Persistently Poor Contraceptive Uptake by Adolescents: Finding from Reviews of Contraceptive Uptake in a Family Planning Unit in Yenagoa, Nigeria
International Journal of Research and Reports in Gynaecology,
Background: Adolescent contraceptive uptake is low despite significant threat posed by pregnancy to the health and lives of adolescent girls in developing countries.
Methodology: A comparison of analysed data from three retrospective descriptive studies on patterns of contraceptive uptake between 2014 and 2020 at the Federal Medical Centre Yenagoa, Nigeria.
Results: Trend showed persistently poor contraceptive uptake by adolescents. Just 0.19% of uptakers of reversible contraceptives between 2014 and 2018 were adolescents. Only one adolescent out of 253 clients took up Implanon during the same period and there was zero-uptake of any form of long-acting contraceptive by adolescent girls between 2016 and 2020. During the same period in the same setting, 4.8% of manual vacuum aspirations for incomplete abortion, were done in adolescent girls between the ages of 15-19 years.
Conclusion: Concerted efforts are required to scale up awareness programmes on contraception in adolescents. More adolescent friendly contraception clinics need to be created and more health workers and grassroot sensitizers, trained in adolescent sexual and reproductive health are required.
- contraceptive uptake
How to Cite
Sawyer SM, Azzopardi PS, Wickremarathne D, Patton GC. The age of adolescence. Lancet Child Adolesc Health. 2018;2(3):223-228.
Tulloch T, Kaufman M. Adolescent Sexuality. Pediatr Rev. 2013;34(1)29-38.
World Health Organisation. Adolescent health in the South-East Asia Region; 2021.
Available:https://www.who.int/southeastasia/health-topics/adolescent-health#:~:text= WHO%20 defines%20'Adolescents'%20 as%20individuals,age%20range%2010%2D24%20years. Accessed May 7, 2021.
Kar SK, Choudhury A, Singh AP. Understanding normal development of adolescent sexuality: A bumpy ride. J Hum Reprod Sci. 2015;8(2):70-74.
Greif MJ, Dodoo FN, Jayaraman A. Urbanisation, Poverty and Sexual Behaviour: The Tale of Five African Cities. Urban Stud. 2011;48(5):947-957.
Rwenge MJ-R. Sexual Risk Behaviour among Young People in Bamenda, Cameroon. Afr Popul Stud. 2003;18(2):91-104.
Madise N, Zulu E, Ciera J. Is Poverty a Driver for Risky Sexual Behaviour? Evidence from National Surveys of Adolescents in four African Countries. Afr J Reprod Health. 2007;11(3):83-98.
World Health Organisation. Preventing unsafe abortion - Key facts.
Published September 25, 2020.
Accessed May 7, 2021.
World Health Organisation. Adolescent pregnancy – Key facts.
Available://www.who.int/news-room/fact-sheets/detail/adolescent-pregnancy. Published January 31, 2020.
Accessed May 7, 2021.
Osegi N, Makinde OI, Ozori ES, Biakolo A. Pattern of Implanon uptake in a tertiary hospital in Niger Delta, Nigeria. Yen Med J. 2020;2(1):119-129.
Ozori Ebiogbo S, Agbo J. The pattern of reversible contraceptive uptake at the family planning and contraceptive unit at a tertiary hospital in Southern Nigeria. Yen Med J. 2020;2(2):73–80.
Osegi N, Ozori ES, Makinde OI, Biakolo A, Berefagha M. A 5-year review on long-acting contraceptive uptake at a family planning clinic in South-South Nigeria. Asian Res J Gynaecol Obstet. In press; 2020.
Ezenwaka U, Mbachu C, Ezumah N, Eze I, Agu C, Agu I, et al. Exploring factors constraining utilization of contraceptive services among adolescents in Southeast Nigeria: an application of the socio-ecological model. BMC Public Health. 2020;20:1162.
American College of Obstetricians and Gynecologists. Adolescent pregnancy, contraception, and sexual activity. Committee Opinion No. 699. Obstet Gynecol. 2017;129:e142–149.
Mbachu CO, Agu IC, Obayi C, et al. Beliefs and misconceptions about contraception and condom use among adolescents in south-east Nigeria. Reprod Health. 2021;18(7).
Abstract View: 62 times
PDF Download: 33 times