Introduction: The objectives of this study were to determine contraceptive prevalence, describe the socio-demographic characteristics of clients, and assess the level of knowledge and use of family planning methods by clients at the Forécariah Urban Health Centre. Methods: This was a prospective cross-sectional descriptive study conducted over a period of six (06) months from 05 August 2019 to 05 February 2020 at the Forécariah urban health centre, covering all clients who had used the family planning service at the urban health centre, whether or not they were using one of the family planning methods, and who had agreed to take part in the study. Results: Contraceptive prevalence in this clinic was 11.5%. The average age of clients was 25.04 years, with extremes of 15 and 45 years. More than half (55.4%) were under 25 years of age, 68.7% were not in education and 56.6% were unmarried. Only 25.3% of patients had any knowledge of family planning services. The most commonly cited FP methods were condoms, injectables and implants. Counselling for the methods offered was mainly carried out post partum (33.7%) and at intervals (37.4%). The methods chosen and offered were mainly injectables (42.2%) and condoms (28.9%). The main reasons given by clients for under-using FP services were lack of information (44.6%) and side effects (27.7%). Conclusion: The education of women of childbearing age, the use of communication channels through the media and educational talks by health workers on the various family planning methods remain crucial to increasing the use of contraceptive methods in this area.
Cite this paper
Conté, I. , Soumah, A. F. M. , Diallo, B. A. , Keita, M. , Barry, A. , Touré, A. M. , Baldé, I. S. and Sy, T. (2023). Knowledge and Use of Family Planning Methods in a Level 1 Health Facility: The Case of the Forecariah Urban Health Centre (Guinea). Open Access Library Journal, 10, e1040. doi: http://dx.doi.org/10.4236/oalib.1111040.
Ahmed, S., Li, Q., Liu, L. and Tsui, A.O. (2012) Maternal Deaths Averted by Contraceptive Use: An Analysis of 172 Countries. Lancet, 380, 111-125.
https://doi.org/10.1016/S0140-6736(12)60478-4
Akoto, E.M., Tambashie, B.O., Amouzou, A. and Djangone, A.M.R. (2002) Unmet Need for Family Planning and Contraceptive Transition in Burkina Faso, Cameroon, Côte d'Ivoire. African Population Studies, Bioline International, 17, 19-45.
National Institute of Statistics (INSTAT), Planning and Statistics Unit Health-Social Development and Family Promotion Sector (CPS/SS-DS-PF), and ICF (2019) Sixth Mali Demographic and Health Survey 2018. Key Indicators. INSTAT, CPS/SS-DS- PF, and ICF, Bamako, Mali, and Rockville, Maryland, USA.
National Institute of Statistics (INS) and ICF (2018) Guinea Demographic and Health Survey 2018. INS and ICF, Conakry, Guinea, and Rockville, Maryland, USA.
Apanga, P.A. and Adam, M.A. (2015) Factors Influencing the Uptake of Family Planning Services in the Talensi District, Ghana. The Pan African Medical Journal, 20, 1-10. https://doi.org/10.11604/pamj.2015.20.10.5301
Matungulu, C.M., Kandolo, S.I., Mukengeshayi, A.N., Nkola, A.M., Mpoyi, D.I., Mumba, S.K., et al. (2015) Determinants of Contraceptive Method Use in the Mumbunda Health Zone in Lubumbashi, Democratic Republic of Congo. The Pan African Medical Journal, 22, Article 329.
https://doi.org/10.11604/pamj.2015.22.329.6262
Diallo, S.Y.K. (2010) Family Planning in Guinea: The Experience of the Guinean Association for Family Well-Being.
https://www.memoireonline.com/12/09/2966/-la-planification-familiale
Congo, Z. (2005) Contraceptive Factors in Burkina Faso. Analysis Based on Data from the 1999 Demographic and Health Survey. Family Planning in Africa, Analysis papers, No. 5.
Tilahun, T., Coene, G., Luchters, S., Kassahun, W., Leye, E., Temmerman, M., et al. (2013) Family Planning Knowledge, Attitude and Practice among Married Couples in Jimma Zone, Ethiopia. PLOS ONE, 8, 613-635.
https://doi.org/10.1371/journal.pone.0061335
Addo, V.N. and Tagoe-Darko, E.D. (2009) Knowledge, Practices, and Attitudes Regarding Emergency Contraception among Students at a University in Ghana. International Journal of Gynecology & Obstetrics, 105, 206-209.
https://doi.org/10.1016/j.ijgo.2009.01.008
Omo-Aghoja, L., Omo-Aghoja, V., Aghoja, C., Okonofua, F., Aghedo, O. and Umueri, C. (2010) Factors Associated with the Knowledge, Practice and Perceptions of Contraception in Rural Southern Nigeria. Ghana Medical Journal, 43, 455-458.
https://doi.org/10.4314/gmj.v43i3.55326
Chiesa-Moutandou, S. and Tiemeni, W. (2001) Le comportement contraceptif des gabonaises les méthodes modernes: faible taux d’utilisation et déficit d’information. Médecine d’afrique noir, 48, 191-198.
Ajong, A.B., Njotang, P.N., Yakum, M.N., Essi, M.J., Essiben, F., et al. (2016) Determinants of Unmet Need for Family Planning among Women in Urban Cameroon: A Cross Sectional Survey in the Biyem-Assi Health District, Yaoundé. BMC Women’s Health, 16, Article No. 4. https://doi.org/10.1186/s12905-016-0283-9