VOlUME 06 ISSUE 03 MARCH 2023
1Kwabena Adade Kusi,2Stephen Oppong,3Gloria Bore-shi Saaka,4Lois L. Dukper,5Mamata Ibrahim,6Rukaya Abdallah,7Barikisu Masahudu,8Selase Kwaku Dotse,9Frederick Nuuri-Teg
1,3,4,5,6,7,8University for Development Studies, P.O. Box TL1350, Tamale, Ghana
2University for Development Studies (UDS), P.O. Box TL1882, Faculty of Communication and Cultural Studies, Nyankpala, Ghana
9Alinea Foundation, House Number 408, Naa Luoro Estates, Tamale, Northern Region
DOI : https://doi.org/10.47191/ijsshr/v6-i3-45Google Scholar Download Pdf
ABSTRACT
Background:Family planning (FP) has been classified by the World Health Organization (WHO) as one of the essential sexual health measures necessary to encourage safe childbearing by reducing maternal and newborn death (United Nations, 2014).
Method: A cross-sectional study with a quantitative approach was used to carry out this research. This approach was used to measure both the outcome (uptake of family planning) and exposures (socio-demographic characteristics, knowledge, and attitude of women towards family planning) concurrently.
Result: The result of the study showed that 88(34.1%) of the respondents were between the age of 31 to 35 years. The mean age of the respondents was 30.67 years with a standard deviation of 6.162 years. The results also showed that the majority of the respondents (98.1%) were aware of family planning. Also, 76.4% and 77.1% of the study participants had good knowledge and a good attitude toward family planning respectively. The uptake of family planning among the respondents was 78.7%.
Conclusion:Study participants’ age, marital status, ethnicity, number of children, and knowledge were associated with FP uptake among women of reproductive age.
Recommendation:Family planning education should be based on isolated factors such as side effects, preference, and spousal opposition that influence contraceptive use among women of childbearing age.
Family Planning, uptake, Sawaba, Northern Region, Ghana
REFERENCES
1) Ackerson, K., & Zielinski, R. (2017). Factors influencing the use of family planning in women living in crisis-affected areas of Sub-Saharan Africa.: A review of the literature. 54(July), 35–60. https://doi.org/10.1016/j.midw.2017.07.021
2) Adongo, P., Tabong, P., Azongo, T. B., Phillips, J. F., Sheff, M. C., & Stone, A. (2014). A comparative qualitative study of misconceptions associated with contraceptive use in southern and northern Ghana. Front Public Health.
3) Agunbiade, F. B. (2017). Factors Affecting the Utilization of Family Planning among Women Attending Selected Health Centers in Ile Ife, Osun State, Nigeria Article by Agunbiade Funmilayo B Assistant Director of Nursing Services, Department of Anaesthesia, Obafemi Awolowo. Texila International Journal of Nursing, 3(2), 1–8. https://doi.org/10.21522/TIJNR.2015.03.02.Art012
4) Alege, S. G., Matovu, J. K. B., Ssensalire, S., & Nabiwemba, E. (2016). Knowledge, sources, and use of family planning methods among women aged 15-49 years in Uganda: a cross-sectional study. 8(6), 1–12. https://doi.org/10.11604/pamj.2016.24.39.5836
5) Alemayehu, M., Lemma, H., Abrha, K., Adama, Y., Fisseha, G., Yebyo, H., Gebeye, E., Negash, K., Yousuf, J., Fantu, T., & Gebregzabher, T. (2016). Family planning use and associated factors among pastoralist community of Afar region, eastern Ethiopia. BMC Women’s Health, 1–9. https://doi.org/10.1186/s12905-016-0321-7
6) Ali, K. M. (2016). Factors affecting the use of contraceptives in Matlab, Bangladesh. J Biosoc Sci., 28(3), 265–279.
7) Apanga, P. A., & Adam, M. A. (2015). Factors influencing the uptake of family planning services in the Talensi district, Ghana. Pan African Medical Journal, 20, 1–9. https://doi.org/10.11604/pamj.2015.20.10.5301
8) Burkhart, M., Mazariegos, L., Salazar, S., & Lamprecht, V. M. (2011). Effectiveness of a Standard-Rule Method of Calendar Rhythm among Mayan Couples in Guatemala. International Family Planning Perspectives, 131–136.
9) Central Statistical Agency. (2016). Ethiopian Demographic and Health Survey 2016 key indicators report. Addis Ababa and Maryland, Ethiopia;
10) Chebet, J. J., McMahon, S. A., Greenspan, J. A., Mosha, I. H., Callaghan-Koru, J. A., & Killewo, J. (2015). Every method seems to have its problems’- Perspectives on side effects of hormonal contraceptives in Morogoro Region, Tanzania. BMC Womens Health.
11) Cleland, J., Conde-Agudelo, A., Peterson, H., Ross, J., & Tsui, A. (2012). Contraceptive and health. Lancet. 380(9837), 149–156.
12) Crissman, H. P., Adanu, R. M., & Harlow, S. D. (2012). Women’s sexual empowerment and contraceptive use in Ghana. Stud Fam Plann, 4(3), 201–212.
13) Ekpenyong, M. S., Nzute, A. I., Odejimi, O., & A. D. Abdullahi. (2018). Factors influencing utilization of family planning services among females of reproductive age ( 15-45 years ) in Bauchi local government area, Bauchi state. 3(2), 1–6. https://doi.org/10.15761/NPC.1000180
14) Gebremeskel, F., Estifanous, W., Gizachew, Y., Jemal, S., Atnafu, N., & Nuriye, K. (2020). Utilization of Family Planning Methods and Associated Factors Among Reproductive-Age Women with Disability in Arba Minch Town ,. 25–32.
15) Ghana Demographic and Health Survey. (2014). Rockville, MD: GSS, GHS, and ICF International.
16) Ghana Ministry of Health. (2015). Ghana family planning costed implementation plan 2016–2020. http://www.healthpolicyproject.com/ns/docs/Ghana_FP_CIP_9_28.pdf
17) Ghana Statistical Service. (2014). Ghana Health Service, and ICS Macro: Ghana Demographic and Health Survey 2014.
18) GMHS. (2018). Ghana Maternal Health Survey 2017. Ghana Maternal Health Survey 2017, 4, 9–15.
19) Government of Ghana. (2015). Ghana Family Planning Costed Implementation Plan (GFPCIP), Accra: Ghana Health Service. 2015 Washington, DC: Futures Group. Health Policy Project.
20) Government of Ghana. (2018). Maternal health survey.
21) Grindlay, K., Dako-Gyeke, P., Ngo, T. D., Eva, G., Gobah, L., & Reiger, S. T. (2018). Contraceptive use and unintended pregnancy among young women and men in Accra, Ghana. PloS One.
22) Gueye, A., Speizer, I. S., Meghan, C., & Chinelo, C. O. (2016). Belief in Family Planning Myths at the Individual And Community Levels and Modern Contraceptive Use in Urban Africa. 41(4), 191–199. https://doi.org/10.1363/4119115.Belief
23) Gupta, V., Mohapatra, D., & Kumar, V. (2016). Family planning knowledge, attitude, and practices among the currently married women (aged 15–45 years) in an urban area of Rohtak district, Haryana. Int J Med Sci Public Heal., 5(4), 627–632.
24) Hakizimana, S., & Odjidja, E. N. (2021). Beyond knowledge acquisition.: factors influencing family planning utilization among women in conservative communities in Rural Burundi. Reproductive Health, 1–9. https://doi.org/10.1186/s12978-021-01150-7
25) Handady, S. O., Naseralla, K., Sakin, H. H., & Alawad, A. A. M. (2015). Knowledge, attitude, and practice of family planning among married women attending primary health center in Sudan. Int J Public Heal Res., 3(5), 243–247.
26) Hindin, M. J., McGough, L. J., & Adanu, R. M. (2014). Misperceptions, misinformation, and myths about modern contraceptive use in Ghana. J Fam Plann Reprod Health Care, 40(29), 30–35.
27) Hochbaum, G. M. (1958). Public Participation in Medical Screening Programs: A Socio-Psychological Study, (Vol. PHS Publication no 572 ). Washington, DC: US Government Printing Office.
28) Kasa, A. S., Tarekegn, M., & Embiale, N. (2018). Knowledge, attitude, and practice towards family planning among reproductive-age women in resource-limited settings of Northwest Ethiopia. BMC Research Notes, 7–12. https://doi.org/10.1186/s13104-018-3689-7
29) Keogh, S. C., Otupiri, E., Chiu, D. W., Polis, C. B., Hussain, R., & Bell, S. O. (2020). Estimating the incidence of abortion: a comparison of five approaches in Ghana. BMJ Glob Health.
30) Laryea, D. O., Ankobeah, F., Morhe, E. S. K., Amoako, Y. A., & Spangenberg, K. (2016). Characteristics and contributory factors for injectable contraceptive usage among women in Kumasi, Ghana. Contracept Reprod Med.
31) Lwelamira, J., Mnyamagola, G., & Msaki, M. M. (2012). Knowledge, attitude, and practice (KAP) towards modern contraceptives among married women of reproductive age in Mpwapwa District, Central Tanzania. Curr Res J Soc Sci., 4(3), 235–245. https://www.researchgate.net/publication/299488265.
32) Machiyama, K., & Cleland, J. (2014). Unmet need for family planning in Ghana: the shifting contributions of lack of access and attitudinal resistance. Stud Fam Plann, 203–226.
33) Madden, T., Secura, G. M., Nease, R. F., Politi, M. C., & Peipert, J. F. (2015). The role of contraceptive attributes in women’s contraceptive decision-making. Am J Obstet Gynecol, 46–66.
34) Melorose, J., Perroy, R., & Careas, S. (2015). Demographic Health Survey: Key indicators. Statewide Agricultural Land Use Baseline 2015, 1.
35) Montez, D. (2011). Family Planning and Maternal Health in Tanzania. Women Demand for More Information. Audience Scapes Africa Development Research Brief.
36) Mumah, J. N., Casterline, J. B., Machiyama, K., Wamukoya, M., Kabiru, C. W., & Cleland, J. (2018). Method-specific attributes that influence the choice of future contraceptives among married women in Nairobi’s informal settlements. Stud Fam Plann, 279–92.
37) National Population Commission. (2013). Nigeria Demographic and Health Survey. Abuja Nigeria, and Rockville Maryland USA.
38) Nettey, O. E. A., Enuameh, Y. A., Mahama, E., Sulemana, A., Adjei, G., Gyaase, S., Afari-asiedu, S., Adda, R., Yawson, A. K., Nuamah, G. F., Anane, E. A., Abokyi, L., Amenga-etego, S., Dzabeng, F., & Tawiah-agyeman, C. (2015). Family Planning Awareness, Perceptions and Practice among Community Members in the Kintampo Districts of Ghana. February, 1–12.
39) Ochako, R., Mbondo, M., Aloo, S., Kaimenyi, S., Thompson, R., & Temmerman, M. (2015). Barriers to modern contraceptive methods uptake among young women in Kenya: a qualitative study. BMC Public Health.
40) Owusu-Agyei, S., Nettey, O. E. A., Zandoh, C., Sulemana, A., Adda, R., Amenga-Etego, S., & Mbacke, C. (2012). Demographic Patterns and Trends in Central Ghana: Baseline Indicators from the Kintampo Health and Demographic Surveillance System. Global Health Action, 5, 1–11.
41) PMA2020/Ghana. (2017). Family Planning Brief. September-November 2017 (Round 6), Baltimore, MD: Bill & Melinda Gates Institute for Population and Reproductive Health, Johns Hopkins Bloomberg School of Public Health, Kwame Nkrumah University of Science and Technology; PMA2020.
42) Polis, C. B., Hussain, R., & Berry, A. (2018). There might be blood: a scoping review on women’s responses to contraceptive-induced menstrual bleeding changes. Reprod Health.
43) Quereishi, M. J., Mathew, A. K., & Sinha, A. (2017). Knowledge, attitude, and practice of family planning methods among the rural females of Bagbahara block Mahasamund district in Chhattisgarh State, India. Glob J Med Public Heal., 6(2), 1–7.
44) Rokicki, S., & Merten, S. (2018). The context of emergency contraceptive use among young unmar.
45) Rominski, S. D., Morhe, E. S. K., & Jody, L. (2015). I am very much afraid of its side effects by listening to what people say”: Reasons Ghanaian women do not use contraceptives. Int J Nurs Midwifery, 61–68.
46) Rominski, S. D., Morhe, E. S. K., Maya, E., Manu, A., & Dalton, V. K. (2017). Comparing women’s contraceptive preferences with their choices in 5 urban family planning clinics in Ghana. Glob Health Sci Pract, 5, 65–74.
47) Rosenstock, I. M., Strecher, V. J., & Becker, M. H. (1988). Social learning theory and the Health Belief Model. Health Education Quarterly. 15(2), 175–183.
48) Sarah, C., Keogh, A., Easmon, O. B., Philicia, W., Castillo, A., Doris, W., Chiu, A., & Chelsea B. Polis a, c, Emmanuel K. Nakua d, S. O. B. (2020). Hormonal contraceptive use in Ghana: The role of method attributes and side effects in method choice and continuation.
49) Sedgh, G., & Hussain, R. (2014). Reasons for contraceptive nonuse among women having an unmet need for contraceptives in developing countries. Stud Fam Plann, 151–169.
50) Staveteig, S. (2017). Fear, opposition, ambivalence, and omission: Results from a follow-up study on unmet need for family planning in Ghana. PloS One.
51) Sulemana, N. (2015). Barriers to the use of contraceptives among married women in Paga, Upper East Region, Ghana.
52) Tilahun, T., Coene, G., Luchters, S., Kassahun, W., & Leye, E. (2013). Family planning knowledge, attitude and practice among married couples in Jimma Zone, Ethiopia. PLoS ONE., 8(4).
53) Uganda Bureau of Statistics. (2012). Kampala Uganda and Calverton, Maryland, USA. UBOs and ICF International.
54) UNFPA. (2022). Family Planning London Summit Overview.
55) UNICEF. (2019). Ghana Multiple Indicator Cluster Survey.
56) United Nation. (2014). The Millennium Development Goals Report. New York: 2005.
57) United Nations General Assembly Declaration. (2015). Transforming our world: The 2030 agenda for sustainable development. https://sustainabledevelopment.un.org/post2015/transformingourworld
58) World Health Organization. (2012). Standards for maternal and neonatal care. Geneva.
59) World Health Organization. (2018). Fact sheets on family planning, World Health Organization.