Unmet Need for Family Planning among Internally Displaced Women of Reproductive Age in Yola, Adamawa State
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Abstract
Background: Unmet need for family planning results
in unwanted pregnancies, uncontrolled fertility,
overpopulation, and poor socio-economic growth.
Studies indicate that displaced persons are more likely
to experience higher unmet needs for family planning
compared to the general population. However, there
is limited literature on this issue among displaced
women in Nigeria. This study investigates the unmet
need for family planning among internally displaced
women of reproductive age in Yola, Adamawa State.
Methods: A cross-sectional study was conducted
among 272 currently married women aged 15-49
years in the Internally Displaced Persons (IDPs) camp
using a systematic sampling technique. An
interviewer-administered questionnaire was used to
obtain information about sociodemographic
characteristics, awareness and utilisation of family
planning commodities and unmet need for family
planning. Data were analyzed using descriptive and
inferential statistics. Level of statistical significance
of 5% was assumed.
Results: Mean age of respondents was 32.0±8.8
years, and 28.3%, 29.4% and 57.7% had unmet need
for limiting, spacing and total unmet need for family
planning. The most reported reason for non-usage
of family planning by those with unmet need for family
planning was religious prohibition (60.0%).
Independent predictors of total unmet need for family
planning included respondent’s age [AOR: 7.17 (95%
CI: 2.81-18.30)], employment status [AOR: 3.18
(95% CI: 1.73-5.84)] and spousal discussion of family
planning [AOR: 0.13 (95% CI: 0.07-0.25)].
Conclusion: The level of unmet need for family
planning was high in this study. Male involvement
and collaboration with religious leaders should be
explored to address unmet need for family planning
in IDPs camps.
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Sektion
Referenser
Bamgboye, E. A. and Ajayi, I. Changing
Patterns of Unmet Needs for Family
Planning Among Women of Reproductive
Age in Nigeria. African Journal of
Reproductive Health. 2016; 20(3): 127-
World Health Organization. Safe Abortion:
Technical and Policy Guidance for Health
Systems. 2012. World Health Organization,
Geneva, Switzerland, 2nd edition. http://
apps.who.int/iris/bitstream/10665/70914/1/
548434_eng.pdf.
Moronkola, O. A., Ojediran, M., M., Amosu,
A. Reproductive health knowledge, beliefs
and determinants of contraceptives use
among women attending family planning
clinics in Ibadan, Nigeria. African Health
Sciences 2006; 6(3): 155-159.
Mosha, I., Ruben, R., &Kakoko, D. Family
planning decisions, perceptions and gender
dynamics among couples in Mwanza,
Tanzania: a qualitative study. BMC Public
Health. 2013; 13(1), 523.
Sekoni OO and Ibrahin LD
Monjok, E, Smesny, A.Ekabua, J. E et al.,
Contraceptive practices in Nigeria: Literature
review and recommendation for future policy
decisions: Open Access Journal of
Contraception. 2010; 1:9-22.
United Nations, Department of Economic
and Social Affairs, Population Division
(2014).World Contraceptive Use 2014
(POP/DB/CP/Rev2014)
Guttmacher Institute, United Nations
Population Fund. Fact sheet. Costs and
benefits of investing in contraceptive services
in the developing world. New York,NY:
Guttmacher Institute; 2012.
United Nations Population Fund. 2012. Key
issues in reproductive health services. New
York, NY: United Nations Population Fund;
Dunn S, Janakiram P, Blake J, Hum S,
Cheetham M, Welch V, et al. Contraception:
evidence review for newly arriving
immigrants and refugees. In: Pottie K,
Greenaway C, Feightner J, Welch V,
Swinkels H, Rashid M, et al. Evidence-based
clinical guidelines for immigrants and
refugees. cmaj2011;183(12):e824-925. cmaj
doi 10.1503/cmaj.090313.
Jaravaza, D. C. Traditional Contraceptives
and Indigenous Knowledge Systems in
Mutasa District of Manicaland Province,
Zimbabwe. International Journal of
Academic Research in Progressive
Education and Development. 2013;2(2).
United Nations High Commissioner for
Refugees. Global forced displacement hits
record high. Retrieved December 2, 2016,
from http://www.unhcr.org/news/latest/2016/
/5763b2065 a2014 /global-forceddisplacement-hits-record-high.html
Mariae Stopes International. Working with
displaced people in Nigeria. Gagnon, A. J.,
Merry, L., Robinson, C. A. Systematic
review of refugee women’s reproductive
health. Refuge. 2016; 21(1):6-17.
Gagnon, A. J., Merry, L., Robinson, C. A.
Systematic review of refugee women’s
reproductive health. Refuge. 2002; 21(1):6-
Okanlawon, K., Reeves, M., and Agbaje, O.
F. Contraceptive Use: Knowledge,
Perceptions and Attitudes of Refugee Youths
in Oru Refugee Camp, Nigeria. 2010.
Wolff H, Epiney M, Lourenço AP, Costanza
MC, Delieutraz-Marchand J, Andreoli N, et
al. Undocumented migrants lack access to
pregnancy care and prevention. BMC Public
Health. 2008;8:93
Vangen, S., Eskild, A., Forsen, L. Termination
of pregnancy according to immigration
status: a population-based registry linkage
study. BJOG. 2008; ;115(10):1309-15.
Wang H, Long L, Cai H, Wu Y, Xu J, Shu C,
Wang P, Li B, Wei Q, Shang X, Wang X,
Zhang M, Xiong C, Yin P. Contraception and
Unintended Pregnancy among Unmarried
Female University Students: A Crosssectional Study from China. PLoS One.
Jun 19;10(6):e0130212. doi: 10.1371/
journal.pone.0130212. PMID: 26091505;
Kish, Leslie. Survey Sampling. 1965. New
York: John Wiley and Sons, Inc. p. 78-94
Nigeria Demographic and Health
Survey.(2013). National Population
Commission Federal Republic of Nigeria
Abuja, Nigeria. National Population
Commission Federal Republic of Nigeria
Abuja, Nigeria.
Bradley, S.E., Croft, T.N., Fishel, J.D. and
Westoff, C.F. Revising unmet need for family
planning. 2012
Bradley, S.E. and Casterline, J.B.
Understanding unmet need: history, theory,
and measurement. Studies in family
planning. 2014; 45(2), pp.123-150.
Aptekman, M., Rashid, M., Wright, V. and
Dunn, S.Unmet contraceptive needs among
refugees: Crossroads Clinic
experience. Canadian Family Physician.
; 60(12), pp.e613-e619.
Lata, K., Barman, S.K., Ram, R., Mukherjee,
S. and Ram, A.K. Prevalence and
determinants of unmet need for family
planning in Kishanganj district, Bihar. India.
GJMEDPH 2012;1(4), pp.29-33.
Ajong, A. B., Njotang, P. N., Yakum, M. N.,
Essi, M. J., Essiben, F., Eko, F. E. Kenfack,
B. and Mbu, E. R. Determinants of unmet
need for family planning among women in
Urban Cameroon: a cross-sectional survey
in the Biyem-Assi Health District, Yaoundé.
BMC Women’s Health. 2016;16:4. doi
1186/s12905-016-0283-9.
Adebowale, S. A. and Palamuleni, M.
E.Determinants of Unmet Need for Modern
Contraception and Reasons for Non-use
Unmet need for family planning 283
among Married Women in Rural Areas of
Burkina Faso. African Population Studies.
; 28 (1).
Olowoporoku, A. J. and Ajayi, A. Unmet
Need for Family Planning Uptake among
Currently Married Women in North Central
and Northwest of Nigeria. International
Journal of Rural Development,
Environment and Health Research.
;1:1
Adedini SA, Odimegwu C, Imasiku EN,
Ononokpono DN. Unmet need for family
planning: implication for under-five mortality
in Nigeria. J Health Popul Nutr. 2015
Mar;33(1):187-206. PMID: 25995735;
PMCID: PMC4438662.
Igwegbe, A. O., Ugboaja, J. O., & Monago,
E. N. Prevalence and determinants of unmet
need for family planning in Nnewi, southeast Nigeria International Journal of
Medicine and Medical Sciences.
;1(8), 325-329.
Ali, A.A.A., Okud, A. Factors affecting
unmet need for family planning in Eastern
Sudan. BMC Public Health. 2013; 13, 102.
https://doi.org/10.1186/1471-2458-13-102
Hailemariam, A. and Haddis, F. Factors
affecting unmet need for family planning in
southern nations, nationalities and peoples
region, Ethiopia. Ethiopian journal of
health sciences. 2011;21(2), pp.77-90.
Acacio-Claro, P. J. B., Borja, M. P., De Silva,
W. I., Perera, B. N., Anuranga, K. C., Tong,
Y., Piotrowski, M. and Panigrahi, A. K.
Addressing Unmet Need: Potential for
Increasing Contraceptive Prevalence in the
Philippines. Asia-Pacific Population.
;25(2),.5.
Alaba, O. O., Olaomi, J. O. &Olubusoye,
O. E. Spatial pattern and determinants of
unmet need of family planning in Nigeria.
South African Family Practice. 2015; 57:5,
-312, DOI: 10.1080/
2015.1071536
Idowu, A., Ogunsola, O.O. and Ogunlaja, O.
Knowledge, determinants and unmet needs
for postpartum family planning use among
women attending immunization clinic at
Bowen University Teaching Hospital,
Ogbomoso, Oyo State, Nigeria. African
Journal of Medicine and Medical
Sciences. 2015; 44(1), pp.43-51.
Gurmu, E. and Mturi, A.J.,. Trend and
correlates of contraceptive use in rural and
urban Ethiopia: is there a link to the health
extension programme? African Population
Studies. 2013; 27(2), pp.140-154.
Khan, M.E., Sebastian, M.P., Sharma, U.,
Idnani, R., Kumari, K., Maheshwari, B. and
Ashraf, S., Promoting healthy timing and
spacing of births in India through a
community-based approach. 2008. New
Delhi, India: Population Council.
Omolase C.O., Faturoti S.O., Omolase S.
O. Pattern of Family Planning Methods used
by Antenatal Patients in Owo, Nigeria.
Nigerian Hospital Practice. 2008;Vol2 No
:33-36
Wolff B, Blanc AK, Ssekamatte-Ssebuliba
J The role of couple negotiation in unmet
need for contraception and the decision to
stop childbearing in Uganda. Stud. Fam.
Plan. 2000; 31(2): 124-137.