KNOWLEDGE AND PRACTICE OF EXCLUSIVE BREASTFEEDING AS A CONTRACEPTIVE FORM AMONG CHILDBEARING WOMEN IN IBADAN, NIGERIA

Obafemi Gboyega OMOLOLU, Monica Ewomazino AKOKUWEBE

Abstract


In Nigeria, contraceptive use is still low though its knowledge is widespread. This study investigates the knowledge and practice of on Exclusive Breast Feeding (EBF) as a Lactating Amenorrhea Method (LAM) contraceptive among women currently bearing children. Using two purposively selected post-natal clinics in Ibadan and adopting a qualitative design, data were collected from 2 Focus Group Discussions, 4 Key Informants and 3 In-depth Interviews. Data were content analyzed. Higher knowledge of EBF was found among lactating mothers but its use as contraceptive was generally low. This low rating of EBF as a contraceptive in spite of its documented advantages amongst participants constituted a barrier to family planning goals. Respondents offered various reasons for non utilization of LAM as a contraceptive method, many of which were due to ignorance and lack of adequate motivation. There is therefore a need for intervention programmes not only to improve awareness of LAM but to increase its use in order to fill the unmet needs gap in family planning.

 

 

 


Keywords


Contraceptive use, Lactating mothers, Intervention programmes, Unmet needs

Full Text:

PDF

References


Ajzen, I. & Fishbein, M. 1980. Understanding attitudes and predicting social behavior. Englewood Cliffs, NJ: Prentice-Hall.

Bellagio Consensus Statement. 1995. Lactational Amenorrhoea Method for Family Planning. Bellagio, Italy 11-14 WHO, FHI & IRH.

Bellagio Consensus Statement. 1988. Breastfeeding as a family planning method. The Lancet.

Dada, O.A.; Akesode, F.A.; Olanrewaju, D.M.; Olowu, O.A.; Sule-odu, O.; Fakoya, T.A.; Oluwole, F.A.; Odunlami, B.V. & WHO. 2002. Infant feeding and lactational amennorrhea in Sagamu, Nigeria. Africa Journal of Reproductive Health 6:39-50.

Daulaire, N.; Leidle, P.; Mackin, L.; Murphy, C. & Stark, L. 2002. Promises to keep: the toll of unintended pregnancies on women’s lives in the developing world. Washington (DC): Global Health Council; 2002.

EngenderHealth. 2011. Advancing family planning.

Family Health International (FHI). 1998. Breastfeeding as a Family Planning Method. Lancet, Nov.19, 1204-1205.

Fishbein, M. & Ajzen, I. 1975.Belief, attitude, intention and behavior: An introductory to theory and research. Reading, Mass.; Don Mills, Ontario: Addison-Wesley Publishing Company.

Isiugo-Abanihe, U.C. 1996. Women and Family Practice in Nigeria. In Oke, E.A. & Owumi, B.E ed. Readings in Medical Sociology. Adjacent Press, Ibadan. Pp 104-105

Kennedy, K.I. & Kotelchuck, M. 1998. Policy Considerations for the introduction and promotion of the lactational amenorrhea method: advantages and disadvantages of LAM”. Journal Human Lactation. 14:191-203.

Kennedy, K. et al. 1989. Consensus Statement on the use of breast-feeding as a family planning method. Contraception, 39: 477-496.

Kennedy, K.I.; Rivera, R. & McNeilly S. 1989. Consensus statement on the use of breastfeeding as a family planning method. Contraception 39(5):477-496.

Kennedy, K.I; Cooney, K. & Coly, S. 1994. Guidelines for breastfeeding and the lactational Amenorrhea Method. (3rd ed.) Washington, Dc: Institute for Reproductive Health.

Montano, D. E. & Kasprzyk, D. 2008. Theory of Reasoned Action, Theory of Planned Behaviour, and the Integrated Behavioural Model. In Karen Glanz, Barbara K. Rimer and Viswanath K.(Eds) 2008. Health Behaviour and Health Education: Theory, Research, and Practice. Jossey-Bass A Wiley Imprint, San Francisco, USA.

National Population Commission (NPC) [Nigeria] & ICF Macro, 2009. Nigeria Demographic and Health Survey 2008. National Population Commission and ICF Macro, Abuja, Nigeria: National Population Commission and ICF Macro.

National Population Commission (NPC) [Nigeria] & ICF Macro’s Nigeria Demographic and Health Survey, 2008. National Population Commission and ICF Macro, Abuja, Nigeria: National Population Commission and ICF Macro.

Senaiumhe, A. E. & Oviawe, O. 1986. The changing pattern of post partum sexual abstinence in a Nigerian Rural Community Social Science Medical 1986; 23(7):683-686.

UNICEF. 2009. Tracking progress on child and maternal nutrition: A Survival and Development Priority.

Weber, M. 1978. Economy and Society: An Outline of Interpretive Sociology, USA: University of California Press, ISBN 0520035003.

Weber, M. 1922. The Nature of Social Action in Runciman, W.G. Weber: Selections in Translation Cambridge University Press, 1991, 7.


Refbacks

  • There are currently no refbacks.




Creative Commons License
This work is licensed under a Creative Commons Attribution 3.0 License.