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Family Planning Awareness, Perceptions and Practice among Community Members in the Kintampo Districts of Ghana

DOI: 10.4236/arsci.2015.31001, PP. 1-12

Keywords: Family Planning, Contraception, Reproductive Health, Kintampo, Ghana

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Abstract:

Family planning is known to prevent maternal deaths, but some social norms, limited supplies and inconsistent use makes this difficult to achieve in most low- and middle-income countries. In spite of the high fertility levels in most sub-Saharan African countries and the potential economic benefits of family planning, its patronage remains very low in the sub-region. This study was with the objective of identifying the levels of awareness, utilization, access to and perceptions about family planning and contraception. A cross-sectional study design was used for the study, with data collected from multiple sources using both quantitative and qualitative approaches. Relevant findings included a marked disconnect between family planning/contraceptive knowledge and use. The pills and injectables were the most frequently used, but females in the study population poorly patronised emergency contraception. Supplies of most family planning methods were found to be health facility based, requiring clients to have to necessarily go there for services. Some respondents harboured perceptions that family planning was the responsibility of females alone and that it fuelled promiscuity among female users. Recommendations made include ensuring that health facilities had adequate staff and expertise to provide facility-based family planning services and also to disabuse the minds of community members of the negative perceptions towards family planning.

References

[1]  United Nations (2011) World Population Prospects, the 2010 Revision. http://scholar.google.com/scholar?q=World+Population+Prospects:+The+2010+Revision&btnG=&hl=en&as_sdt=0,5#5
[2]  Cleland, J., Bernstein, S., Ezeh, A., Faundes, A., Glasier, A. and Innis, J. (2006) Family Planning: The Unfinished Agenda. The Lancet, 368, 1810-1827. http://dx.doi.org/10.1016/S0140-6736(06)69480-4
[3]  National Population Council (1994) National Population Policy of Ghana. Government of Ghana, Accra.
[4]  Ghana Statistical Service, Ghana Health Service, and ICS Macro (2009) Ghana Demographic and Health Survey 2008. Accra.
[5]  Aryeetey, R., Kotoh, A.M. and Hindin, M.J. (2010) Knowledge, Perceptions and Ever Use of Modern Contraception among Women in the Ga East District, Ghana. African Journal of Reproductive Health, 14, 27-32.
[6]  Bawah, A.A., Akweongo, P., Simmons, R. and Phillips, J.F. (1999) Women’s Fears and Men’s Anxieties: The Impact of Family Planning on Gender Relations in Northern Ghana. Studies in Family Planning, 30, 54-66. http://dx.doi.org/10.1111/j.1728-4465.1999.00054.x
[7]  Adanu, R.M.K., Seffah, J.D., Hill, A.G., Darko, R. and Rosemary, B. (2009) Contraceptive Use by Women in Accra, Ghana: Results from the 2003 Accra Women’s Health Survey. African Journal of Reproductive Health, 13, 123-134.
[8]  Parr, N.J. (2003) Discontinuation of Contraceptive Use in Ghana. Journal of Health, Population and Nutrition, 21, 150-157.
[9]  Owusu-Agyei, S., Nettey, O.E.A., Zandoh, C., Sulemana, A., Adda, R., Amenga-Etego, S. and Mbacke, C. (2012) Demo- graphic Patterns and Trends in Central Ghana: Baseline Indicators from the Kintampo Health and Demographic Surveillance System. Global Health Action, 5, 1-11.
[10]  Chapagain, M. (2005) Masculine Interest behind High Prevalence of Female Contraceptive Methods in Rural Nepal. Australian Journal of Rural Health, 13, 35-42.
http://dx.doi.org/10.1111/j.1440-1854.2004.00643.x
[11]  Stephenson, R. and Tsui, A.O. (2002) Contextual Influences on Reproductive Health Service Use in Uttar Pradesh, India. Studies in Family Planning, 33, 309-320.
http://dx.doi.org/10.1111/j.1728-4465.2002.00309.x
[12]  Hamid, S. and Stephenson, R. (2006) Provider and Health Facility Influences on Contraceptive Adoption in Urban Pakistan. International Family Planning Perspectives, 32, 71-78.
http://dx.doi.org/10.1363/3207106
[13]  Bankole, A. and Singh, S. (1998) Couples’ Fertility and Contraceptive Decision-Making in Developing Countries: Hearing the Man’s Voice. International Family Planning Perspectives, 24, 15-24.
http://dx.doi.org/10.2307/2991915
[14]  Cox, C.M., Hindin, M.J., Otupiri, E. and Larsen-Reindorf, R. (2013) Understanding Couples’ Relationship Quality and Contraceptive Use in Kumasi, Ghana. International Perspectives on Sexual and Reproductive Health, 39, 185-194. http://dx.doi.org/10.1363/3918513
[15]  Chacko, S., Kipp, W., Laing, L. and Kabagambe, G. (2007) Knowledge of and Perceptions about Sexually Transmitted Diseases and Pregnancy: A Qualitative Study among Adolescent Students in Uganda. Journal of Health, Population and Nutrition, 25, 319-327.
[16]  Baumgartner, J.N., Lugina, H., Johnson, L. and Nyamhanga, T. (2010) “Being Faithful” in a Sexual Relationship: Perceptions of Tanzanian Adolescents in the Context of HIV and Pregnancy Prevention. AIDS Care, 22, 1153-1158. http://dx.doi.org/10.1080/09540121003615095
[17]  Burkhart, M., de Mazariegos, L., Salazar, S. and Lamprecht, V.M. (2000) Effectiveness of a Standard-Rule Method of Calendar Rhythm among Mayan Couples in Guatemala. International Family Planning Perspectives, 26, 131-136. http://dx.doi.org/10.2307/2648302
[18]  Olenick, I. (2000) Women’s Exposure to Mass Media Is Linked to Attitudes toward Contraception in Pakistan, India and Bangladesh. International Family Planning Perspectives, 26, 48-50.
http://dx.doi.org/10.2307/2648294
[19]  Olaleye, D.O. and Bankole, A. (1994) The Impact of Mass Media Family Planning Promotion on Contraceptive Behavior of Women in Ghana. Population Research and Policy Review, 13, 161-177.
http://dx.doi.org/10.1007/BF01080201
[20]  Agha, S. and Do, M. (2008) Does an Expansion in Private Sector Contraceptive Supply Increase Inequality in Modern Contraceptive Use? Health Policy and Planning, 23, 465-475.
http://dx.doi.org/10.1093/heapol/czn035
[21]  Hotchkiss, D.R., Godha, D. and Do, M. (2011) Effect of an Expansion in Private Sector Provision of Contraceptive Supplies on Horizontal Inequity in Modern Contraceptive Use: Evidence from Africa and Asia. International Journal for Equity in Health, 10, 33. http://dx.doi.org/10.1186/1475-9276-10-33
[22]  Feyisetan, B.J. (2000) Spousal Communication and Contraceptive Use among the Yoruba of Nigeria. Population Research and Policy Review, 19, 29-45. http://dx.doi.org/10.1023/A:1006388011947
[23]  Ogunjuyigbe, P.O., Ojofeitimi, E.O. and Liasu, A. (2009) Spousal Communication, Changes in Partner Attitude, and Contraceptive Use among the Yorubas of Southwest Nigeria. Indian Journal of Community Medicine: Official Publication of Indian Association of Preventive & Social Medicine, 34, 112.
http://dx.doi.org/10.4103/0970-0218.51232
[24]  Ankomah, A., Anyanti, J. and Oladosu, M. (2011) Myths, Misinformation, and Communication about Family Planning and Contraceptive Use in Nigeria. Open Access Journal of Contraception, 2, 95-105.
http://dx.doi.org/10.2147/OAJC.S20921
[25]  Otoide, V., Oronsaye, F. and Okonofua, F.E. (2001) Why Nigerian Adolescents Seek Abortion Rather than Contraception: Evidence from Focus-Group Discussions. International Family Planning Perspectives, 27, 77-81. http://dx.doi.org/10.2307/2673818
[26]  Rutenberg, N. and Watkins, S. (1997) The Buzz outside the Clinics: Conversations and Contraception in Nyanza Province, Kenya. Studies in Family Planning, 28, 290-307. http://dx.doi.org/10.2307/2137860
[27]  DeClerque, J., Tsui, A.O., Abul-Ata, M.F., Abul-Ata, M.F. and Barcelona, D. (1986) Rumor, Misinformation and Oral Contraceptive Use in Egypt. Social Science & Medicine, 23, 83-92.
http://dx.doi.org/10.1016/0277-9536(86)90327-8
[28]  Meekers, D. and Van Rossem, R. (2005) Explaining Inconsistencies between Data on Condom Use and Condom Sales. BMC Health Services Research, 5, 5. http://dx.doi.org/10.1186/1472-6963-5-5

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