Prácticas modernas de planificación familiar, participación masculina y necesidades de fertilidad no satisfechas entre mujeres nigerianas rurales y urbanas: hallazgos de un estudio de metodología mixta en la el Suroeste
Palabras clave:
salud reproductiva, planificación familiar, fertilidad, anticonceptivos, NigeriaResumen
La utilización de la planificación familiar (PF) afecta a individuos, familias, comunidades y naciones. El objetivo del estudio fue comparar los factores predictivos de planificación familiar, la participación masculina en la planificación familiar y las necesidades de fertilidad no satisfechas en las zonas rurales y urbanas de Lagos, Nigeria. Se utilizó un diseño comparativo de corte transversal que incluyó un método de muestreo en varias etapas en seleccionar un total de 600 mujeres. Los datos fueron recolectados a través de cuestionarios y discusiones de grupos focales. El uso moderno de PF (PFM), por parte de las parejas fue del 52% (rural) y del 56,3% (urbano) sin diferencias significativas. En la población rural, los factores predictivos del uso de la PFM en cristianos, empleados, cónyuges con educación formal y un mayor número de hijos. En la población urbana, fue mayor el número de niños. Tanto para las mujeres rurales y urbanas, el tamaño ideal de la familia era mayor que el número deseado de hijos. A la mayoría de los hombres en ambas áreas no les gusta ningún método de PF, pero algunos de ellos apoyan a sus esposas. La utilización es similar entre ambos grupos y mucho más alta que el promedio nacional y regional. Se deben implementar programas rurales para mejorar el empoderamiento femenino y la educación formal entre los hombres. La educación en FP puede mejorar la participación masculina en ambas áreas.
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National Population Commission (NPC) Nigeria and ICF Macro. Nigeria Demographic and Health Survey 2008. Abuja, Nigeria: National Population Commission and ICF Macro, 2009.
United Nations, The Department of Economic and Social Affairs. World Statistics Pocketbook 2013;V(37):144. New York, United Nations; 2013 http://www.un.org/ru/publications/pdfs/world%20statistics%20pocketbook%202011_en.pdf. Accessed April 6, 2014.
International Institute for Sustainable Development (IISD). A summary report of the Third Session of the World Urban Forum. World Urban Forum Bulletin 2006;125(6):1-16.
Nigeria Millenium Development Goals 2013 Report.http://nphcda.org/wp-content/uploads/2014/03/NIGERIA-MDG-2013-REPORT.pdf Accessed July 23, 2014.
Say L, Chou D, Gemmill A, Tuncap O, Moller A-B, Daniels J, et al. Global causes of maternal death: a WHO systematic review. Lancet Glob Health 2014;2(6):e323-e333.
Dinyain A, Omoniyi-Esan GO, Olaofe O, Sabageh D, Komolafe A, Ojo SO. Autopsy-certified maternal mortality at Ile-Ife Nigeria. Int J Womens Health 2014;6:41-6.
Akinola OI, Fabamwo AO, Tayo AO, Alokha M, Oshodi YA, Osinubi B. Unsafe abortion and post abortion care: patients profile and perceptions in Lagos, Nigeria. Research Journal of Medical Sciences 2010;4(3):170-4.
Ezegwui HU, Onoh RC, Ikeako LC, Onyebuchi A, umeora OUJ, Ezeonu P, et al. Investigating maternal mortality in a public teaching hospital, Abakaliki, Ebonyi State, Nigeria. Ann Med Health Sci Res 2013;3(1):75-80.
Ahmed S, Li Q, Tsui AO. Maternal deaths averted by contraceptive use: an analysis of 172 countries. Lancet 2012;380(9837):111-25.
World Health Organization. Unsafe abortion global and regional estimates of the incidence of unsafe abortion and associated mortality in 2008. http://www.who.int/reproductivehealth/publications/unsafe_abortion/9789241501118/en/ WHO, 2011. Accessed July 22, 2014.
Lema VM, Rogo KO, Kamau RK. Induced abortion in Kenya: its determinants and associated factors. East Afr Med J 1996;73(3):164-8.
Geelhoed DW, Nayembil D, Asare K, van Leeuwen JH, Schagen vRJ. Contraception and induced abortion in rural Ghana. Trop Med Int Health 2002;7(8):708-16.
Bankole A, Sedgh G, Oye-Adeniran BA, Adewole IF, Hussain R, Singh S. Abortion seeking behaviour among Nigerian women. J Biosoc Sci 2008;40(2):247-68.
Brookman-Amissah E, Moyo JB. Abortion law reform in sub-Saharan Africa: no turning back. Reprod Health Matters 2004;12(24 Suppl):227-34.
Okonta PI, Ebeigbe PN, Sunday-Adeoye I. Liberalization of abortion and reduction of abortion related morbidity and mortality in Nigeria. Acta Obstet Gynecol Scand 2010;89(8):1087-90.
Okonofua FE, Hammed A, Nzeribe E, Saidu B, Abass T, Adeboye G, et al. Perceptions of policy makers in Nigeria towards unsafe abortion and maternal mortality. Perspect Sex Reprod Health 2009;35(4):194-202.
Liljestrand J, Sambath MR. Socio-economic improvements and health system strengthening of maternity care are contributing to maternal mortality reduction in Cambodia. Reprod Health Matters 2012;20(39):62-72.
Requena M. Abortion in Latin America. In: Hall RE, editor. Abortion in a changing world.New York: Columbia University Press; 1970.
Streatfield PK. Role of abortion in fertility control. J Health Popul Nutr. 2002;19(4):265-7.
United Nations Population Division DoEaSA. World contraceptive use 2007 (wallchart). New York: United Nations; 2009.
National Population Commission [Nigeria] and ICF International. Nigeria Demographic and Health Survey 2013. Rockville, Maryland, USA: National Population Commission and ICF International 2014.
Federal Ministry of Health. National HIV/AIDS & reproductive health survey (NARHS Plus) 2007. FMOH, Abuja, Nigeria; 2008.
UNFPA Nigeria. Family planning analysis: selected demographic and socio-economicvariables. UNFPA Nigeria, Abuja; 2010.
Bogale B, Wondafrash M, Tilahun T, Girma E. Married women's decision making power on modern contraceptive use in urban and rural southern Ethiopia. BMC Public Health 2011;11:342.
White JS, Speizer IS. Can family planning bridge the urban-rural divide in Zambia? BMC Health Serv Res 2007;7:143.
Ejembi CL, Alti-Muazu M, Chirdan O, Ezeh HO, Sheidu S, Dahiru T. Utilization of maternal health services by rural women in Zaria environs, northern Nigeria: has primary health care made a difference? Journal of Community Medicine and Primary Health Care 2004;16(2):47-54.
Subramanian L, McGrath N, Ndiovu H, Gafos M. Family planning methods among women in a vaginal microbicide feasibility study in rural Kwazulu-Natal, South Africa. Afr J Reprod Health 2008;12(2):45-63.
Ibisomi L, Gyimah S, Muindi K, Adjei J. Ideal versus actual: the contradiction in number of children born to Nigerian women. J Biosoc Sci 2011;43(2):233-45.
Matsumoto Y, Yamabe S. Family size preference and factors affecting the fertility rate in Hyogo Japan. Reprod Health 2013;10(6).
Haider S, Todd C, Ahmadzai M, Rahimi S, Azfar P, Morris JL, et al. Childbearing and contraceptive decision making among Afgan men and women: a qualitative analysis. Health Care Women Int 2009;30(10):935-53.
Ibisomi LDG. Fertility transition in Nigeria: exploring the role of desired number of children. African Population Studies 2008;23(2):207-22.
Istik S, Nacar M, Mazicioglu M, Cetinkaya F. Married men's opinions and involvement regarding family planning in rural areas. Contraception 2003;67(2):133-7.
Adongo PB, Phillips JF, Baynes CD. Addressing men's concerns about reproductive health services and fertility regulation in a rural sahelian setting in northern Ghana: the "Zurugelu Approach". In: Kulczycki I, editor. Critical issues in reproductive health.New York: Springer Books; 2013.
Karra MV, Stark NN, Wolf J. Male involvement in family planning: a study spanning five generations of Southern India family. Stud Fam Plann 1997;10(1):24-34.
Adongo PB, Phillips JF, Binka FN. The influnce of traditional religion on fertility regulation among the Kassena-Nankana of northern Ghana. Stud Fam Plann 1998;10(1):23-40.
Matlala SF. Knowledge, attitudes and practices of rural men towards the use of contraceptives in Gasekororo, Limpopo Province, South Africa. Prof Nurs Today 2010;10(2):39-44.
Adongo PB, Tapsoba P, Phillips JF, Philip T-NT, Stone A, Kuffour E, et al. The role of community-based health planning and services strategy in involving males in the provision of family planning services: a qualitative study in Southern Ghana. Reprod Health 2013;10(36).
Ndiaye CA, Delaunay V, Adjamagbo A. Knowledge and Use of Contraceptive Methods in Rural Sereer, Senegal. Sante 2003;13(1):31-7.
Barret J, Buckley C. Constrained Contraceptive Choice: IUD Prevalence in Uzbekistan. Fam Plann Perspect 2007;33(2):50-7.
Nwankwu I, Obasi OO. Use of Modern Birth Control Methods Among Rural Communities in Imo State, Nigeria. Afr J Reprod Health 2008;12(1):101-8.
Moronkola OA, Ojediran MM, Amosun A. Reproductive Health Knowledge Beliefs and Determinants of Contraceptive Use Among Women Attending Family Planning Clinics in Ibadan, Nigeria. Afr Health Sci 2006;6(3):155-9.
Lwelamira J, Mnyamagola G, Msaki MN. Knowledge, Attitude and Practice (KAP) Towards Modern Contraceptives Among Married Women of Reproductive Age in Mpwapwa District, Central Tanzania. Current Research Journal of Social Sciences 2012;4(3):235-45.
Aryeetey RR, Kotoh AA, Hindin MJ. Knowledge, perceptions and Ever Use of Modern Contraception Among Women in Ga East District Ghana. African Journal of Reproductive Health 2010;14(4):27-32.
Opoku B, Kwaununu F. Knowledge and Practices of Emergency Contraception Among Ghanian Women. African Journal of Reproductive Health 2011;15(2):147-52.
Mathe JK, Kasonia KK, Maliro AK. Barriers to Adoption of Family Planning Among Women in Eastern Democratic Republic of Congo. Afr J Reprod Health 2011;15(1):69-77.
Mubita-Ngoma C, Kadantu CM. Knowledge and Use of Modern Family Planning Methods by Rural Women in Zambia. Curationis 2010; 33(1):17-22.
Oyefara JL. Women Age at First Birth and Knowledge of Family Planning Methods in Yoruba Society, Nigeria. Journal of Sociological Research 2012;3(2):249-71.
Mahadeen AI, Khalil AO, Hamdan-Mansour AM, Sato T, Imoto A. Knowledge, Attitudes and Practices Towards Family Planning Among Women in the Rural Southern Region of Jordan. East Mediterr Health J. 2012;18(6):567-72.
Marchant T, Mushi AK, Nathan R, Mukasa O, Abdulla S, Lengeler C, et al. Planning a Family: Priorities and Concerns in Rural Tanzania. Afr J Reprod Health 2004;8(2):111-24.
Mqhayi M, Smit J, McFadyen M, Beksinka M, Conolly C, Zuma K, et al. Missed Opportunities: Emergency Contraception Utilization by Young South African Women. Afr J Reprod Health 2004;8(2):137-44.
Fantahun M. Quality of Family Planning Sources in Northwest Ethiopia. Ethiopian J Health Dev 2005;19(3):195-202.
Kebede Y. Contraceptive Prevalence in Dembia District, NorthWest Ethiopia. Ethiopian J Health Dev 2006;20(1):32-8.
Nigeria's announcement at the London summit on family planning 2013. https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/67328/london-summit-family-planning-commitments.pdf. Accessed July 23, 2014.
SOML FRN. Nigeria's saving one million lives initiative (2012-2013). http://www.everywomaneverychild.org/component/content/article/1-about/437-nigeria-launches-qsaving-one-million-livesq-initiative. Accessed July 23, 2014.
Olugbenga-Bello AI, Abodunrin OL, Adeoni AA. Contraceptive Practices Among Women in Rural Communities in South-Western Nigeria. Global Journal of Medical Research 2011 Jul;11(2).
Aninyei IR, Onyesom I, Ukuhor HO, Uzuegbu UE, Ofili MI, Anyanwu EB. Knowledge, Attitude to Modern Family Planning Methods in Abraka Communities, Delta State, Nigeria. East Afr J Public Health 2008;5(1):10-2.
Yoder PS, Mouhamadou G, Momadou K. The Use of Family Planning Methods in Mali. The How and Why of Taking Action. ICF Macro 2011.
Adeleye OA, Akoria OA, Shuaib ZO, Ogholoh OD. Barriers and Knowledge of Benefits Regarding Family Planning Methods Among Women Attending Antenatal Clinics in a Southern Nigerian Community. Asian j. med. sci. 2010;2(4):190-4.
Nirmalya M, Gandhari B. Contraceptive methods in rural areas of West Bengal, India. Sudanese Journal of Public Health 2011;6(4):164-9.
Eyayou Y, Berhane Y, Zerihun L. Socio-Cultural Factors in Decisions Related to Fertility in Remotely Located Communities: The Case of the Suri Ethnic Group. Ethiopian J Health Dev 2004;18(3):171-4.
Keele JJ, Forste R, Flake DF. Hearing Native Voices: Contraceptive Use in Matemwe Village, East Africa. Afr J Reprod Health 2005;9(1):32-41.
Duze M, Mohamed ZI. Male Knowledge, Attitudes and Family Planning Practices in Northern Nigeria. Afr J Reprod Health 2006;10(3): 53-65.
Chipeta eK, Chinweaza W, Kalilani-Phiri. Contraceptive Knowledge, Beliefs and Attitudes in Rural Malawi: Misinformation, Misbelieves and Misperceptions. Malawi Med J 2010;22(2):38-41.
Avidime SL, Aku-Akai, Mohamed AZ, Adaji S, Shittu O, Ejembi C. Fertility Intentions, Contraceptive Awareness and Contraceptive Use Among Women in Three Communities in Nothern Nigeria. Afr J Reprod Health 2010;14(3):65-70.
Kahansim ML, Hadeejia IS, Sambo MN. A comparative study of factors influencing decisions on desired family size among married men and women in Bokkos, a rural Local Government Area in Plateau State. Afr J Reprod Health 2013;17(1):149-57.
Diababa Y. Factors Influencing Women's Intention to Limit Child Bearing in Oromia Ethiopia. Ethiopian J Health Dev 2008;22(3):28-33.
Adiri F, Ibrahim HI, Ajayi V, Sulayman HU, Yajeh MM, Ejembi C. Fertility Behaviour of Men and Women in Three Communities in Kaduna State, Nigeria. Afr J Reprod Health 2011;14(3):97-105.
Oye-Adeniran BA, Adewole IF, Augustine V, Oladokun UA, Gbadegesin A, Ekanem EE, et al. Community-Based Study of Contraceptive Behaviour in Nigeria. Afr J Reprod Health 2006;10(2):90-104.
Nwankwo BO, Ogueri E. Influence of Husband's Decision on the Use of Modern Contraceptives Among Rural and Urban Married Women in Imo State Nigeria. Int J Trop Med 2006;1(4):140-4.
Khan S, Bradley S, Fishel J, Mishra V. Unmet Need and the Demand for Family Planning in Uganda: Further Analysis of the Uganda Demographic and Health Surveys, 1995-2006. Macro International M D 2008.
Adanu RMK, Seffah JD, Hill AG, Darko R, Duda RB, Anarfi JK. Contraceptive Use by Women in Accra, Ghana: Results from the 2003 Accra Women's Health Survey. Afr J Reprod Health 2009;13(1):123-33.
Mturi A, Joshua K. Falling Fertility and Increase in Use of Contraception in Zimbabwe. Afr J Reprod Health 2011;15(2):31.
Shah N, Aftab NN, Qadri MH. Awareness and Pattern of Utilizing Family Planning Services Among Women Attending Urban Health Care Centre Azizabad Sukkur. PaK J Med Sci. 2008;24(4):550-5.
Shahin HA, Shahin HG. Reasons for not Using Family Planning Methods in Eastern Turkey. Eur J Contracept reprod Health Care 2003;8:11-6.
Dabral S, Malik SL. Dermographic Study of Gujjars of Delhi: IV. KAP of Family Planning. J Hum Ecol 2004;16(4):231-7.
Matthew Z, Brookes M, Stones R, Hossain M. Autonomy and Maternal health Seeking Among Slum Population of Mumbai. Focus on Gender: Collected Papers on Gender Using DHS Data.Calverton, M.D.: Macro International Inc; 2005.
Amaha H, Fikre E. Influence of Women's Autonomy on Couple's Contraception Use in Jimma Town, Ethiopia. Ethiopian J Health Dev 2006;20(3):145-51.
Stephenson R, Baschieri A, Clements S, Hennink M, Madise N. Contextual Influences on Modern Contraceptive Use in Sub-Saharan Africa. Am J Publ Health 2007;97(7):1-7.
Shaikh B, Haran D, Hatcher J. Women's Social Position and Health Seeking Behaviours: Is the Health System Accessible adn Responsive in Pakistan? Health Care Women Int 2008;29(945):1059.
Ndaruhuye D, Broekhuis A, Hooimeijer P. Demand and Unmet Need for Means of Family Limitation in Rwanda. Int Pers Sex Reprod Health 2009;35(3):122-30.
Huber D, Saeedi N, Samadi AK. Achieving Success with family planning in rural Afghanistan. Bulletin of The World Health Organization 2010;88:227-31.
Adeleye OA, Okonkwo CA. Ideal Child Gender Preference in Men's Worldview and Their Knowledge of Related Maternal Mortality Indices in Ekiadolor, Southern Nigeria. Asian Journal of Medical Sciences 2010;2(3):146-51.
Owonikoko KM, Okunlola MA, Adeleke AO, Akinboade AF. Fertility regulation among women of reproductive age in Ibadan, South-West Nigeria: Contraception, abortion or both. Niger Postgrad Med J 2012;19(1):25-9
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