Abstract
Family planning is an important preventive measure against maternal and child morbidity and mortality. It is an essential component of primary health care and reproductive health. There is relatively high fertility rate in suburban and rural Nigeria despite the efforts of government and other non-governmental family planning services providers. Even though the fertility rate is high, there are various effect of the positive and negative aspect of family planning on married women. The objective of this study aims to investigating the level of knowledge of family planning among married women in the study area, the attitudes of married women towards family planning, the level of use of family planning products and services among married women, the factors associated with utilization of family planning services among married women, the effect of negative aspect of family planning on married women, and the effect of positive aspect of family planning on married women.. It is a descriptive cross-sectional, conducted among 364 women of childbearing age (15 to 49 years), utilizing the multi-stage sampling technique.139 (37%) of the respondents were within the age group 15 to 24 years, all respondents were married (100%) and 135 (37%) had more than 5 children. About half of the respondents (48.7%) had no formal education. Few were currently using a contraceptive method, however, the majority whom were not using any method had main reasons being lack of appropriate knowledge on family planning, fear of side effects and availability .The most significant socio-demographic determinants of utilization of family planning services were religion (p-value 0.01), family setting (p-value <0.001),age (p-value 0.01) and male involvement (p-value <0.001) . The utilization of family planning services among the rural women was poor, with religion, fear of side effect and husbands’ disapproval among other reasons being the main reasons for non use. Also, the effect of negative aspect of family planning on married women includes Causes menstrual changes (heavier bleeding, amenorrhea or oligomenorrhea), Causes changes in weight, headaches, dizziness, nausea, and cardiovascular impacts and Fears of long-term effects of contraceptive use, such as infertility and childbirth complications, while the effect of positive aspect of family planning on married women includes it enables married women to regain their health after delivery, Helps married women to give enough time and opportunity to love and provide attention to their husband and children, Helps married women to gives more time for their family and own personal advancement, It prevents unintended pregnancies, and Help in reducing pregnancy-related risk in women.
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