members in both urban and rural settlements and the pattern of help-seeking behavior on the problem. Results: The age range of respondents was 15-48 years (mean age 31.2± 6.7 years). One thousand, two hundred and twenty-one (51.6%) of the respondents were married. The percentage of illiterate respondents was 3.5% in urban area and 4.1% in rural area. There was a statistically significant association between level of education and use of a method to avoid or delay pregnancy (p <0.001). The prevalence of unintended pregnancy was 35.9% while that of induced abortion was 33.5%. Quality of service was the most important factor in the choice of a place for pregnancy termination in urban and rural areas. Economic reasons were often cited as reasons women make use of abortion services. Conclusion: Unwanted pregnancy constitutes a problem, even at the community level. The high contraceptive awareness should be translated to an increased use so as to bridge the large gap of unmet need.

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The need for a reproductive health approach

Sai

Nassim

1989

Intl J Gynecology & Obste

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A reproductive health approach recognizes that the foundations of women's health are laid in childhood and adolescence, and are influenced by factors such as nutrition, education, sexual roles and social status, cultural practices, and the socioeconomic environment. Reproductive health care strategies to meet women's multiple needs include education for responsible and healthy sexuality, safe and appropriate contraception, and services for sexually transmitted diseases, pregnancy, delivery, and abortion.

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Pregnancy termination: Results of a community‐based study in Lagos, Nigeria

Cited by 19 publications

References 4 publications

Community-based Study of Contraceptive Behaviour in Nigeria

Community-based Study of Contraceptive Behaviour in Nigeria

Prevalence and determinants of unintended pregnancy among women in south-western Nigeria

The need for a reproductive health approach

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