title: Family planning services in a tertiary hospital in a semi-urban area of south-western Nigeria: Uptake and determinants of contraceptive use.
abstract: An audit of 954 family planning clinic attendees, who received counselling from 2006 to 2010, was conducted at the only federal government owned tertiary hospital in Ondo state, Nigeria. Of these, 637 (66.8%) accepted a family planning method: 47.6% chose injectables, 23.2% intrauterine device, 19.5% oral contraceptive pills, 4.4% barrier methods, 3.3% implants and 2% tubal ligation. Clients who had some primary education [OR: 2.79; (95% CI: 1.14-6.84; p < 0.05] had statistically significant higher odds of accepting any contraceptive method while those with elevated blood pressure at first visit [OR: 0.23; 95% CI: 0.12-0.45; p < 0.001] and those with previous episode(s) of induced abortion OR: 0.57; 95% CI: 0.43-0.76; p < 0.001] had statistically significant lower odds of using any method. Concerted efforts at increasing uptake is advocated to bridge the gap between client counselling and uptake.
authors.affiliation: a Preventive Medicine and Primary Care Department , University of Ibadan , Ibadan , Nigeria.
authors.forename: Ayodeji Matthew
authors.initials: AM
authors.lastname: Adebayo
authors.affiliation: b Affiliated with Community Health Department , Obafemi Awolowo University, Teaching Hospitals Complex , Ile-Ife , Nigeria.
authors.forename: Temitope Olumuyiwa
authors.initials: TO
authors.lastname: Ojo
authors.affiliation: c Community Health Department , Federal Medical Centre Owo , Owe , Nigeria.
authors.forename: Bridget Ama
authors.initials: BA
authors.lastname: Omotoso
authors.affiliation: c Community Health Department , Federal Medical Centre Owo , Owe , Nigeria.
authors.forename: Oladele Olufemi
authors.initials: OO
authors.lastname: Ayodeji
mesh_terms: D000028:Abortion, Induced / Q000706:statistics & numerical data; D000328:Adult; D003267:Contraception / Q000706:statistics & numerical data; D003268:Contraception Behavior / Q000706:statistics & numerical data*; D003376:Counseling / Q000379:methods / Q000706:statistics & numerical data; D005193:Family Planning Services / Q000379:methods / Q000706:statistics & numerical data; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D020380:Needs Assessment; D009549:Nigeria / Q000453:epidemiology; D062606:Tertiary Care Centers / Q000706:statistics & numerical data
keywords: Family planning; Nigeria; semi-urban; uptake