A Five -Year Retrospective Review of Contraceptive Uptake among Women in The Family Planning Clinic Bowen University Teaching Hospital, Ogbomoso.

Abstract

Summary: Contraceptive uptake is one of the most important determinants of birth rate in the world. Auditing the activities in the family planning clinic will help to assess contraceptive prevalence rate among women and to gain understanding and insight into the usage patterns and preferences which can help to tailor educational programs and outreach efforts to better meet their contraceptive needs. To review activities in the family planning unit of Bowen University Teaching Hospital, Ogbomoso, Oyo state between 2018 and 2022. The record of 6769 clients attending the Family Planning unit of Bowen University Teaching Hospitals Complex, Ogbomoso, Oyo-State, Nigeria for the period between 2018-2022 was carefully reviewed. Information related to the age, parity, level of education, marital status and the choice of contraception utilized were obtained. All data obtained was entered into a standard proforma and analysed using IBM SPSS statistical software. The main outcome of the study was compared with the independent variables of interest and Pearson chi square test was used for the test of association between independent variables and the main outcomes of the study, with statistical significance set at p- value of 5%. A total of 6769 contraceptive uptakes were observed during the 5-year study, giving a mean acceptor rate of 1354 per annum. Intrauterine contraceptive device (IUCD) had the highest uptake across all the years from 2018-2022 with usage prevalence rate of 44.6%, 48.3%, 32.9%, 42.6%, and 47.9% respectively, followed by injectable which has yearly usage rate of 27.7%, 25.2%, 29.2%,30.9% and 28.6% respectively. There was no statistically significant relationship between contraceptive choice and the respondents' age, parity and marital status. IUCD is the most popular method of contraception in Ogbomoso area of Nigeria. Contraceptive uptake is relatively high among the women. There was an increase in yearly prevalence of contraceptive uptake, a significant decrease in the trend of hormonal contraceptive method use was observed compared to non-hormonal method, IUCD which increased and BTL which slightly increased over the years.