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KNOWLEDGE, ATTITUDE AND PRACTICE OF NATURAL FAMILY PLANNING AMONG COUPLES IN KADUNA METROPOLIS
Abstract:
The problems resulting from rapid increase of world population gave rise to the adoption and use of fertility regulation methods with less regard to the influences of socio-cultural beliefs and values on such practises. The most popular of these fertility regulation methods is the use of drugs for fertility regulation purposes. However, there are challenges associated with the introduction of modern methods of family planning ranging from religious, moral, cultural to individual aspects. In addition, the use of natural family planning methods as alternative by couples have not been emphasized. Hence knowledge, attitude and practise of natural family planning among couples have not been well documented in literature. This study therefore, addresses these gaps, by investigating the knowledge, attitude and practise of natural family planning among couples in Kaduna metropolis. The study objectives were to assess the level of couples awareness of natural family planning methods in Kaduna metropolis, to identify the various methods of natural family planning couples adopt in Kaduna metropolis; to assess attitudes towards the practise of natural family planning among couples in Kaduna metropolis; to examine the extent of gender/spousal involvement in the practise of natural family planning in Kaduna metropolis and to find out the challenges couples encounter in their use of natural family planning methods. The liberal feminism perspective was used as the theoretical framework of study. The study data was obtained through primary source by the use of quantitative and qualitative data collection instruments. The multistage cluster sampling technique was used in drawing a sample size of 300 married respondents comprising 150 men and 150 women of child bearing age (15 years and above). Data was obtained from a survey of 278 respondents through structured questionnaire administered in interview form in randomly selected households from the various settlements used in the study. 6 focus group discussions were conducted among separate groupings of married men and married women based on non probability random sampling from various households. The quantitative data was edited, coded and analyzed using the statistical package for social science (spss) and the data analysis involved the use of univariate analytical technique. The qualitative data analysis involved the transcribing of recorded data along major views and minor views as it relates to study objectives and verbertim quotations from respondents view were stated. Findings from the study indicated a high level of awareness of natural family planning methods made possible mainly through hospital campaigns followed by exchange of information between friends/relations. Concerning the types of natural family planning methods used by couples, the study indicated breastfeeding/calendar method as the commonly used method among others. On the approval of natural family planning methods, the findings show that majority of the respondents approved the practise of natural family planning because they find it safe, reliable, effective, cheap, natural, easy, good without any side effect. In addition, there is an indication that it is not every couple who approved that actually practise natural family planning method for reasons such as the fear of failure, cultural and religious prohibition of natural family planning and disagreements between couples. On gender and spousal involvement, the study revealed that husbands have higher desire for larger family size, husbands are the major decision makers on reproductive health issues. Suggestions from the study identified the need for couples encouragement in the practise of natural family planning methods. Establishment of healthcare service to include male involvement, establishment of daycare centres within public and private sector areas for nursing mothers, involving community/religious leaders in preaching about reproductive health issues to their subjects and the establishment of discussion forums for couples, friends/relations towards having change of attitudes and discouraging the opinions of seeing children as a future social security.
KNOWLEDGE, ATTITUDE AND PRACTICE OF NATURAL FAMILY PLANNING AMONG COUPLES IN KADUNA METROPOLIS
