MPH
Permanent URI for this collection
Browse
Browsing MPH by Subject "Family planning"
Now showing 1 - 2 of 2
Results Per Page
Sort Options
- ItemOpen AccessFertility intentions and family planning demand among HIV positive men and women in Obafemi Awolowo University Teaching Hospitals Complex, Ile-Ife, Osun state, Nigeria(2015) Daramola, Oluwadunsin OreThis study assessed the fertility intentions among HIV positive men and women, assessed their demand for contraception. The study also ascertainedfactors that influenced their fertility intentions and contraceptive demand, compare patterns of contraception and fertility intentions between male and female HIV clients attending the Institute of Human Virology of Obafemi Awolowo University Teaching Hospitals Complex with a view of providing information that will help in proposing strategies tailored towards counselling and service needs of the clients. The study was a cross-sectional survey carried out among 300 HIV positive men and women accessing care in the institute. The study employed quantitative and qualitative survey design. The data collection took place over 20 clinic days and 15 respondents were recruited on each clinic day (300/20=15).A sampling interval (k) of 5 was determined as an average of 80 clients were being attended to on each clinic day (80/15=5). The first enrolee on each day of data collection was selected by simple random sampling from the first 5 clients, every 5th patient after that was enrolled into the study until 15 respondents had been selected. For the qualitative survey,key informant interview was conducted with a senior resident doctor rotating from obstetrics and gynaecology, a senior resident doctor from venereal and dermatology, the matron in charge of clinical care and counselling services and a nurse. Univariate, bivariate and multivariate analyses were done and degree of statistical significance was accepted at p-value less than 0.05. The qualitative data was analysed using content analysis. One hundred and eighty-one (60.3%) comprising 32(56.1%) male and 149 (61.3%) female respondents expressed desire for children. The respondents aged 20-29 years [OR = 10.74, 95% CI: 2.76 – 41.70] and 30-39 years [OR = 2.76, 95% CI: 1.51 -5.03] were ten times and three times more likely to desire children when compared to those aged 40years and above. Respondents who had no children [OR= 41.36, 95% CI: 4.75-360.18] were forty-one times more likely to desire children compared to those who had 1 or more children. One hundred and eighty-four (61.3%) of the respondents were using family planning methods during the study period and 38.7%were not using family planning methods.Sixty-six percent of non-users expressed desire to use family planning methods in future.Respondents with 3 or more living children [OR=0.14, 95% CI: 0.04-0.54] were 0.14 times less likely to desire to use family planning methods when compared to those who had none. Current family planning users [OR=5.48, CI: 2.86-10.52] were 5 times more likely to express desire to continue using family planning in future compared to non-current users. The study showed that the factors that influenced fertility intentions were age and number of living children. The factors that influenced contraceptive demand were number of living children and current use of family planning. Family planning services should be integrated into HIV treatment and care so as to promote a “one-stop shopping” for both HIV/AIDS care and Reproductive health services for PLWHA.
- ItemOpen AccessInfluence of “Ireti Eda” radio program on family planning uptake by women of reproductive age in Akinyele LGA of Oyo state.(Obafemi Awolowo University, 2016) Ishola, Jonathan AdekunleThe study assessed the knowledge of women in Akinyele Local Government Area of Oyo State about “IretiEda” radio program on family planning, and their attitude toward “IretiEda” radio program. The study also identified the types of family planning messages respondents received from the radio and determined the women’s uptake of modern family planning methods attributable to “IretiEda” radio program. These were with a view to improving Family Planning uptake by women of reproductive age in Akinyele LGA of Oyo State. The study was a cross sectional descriptive survey that employed both quantitative and qualitative research design. Multistage sampling technique was used to select 300 women of reproductive age (15-49 years) who are radio listeners from Akinyele LGA. A semi-structured questionnaire was used to elicit information on socio-demographic characteristics, knowledge about “IretiEda” radio program, attitude towards the radio program and its influence on respondents’ Family Planning uptake. Focus Group Discussion sessions were conducted in two wards, which involved two groups of women; the younger ones (15-24 years) and the older ones (25-49 years). Data were analyzed using descriptive and inferential statistics on SPSS version 23 software. The level of significance was determined at p less than 0.05. The results showed that 70.0% of the respondents had a good knowledge of the “IretiEda” programme. Ninety-six percent had a positive attitude toward the radio program. Family planning messages received by the respondents from the radio are Jingles/advert (54.4%), playlet (32.6%), call and response (13.0%). The study showed that the uptake of modern family planning methods increased from 40% to 43.3% after exposure to “IretiEda” program. Twenty-eight percent of the women not exposed to the radio program, reported using modern family planning methods while the proportion of women exposed to the program and reported using modern family planning methods is 43.3%. The factors that were significantly associated with modern Family Planning methods uptake after exposure to “IretiEda” radio program included age (χ2=25.454, p=0.000), marital status (χ2=10.646, p=0.005), and number of living children (χ2=15.119, p=0.002). The study concluded that exposure to “IretiEda” radio program on Family Planning increased uptake of modern Family Planning methods by women in the reproductive age group (χ2=20.218, p= 0.002).