Prácticas modernas de planificación familiar, participación masculina y necesidades de fertilidad no satisfechas entre mujeres nigerianas rurales y urbanas: hallazgos de un estudio de metodología mixta en la el Suroeste / Modern Family planning practices, male involvement and unmet fertility needs among rural and urban Nigerian women: Findings from a mixed method study in the Southwest Region

Ifeoma P. Okafor, Mobolanle Rasheedat Balogun, Adekemi O. Sekoni, Duro C. Dolapo

Resumen


La utilización de la planificación familiar (PF) afecta a individuos, familias, comunidades y naciones. El objetivo del estudio fue comparar los factores predictivos de planificación familiar, la participación masculina en la planificación familiar y las necesidades de fertilidad no satisfechas en las zonas rurales y urbanas de Lagos, Nigeria. Se utilizó un diseño comparativo de corte transversal que incluyó un método de muestreo en varias etapas en seleccionar un total de 600 mujeres. Los datos fueron recolectados a través de cuestionarios y discusiones de grupos focales.
El uso moderno de PF (PFM), por parte de las parejas fue del 52% (rural) y del 56,3% (urbano) sin diferencias significativas. En la población rural, los factores predictivos del uso de la PFM en cristianos, empleados, cónyuges con educación formal y un mayor número de hijos. En la población urbana, fue mayor el número de niños. Tanto para las mujeres rurales y urbanas, el tamaño ideal de la familia era mayor que el número deseado de hijos. A la mayoría de los hombres en ambas áreas no les gusta ningún método de PF, pero algunos de ellos apoyan a sus esposas. La utilización es similar entre ambos grupos y mucho más alta que el promedio nacional y regional.
Se deben implementar programas rurales para mejorar el empoderamiento femenino y la educación formal entre los hombres. La educación en FP puede mejorar la participación masculina en ambas áreas. Palabras clave: salud reproductiva, planificación familiar, fertilidad, anticonceptivos, comparativos, Nigeria.

Abstract

Family planning (FP) utilization impacts individuals, families, communities and nations. The study aimed at comparing family planning predictors, male involvement in family planning and unmet fertility needs in rural and urban areas of Lagos, Nigeria. A cross-sectional, comparative study design involving multi-stage sampling method was used to select a total of 600 women. Data was collected by questionnaires and Focus Group Discussions. Modern FP use by couples was 52% (rural) and 56.3% (urban) with no significant difference. In the rural population, the predictors of use of modern FP were being a Christian, employed, spouse having formal education and higher number of children. In the urban population, it was higher number of children. For both rural and urban women, ideal family size was higher than the desired number of children. Most men in both areas do not like any FP method but some of them support their wives. Utilization is similar among both groups and much higher than the national and regional average. Rural programmes to improve female empowerment and formal education among males should be implemented. FP education may improve male involvement in both areas. Key words: Reproductive Health, Family Planning, Fertility, Contraceptives, Comparative, Nigeria

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