Overview of Contraceptive Use in Usmanu Danfodiyo University Teaching Hospital Sokoto North Western Nigeria

Abstract

Introduction: Family planning is a proven and cost-effective health intervention. Use of contraception has been reported to be low in developing countries. Aim: To determine the trend of acceptance of contraception and the preferred methods of modern contraception in the new fertility research unit of Usmanu Danfodiyo university teaching hospital Sokoto, Nigeria. Materials and Methods: This was a 10-year retrospective study involving all acceptors of modern contraceptive methods from the January 2008 to the December 2017. All case notes and theatre records were accessed. The data extracted were analysed using IBM SPSS version 23.0. Data were analysed using frequencies and percentages. Chi-square test was used for associations and level of significance was set at p<0.05. Results: There were 11,577 acceptors of family planning during the study period. Of these 5762 were new acceptors. There were 30,721 deliveries. The contraceptive prevalence rate and annual acceptor rate were 18.8% and 576.2 per annum respectively. There was a steady rise in the number of acceptors over the years of study. All the clients were female and married. The housewives constituted 78.4% (4487) of the clients and (59.7%) of them had completed secondary level of education. The Implanon® was the preferred contraceptive method of choice in 2698 (46.%) of the new clients Jadelle® was next with 942 (16%) clients using it. Conclusion: There was a rise in trend in the use of modern contraception followed by a plateau in the last two years of study. Most clients were young, educated and of low parity. Implants were the most preferred methods.

Keywords

• family planning
• northwest
• trends