Correlates of the uptake of long acting reversible contraceptives (larcs) in Ogun state, Nigeria
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Date
2021
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Department of Demography and Social Statistics, Obafemi Awolowo University, Ile-Ife.
Abstract
This study investigated the level of uptake of Long Acting Reversible Contraceptives (LARCs) and examined the pattern of uptake of LARCs among women of reproductive age in Akute Agbado area of Ogun State by considering the socio-demographic and cultural characteristics as well as attitudes of respondents in line with their contraceptive choices. It also identified the factors influencing the uptake of LARCs among women of reproductive age in the study area. These were done with a view to obtaining a contemporary evidence base in understanding the motivation and barriers to LARC uptake, thereby informing the development of strategies that will increase LARC uptake, leading to overall reduction in unintended pregnancies and an improved Contraceptive Prevalence Rate (CPR) in Ogun State. This was a cross-sectional research design, using the multi-stage sampling method and based on the clustered administration of structured questionnaires to 400 randomly selected women of reproductive age, information on respondents’ demographic characteristics, knowledge of Family Planning (FP) type, service delivery factors were gotten from the use of this tool. Ten In-depth interviews were also conducted with health providers in the study area communities and state level. Descriptive statistics (frequency tables), correlation, logistic regression, model diagnosis and the processing of transcribed recordings were deployed for data analysis. The results showed a high usage of modern contraceptive (69%) in the study area compared to the state and national level at 16.6% and 12% respectively, with 41% of respondents using LARCs. The uptake of LARCs varied across demographic and socio-economic characteristics, service delivery factors such as waiting times and attitude of providers stimulated the distribution of uptake across respondents. Among all factors considered in the uptake of IUCD, the significant and the influencing factors were the number of children the women had with (O.R.:0.027; p<0.05) and (O.R:0.01;p<0.05) for the purity of 1 to 3 children and 3 to 6 children respectively. Furthermore, the factors influencing the uptake of implants are contacts with family planning workers and distance to source of family planning with (O.R:13 29; p<0.05) and (O.R: 6.9; p<0.05) respectively. Many healthcare providers identified complaints about side effects the miseducation of prospective clients through myths and misconceptions and high workload as major reasons many clients refuse to take up methods.
This research concluded that LARC uptake is relatively high among women in the study area
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16, 131p.
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Citation
Alfred, O. O. (2021) Correlates of the uptake of long acting reversible contraceptives (larcs) in Ogun state, Nigeria, Department of Demography and Social Statistics, Faculty of Social Sciences, Obafemi Awolowo University, Ile-Ife.