Apanga Paschal Awingura, Adam Matthew Ayamba
Ghana Health Service, Talensi district, Upper East Region, Ghana.
Pan Afr Med J. 2015 Jan 5;20:10. doi: 10.11604/pamj.2015.20.10.5301. eCollection 2015.
Usage of family planning services in developing countries have been found to avert unintended pregnancies, reduce maternal and child mortality, however, it's usage still remains low. Hence, the objective of this study was to investigate the factors that influence the decision of women in fertility age to go for family planning services.
This was a descriptive cross-sectional study conducted in Talensi district in the Upper East Region of Ghana. Systematic random sampling was used to recruit 280 residents aged 15-49 years and data was analysed using SPSS version 21.0.
The study revealed that 89% (249/280), of respondents were aware of family planning services, 18% (50/280) of respondents had used family planning services in the past. Parity and educational level of respondents were positively associated with usage of family planning services (P<0.05). Major motivating factors to the usage of family planning service were to space children, 94% (47/50) and to prevent pregnancy and sexual transmitted infections 84% (42/50). Major reasons for not accessing family planning services were opposition from husbands, 90% (207/230) and misconceptions about family planning, 83% (191/230).
Although most women were aware of family planning services in the Talensi district, the uptake of the service was low. Thus, there is the need for the office of the district health directorate to intensify health education on the benefits of family planning with male involvement. The government should also scale up family planning services in the district to make it more accessible.
在发展中国家,计划生育服务的使用已被发现可避免意外怀孕、降低孕产妇和儿童死亡率,然而,其使用率仍然较低。因此,本研究的目的是调查影响育龄妇女选择计划生育服务的因素。
这是一项在加纳上东部地区塔伦西 district 进行的描述性横断面研究。采用系统随机抽样方法招募了280名年龄在15 - 49岁之间的居民,并使用SPSS 21.0版对数据进行分析。
研究显示,89%(249/280)的受访者知晓计划生育服务,18%(50/280)的受访者过去使用过计划生育服务。受访者的生育次数和教育水平与计划生育服务的使用呈正相关(P<0.05)。使用计划生育服务的主要动机是间隔生育子女,94%(47/50),以及预防怀孕和性传播感染,84%(42/50)。未使用计划生育服务的主要原因是丈夫的反对,90%(207/230),以及对计划生育的误解,83%(191/230)。
尽管塔伦西 district 的大多数妇女知晓计划生育服务,但该服务的使用率较低。因此,地区卫生局办公室需要加强关于计划生育益处的健康教育,并让男性参与进来。政府还应扩大该地区的计划生育服务,使其更易获得。