Pattern of contraception among users in a Nigerian Public Family Planning Unit.


Background: Nigeria is a developing country with high fertility rate and complications of unwanted pregnancies. Contraception is vital for fertility regulation and prevention of complications associated with unplanned pregnancy. The use of available methods depends on their acceptability by people in a community which may be determined by their social characteristics. To determine the uptake of modern contraceptive methods among women seeking family planning services in a Nigerian Tertiary Hospital and document the acceptability of methods by new clients. Materials and Methods: A retrospective review of contraceptive users that attended the family planning clinic of the University of Ilorin Teaching Hospital, Ilorin, between January 2000 and December 2009 was done Data on socio-demographic characteristics, previous method(s) of contraception, duration of use, reasons for discontinuation, side effects and reasons for current contraceptive choices were obtained from the documented case notes. Old and new users were compared. Statistical analysis used was descriptive and inferential statistics. Results: Five thousand, five hundred and three clients' records were reviewed, 59.8% of all attendees were new acceptors of modern contraceptive methods in the facility. The percentage of new acceptors per year was 31.7-51.9%. Intrauterine contraceptive device (IUCD) was the commonest method among the new and old clients and most of them required contraception for child spacing rather than completion of family size (P<0.001).Bilateral Tubal Ligation and condom were the least common methods (0.1% respectively). Most of the new clients (67%) were referred by health personnel. In conclusion, the acceptability of modern contraceptive methods by new clients at U.I.T.H between 2001 and 2009 was high. IUCD was the commonest method chosen. Use of surgical contraception was low.



Contraceptive uptake, New users, Acceptors, Ilorin


Adesina K.T, Abdul I.F, Olarinoye A.O, Jimoh A.A.G, Saidu R, EzeokeG.G.(2016):Pattern of contraception among users in a Nigerian Public Family Planning Unit. Sudan Medical Journal. 52(2); 85-92.