Knowledge, attitude and practice of contraception by female junior secondary school students in an urban community of Oyo-state, South west, Nigeria

Authors

  • Ajibola Idowu Department of Community Medicine, Bowen University Teaching Hospital, Ogbomoso, Oyo State, Nigeria
  • Olatayo A. Aremu Department of Community Medicine, Bowen University Teaching Hospital, Ogbomoso, Oyo State, Nigeria
  • Funmito O. Fehintola Department of Community Health, Obafemi Awolowo University Teaching Hospital, Ile-Ife, Osun State, Nigeria
  • Gbenga O. Popoola Department of Community Health, University of Ilorin Teaching Hospital, Ilorin, Kwara State, Nigeria

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20174983

Keywords:

Adolescents, Attitude, Family planning, Knowledge, Secondary schools

Abstract

Background: Unintended pregnancies resulting in several maternal morbidities and mortalities are still a major public health challenge in most parts of the world. Female secondary school students are particularly vulnerable due to their engagement in unsafe sex and low uptake of family planning services. The study assessed respondents’ level of knowledge on, attitude to and practice of family planning.

Methods: A cross-sectional study was conducted among 240 consenting female junior secondary school students in two public schools in Ogbomoso, South West Nigeria. Multi-stage sampling method was employed in recruiting the study participants and facilitated self-administered semi-structured questionnaire used for data collection. Descriptive statistics was done and Chi-square test used to compare categorical variables. The level of statistical significance was set at p <0.05.

Results: The mean age of the respondents was 13.6±2.3 and 69.5% of them were early adolescents (10-13years of age). Almost all (92.3%) of the respondents were aware of family planning but only 58.1% and 55.3% of them had good knowledge on and positive attitudes towards family planning respectively. In all, 64.0% of the sexually active respondents had ever used family planning. Condom was the commonest family planning method ever used; reported by 65.0% of those who had ever used family planning. Fear of side effects was the main reason among non-users.

Conclusions: Family planning uptake among sexually active female students is low in Southwest Nigeria. There is urgent need for aggressive awareness campaigns to improve the knowledge score and attitude of students to family planning in Nigeria.

References

World Health Organization. Fact sheet; Adolescent pregnancy. Available at http://www.who.int/mediacentre/factsheets/fs364/en/Accessed on 14th August 2017.

UNDP/UNFPA/WHO/WORLDBANK. Special program of research development and training in human reproduction: social science initiative on quality of care and reproduction. 2003.

World Health Organization. Fact sheet; Preventing unsafe abortion. Available at http://www.who.int/mediacentre/factsheets/fs388/en/Accessed on 14th August 2017.

World Health Organization. Unsafe Abortion: global and regional estimates of the incidence of unsafe abortion and associated mortality in 2003. Geneva: World Health Organization. 2005.

Peltzer K. Early sexual debut and associated factors among in-school adolescents in eight African countries. Acta Paediatr. 2010;99(8):1242-7.

Federal Ministry of Health. Federal Office of Statistics (FOS). National demographic and health survey (NDHS). Lagos: Federal Office of Statistics. 2003

National Population Commisison, Federal Republic of Nigeria, Abuja Nigeria; ICF International, USA. Nigeria Demographic and Health Survey. 2013.

Chima UC, Lawoyin TO, Llika AL, Nnebue CC. Contraceptive knowledge and practice among secondary school students in military barracks in Nigeria. Nigerian J Clin Practice. 2016;19(2):182-8.

Orji EO, Esimai OA. Sexual behavior and contraceptive use among secondary school students in Ilesa South West Nigeria. J Obstet Gynecol. 2005;25(3):269-72.

Adetokunbo T, Oluwarotimi A, Abiola B, Adeniyi A, Dele O, Shitu L. Contraceptive knowledge and usage amongst female secondary school students in Lagos, South West Nigeria. J Pub Health Epidemol. 2011;3(1):34-7.

Iniabasi NI and Anthonia A. Adolescents and utilization of family planning services in rural community of Nigeria. Research on Humanities and Social Sciences. 2013;3(1):ISSN2222-2863.

Oyo State TESCOM. Oyo State Post-Primary School Teaching Service Commission. Available at http://oyotescom.org/oyotescom/schools.php. Accessed on 26th August 2016.

Utuk NM, Abasiattai AM, Edu B. Awareness and practice of contraception among female secondary school students in Uyo, Nigeria. Ibom Med J 2017;10(2):1-5.

Anochie IC, Kepeme EE. Prevalence of sexual activity and outcome among female students in Port Harcourt, Nigeria. Afr J Reprod Health. 2001;5(20):63-7.

Gail BS, Lucy L, Huang B, Daniyaam CA, Theresa MZ, Paul S. Sexual behavior of adolescents in Nigeria: cross-sectional survey of secondary school students. BMJ. 2003;326(7379):15.

Ajuwon A, Olaleye A, Faromoju B, Ladipo O. Sexual behavior and experience of sexual coercion among secondary school students in three states in North Eastern Nigeria. BMC Public Health. 2005;6:310.

Nnebue CC, Chima U, Duru CB, Luka AL, Olaoyin TO. Determinants of age at sexual initiation among Nigerian adolescents: a study of secondary school students in a Military Barrack in Nigeria. Am J Med Sci Med. 2016;4(1):1-7

Idonije BO, Oluba OM, Otamere HO. A study on knowledge, attitude and practice of contraception among secondary school students in Ekpoma, Nigeria. JPCS. 2011;(2):22-7.

Odimegwu CO. Family planning attitude and use In Nigeria. International perspective on sexual and reproductive health. 1999;25(2):86-91.

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Published

2017-10-28

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Original Research Articles