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Accessibility, Use, Misuse And Effects Of Combined Oral Contraceptives Among Women Of Child Bearing Age
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Published literature on the efficacy of contraceptive counseling and
education seems to reflect a significant gap between what providers
think they offer and what consumers appear to receive. In 1999,
Rajasekar et al., made mention that family planning audit users in
Scotland has revealed a 30% discrepancy between the number of women whom
clinicians thought they had appropriately counseled and the number of
patients who actually understood the teaching. Oakley et al in the year
1994 estimated that up to one third of women require more individualized
counseling to use oral contraceptives effectively. Getting the good
news out about the many benefits of Oral Contraceptons will enable more
women to take advantage of their positive health effects and may help
increase compliance (Jenseen et al 2000, Shulman et al, 2000.) It was
discovered that the knowledge of Canadian women on the pill regarding
risks, benefits and side effects of the pill remains deficient in
several key areas, but was increased by counseling.
According to the
recent Nigeria Demographic Health Survey, 2003, knowledge of family
planning was defined operationally as having heard of a method. The
survey, which used an interviewer prompt method, showed that knowledge
of contraceptive was known by 98 percent of women and 99 percent of men
(GSS, 2003) considering that these proportions represented Nigerians who
knew at least one method of contraception. Knowledge about modern and
traditional contraceptive has changed over a decade and half ago.
Whereas the latter was popular among Nigerians, the former is now
popular even though users of contraceptives use the traditional methods
(Clemen et al 2004, Hoque, 2007).
In a cross-sectional survey in
Kinshasa, Democratic Republic of Congo, condom was the most widely known
modern contraceptive method since it was cited by 43% of women; the
Pill was by only 28%, Injectables 16.2%, IUD 8%, spermicidal foam 2%,
and the diaphragm by less than 2%. Teenagers and young adults (15–24
years) were less knowledgeable of modern methods (Kayembe et al, 2003).
The use of condoms, diaphram, the pill, implant, foam tablet and
lactational amenorrhoea were among the methods commonly identified with a
100 percent knowledge on it usage among unmarried women.
In an
assessment of gender issues relating to contraceptive use in Ebo State,
Nigeria, Osaemwenkha observed that educated and sexually active youth
had wide spread knowledge of contraceptives and this background
correlates with the number of methods known (Osaemwenkha, 2004).
Obviously, such wide knowledge does not necessarily mean that such
persons have adequate exposure to the use of contraceptives because
other decision-making influences could determine its use or otherwise.
Even though Osaewenkha, perceived that his respondents, 800 university
female students, may have had enough knowledge, he discovered that even
among the enlightened, decision making on contraceptive use has the male
involvement factor essential.
Socio-economic Characteristics on decision to use Contraceptives
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