A randomized controlled study of the effects of targeted health education on uptake of contraceptives among women of reproductive age in Nnewi City, South-East Nigeria

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dc.contributor.authorTyotswam, Yanmeer Simeone
dc.contributor.authorIseme, Rosebella Alungata
dc.contributor.authorMakunyi, Eliphas Gitonga
dc.date.accessioned2024-05-27T08:33:06Z
dc.date.available2024-05-27T08:33:06Z
dc.date.issued2024-02-15
dc.descriptionArticleen_US
dc.description.abstractObjective: There is a need for contraception uptake among people to enable them to fulfil their right to determine the timing, number and spacing of their children. In regions with poor contraceptive prevalence rates, lack of effective education has been largely implicated, and Nigeria falls among such regions. Thus, the present study is designed to examine the impact of an educational intervention on uptake of contraceptives among women aged 18–49 years seeking care at the Nnamdi Azikiwe University Teaching Hospital Nnewi. Methods: Being an interventional study to underscore the effect of targeted health education on uptake of contraceptives, a randomized controlled trials design was adopted. A total of 275 women were randomly recruited and allocated into two groups—140 in intervention group and 135 in the control group. Data was collected by trained research assistants using a pretested structured interviewer-administered questionnaire and analyzed using Statistical Package for Social Sciences version 25. The level of significance was set at p < 0.05. Results: At baseline, the level of uptake of contraceptives was similar in both the control and the intervention group (control = 2.48 points; intervention = 2.55 points). Overall, there were no statistically discernible differences between the two groups at baseline. The level of awareness and knowledge on contraceptives as well as the uptake of contraceptives significantly increased in both groups at the end of the study period. A statistically significantly higher increase was noted in the intervention group when compared to the control in level of awareness (t = 3.235; p < 0.05) and uptake of contraceptives (t = 2.628; p < 0.05). Significant positive changes in perceptions of contraceptives were observed more among the intervention group when compared to the control. Logistic regression analysis showed uptake of contraceptives was significantly influenced by occupation, monthly income, source of information, time of first use of contraceptives, level of knowledge on contraceptives as well as the targeted educational intervention. Conclusion: The targeted health educational intervention had a significant and positive effect on the level of awareness and uptake of contraceptives, as displayed in the intervention group. A significant and positive change in perception of contraceptives was also noted among the intervention group in almost all the questions. Certain factors were found to significantly impact the uptake of contraceptives. There is a need for studies with longer follow-up to ascertain sustained impact of health education on uptake of contraceptives. Further studies should be carried out in the other facilities in Nnewi to ensure a better coverage and representation of the target population. Finally, related studies should be carried out among men.en_US
dc.identifier.citationTyotswam YS, Iseme RA, Makunyi EG. A randomized controlled study of the effects of targeted health education on uptake of contraceptives among women of reproductive age in Nnewi City, South-East Nigeria. SAGE Open Med. 2024 May 10;12:20503121241237877. doi: 10.1177/20503121241237877. PMID: 38737836; PMCID: PMC11088290.en_US
dc.identifier.issnhttps://doi.org/10.1177/20503121241237877
dc.identifier.urihttps://ir-library.ku.ac.ke/handle/123456789/27903
dc.language.isoenen_US
dc.publisherSAGE Open Medicineen_US
dc.subjectEffecten_US
dc.subjecteducationalen_US
dc.subjectinterventionen_US
dc.subjectcontraceptivesen_US
dc.subjectwomenen_US
dc.titleA randomized controlled study of the effects of targeted health education on uptake of contraceptives among women of reproductive age in Nnewi City, South-East Nigeriaen_US
dc.typeArticleen_US
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