Osun State has a total population of approximately 3.5 million. Methods Study designĪ household-based cross-sectional study was conducted from September to December 2019 in three Osun state senatorial districts, Nigeria. The study aim was to identify and discuss how spousal's communication and attitude predict FP use among young mothers in the peri-urban area of Osun State, Nigeria. Hence, it is imperative to examine the influence of spousal communication and attitude on FP use among young mothers in the peri-urban area of Osun State, Nigeria. Considering the low prevalence of contraceptives in Nigeria, there is a need to examine factors that can scale up the use.
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Women should be free to choose or deny FP services, including abortion or sterilization. ĭespite the government's and health workers' efforts at providing FP services in Nigeria, there are still underlying factors discouraging the use of these services, and some of the factors are spousal's objection and lack of consent and communication among other resilient factors. Spousal communication about fertility and family planning in Africa is quite low, and more exceptional communication may increase the accuracy of a spousal perception of FP use. Partner's agreement is a reliable predictive of positive on women's reproductive health outcomes. Several studies have shown that spousal communication can increase contraceptive uptake and continuation. Spousal communication encourages FP methods such that 79% of women who discussed with their partners use the FP method. Health education has also been noted as one of the major driving forces in communication either at the interpersonal, group, cultural or societal level effective interpersonal communication skills are essential ingredients for a healthy social relationship within a spousal relationship. Ī study in Ghana discovered that spousal agreement to the use of FP methods was crucial to the success of any FP intervention, concurrence-agreement between partners developed through couples openly discussing fertility preferences and desires increases the likelihood of contraceptive use. Access to FP services remains an issue for young women and men because of cultural, medical and financial barriers, and this has also been stressed in the past. Lack of access to reproductive health services among young women is associated with an increased risk of unplanned pregnancy and early school dropout due to pregnancy. Men are perceived as significant barriers to FP use in some communities, and lack of spousal communication regarding contraception being evident in studies conducted in South West and Northern Nigeria. However, this concept is yet to be fully explored in Nigeria. It has been reported that interventions to promote men's involvement in FP use have yielded some positive results in other low-income countries. However, there is a growing recognition that reproductive health is a joint responsibility of men and women, and several studies have reported that men are vital persons in the reproductive decision-making process and their decisions have profound influences on women's health, failure in involving men in FP programs can hamper the contraceptive use of women even if they are educated and motivated because of opposition from their spouses. Initially, women were the primary target for FP. At the same time, increasing numbers of men and women in developing countries willing to adopt FP and exercise their right to freely decide their children's number and spacing. Impressive global gains have been made in recent decades in improving contraceptive prevalence rates and decreasing fertility rates.
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Consistent utilization of FP methods has the full potential to decrease excessive birth rate and maternal mortality rates. In the same vein, unsafe abortions account for about 14% of maternal deaths on the continent, and roughly 51% of global maternal deaths involved African women aged from 15 to 29 years, with total fertility rates (TFRs) of around five births per woman of reproductive age in SSA. The full terms of this licence may be seen at Ī significant factor underlying high birth rates in sub-Saharan Africa (SSA) is the low use of family planning (FP), leading to an estimated 35 million women in SSA having an unmet need for FP. Anyone may reproduce, distribute, translate and create derivative works of this article (for both commercial and non-commercial purposes), subject to full attribution to the original publication and authors. This article is published under the Creative Commons Attribution (CC BY 4.0) licence.
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