Adeyemi Adebanjo B, Ijadunola Kayode T, Orji Ernest O, Kuti O, Alabi Marie M
Department of Obstetrics, Gynaecology and Perinatology, College of Health Sciences, Obafemi Awolowo University IIe-Ife, Nigeria.
Eur J Contracept Reprod Health Care. 2005 Dec;10(4):229-34. doi: 10.1080/13625180500279763.
To determine the level of Unmet need for Contraception among women in the first year post-delivery in Ile-Ife, Nigeria.
A prospective study of 256 women attending antenatal clinic of the OAUTHC, Ile-Ife, Nigeria was carried out 9-10 months post-delivery. Using a semi-structured questionnaire, the respondents were interviewed for socio-demographic characteristics; obstetric, sexual, and contraception history were also taken. The data were analyzed using descriptive and inferential statistical methods.
There was a high level of unmet need (59.4%) in the sample of Nigerian women despite a high level of awareness of common methods of contraception. Education and parity had no significant effect on usage of contraception (p > 0.05). No reason was given for non-usage in the largest proportion (30.3%) of the non-users. Only one-third of the respondents could correctly report the 'at-risk' period for getting pregnant in the post-partum period.
There is a need to study in more detail the social and cultural factors that determine contraceptive utilization before success can be achieved in closing the gap of unmet need, as it has become evident that increasing the awareness and knowledge of contraception is not enough to achieve the objectives of family-planning programs.
确定尼日利亚伊莱-伊费地区产后第一年妇女未满足的避孕需求水平。
对尼日利亚伊莱-伊费奥约州大学教学医院保健中心产前诊所的256名妇女进行前瞻性研究，研究在产后9至10个月进行。使用半结构化问卷，对受访者进行社会人口学特征访谈；同时收集产科、性和避孕史。采用描述性和推断性统计方法对数据进行分析。
尽管尼日利亚妇女对常见避孕方法的知晓率较高，但样本中仍有较高水平的未满足需求（59.4%）。教育程度和胎次对避孕方法的使用没有显著影响（p>0.05）。在未使用者中，最大比例（30.3%）的人未说明不使用的原因。只有三分之一的受访者能够正确报告产后怀孕的“危险期”。
在缩小未满足需求差距方面取得成功之前，有必要更详细地研究决定避孕措施使用情况的社会和文化因素，因为越来越明显的是，提高避孕意识和知识不足以实现计划生育项目的目标。
