International Family Planning Perspectives | |
Promoting dual Protection in Family Planning Clinics in Ibadan Nigeria
|
TABLE 1. Percentage distribution of new and continuing family planning clients interviewed at baseline or at Time 2, by selected characteristics | ||
Characteristic | Baseline | Time 2 |
(N=175) | (N=289) | |
Marital status | ||
Monogamous | 70.9 | 76.8 |
Polygamous | 24.0 | 19.7 |
Unmarried | 5.1 | 3.5 |
Age | ||
15-24 | 5.7 | 7.6 |
25-34 | 50.3 | 52.9 |
35-44 | 33.7 | 32.6 |
>=45 | 10.3 | 6.9 |
Education* | ||
None | 11.4 | 10.4 |
Primary only | 37.2 | 28.7 |
Secondary | 30.8 | 38.4 |
Postsecondary | 20.6 | 22.5 |
Heard about AIDS | ||
Yes | 93.7 | 88.6 |
No | 6.3 | 11.4 |
Had multiple sexual partners in past year* | ||
Yes | 7.4 | 4.8 |
No | 92.6 | 95.2 |
Suspected partner had other partners in past year | ||
Yes | 41.1 | 32.2 |
No | 58.9 | 67.8 |
Was ever told she had an STI* | ||
Yes | 17.3 | 4.5 |
No | 82.7 | 95.5 |
Total | 100.0 | 100.0 |
*Difference between samples is statistically significant at p<.05 by chi-square test. |
TABLE 2. Number and percentage distribution of family planning visits, by client type and method, 1999-2001 | ||||||
Client and method | 1999 | 2000 | 2001* | |||
No. | % | No. | % | No. | % | |
Client type | ||||||
New | 2,655 | 17.7 | 3,792 | 25.2 | 1,906 | 26.4 |
Continuing | 12,347 | 82.3 | 11,231 | 74.8 | 5,304 | 73.6 |
Method | ||||||
IUD | 9,490 | 63.3 | 8,134 | 54.2 | 3,949 | 54.8 |
Injectables | 4,211 | 28.1 | 5,199 | 34.6 | 2,597 | 36.0 |
Pill | 966 | 6.4 | 726 | 4.8 | 310 | 4.3 |
Condoms | 335 | 2.2 | 964 | 6.4 | 354 | 4.9 |
Total | 15,002 | 100.0 | 15,023 | 100.0 | 7,210 | 100.0 |
*January-June. Includes male and female condoms (single method only); female condoms were available in the clinics as of mid-December 1999. |
TABLE 3. Number and percentage of visits in which male and female condoms were provided, by selected measures | ||||
Measure | 2000 | 2001* | ||
N | % of visits | N | % of visits | |
Type of condom | ||||
All | 2,116 | 14.1 | 651 | 9.0 |
Female | 1,672 | 11.1 | 576 | 8.0 |
Male | 444 | 3.0 | 75 | 1.0 |
Type of use | ||||
Single method | 964 | 45.6 | 354 | 54.4 |
Double method | 1,152 | 54.4 | 297 | 45.6 |
Type of client | ||||
New | 948 | 25.0§ | 453 | 23.8§ |
Continuing | 1,168 | 10.4** | 198 | 3.7** |
*January-June. Of all family planning visits. Of all condom visits. §Of all new-client visits. **Of all continuing-client visits. Note: From January through October 12, 2000, up to three female condoms were given free to any client who requested them. Beginning October 13, 2001, every client paid 10 naira (US $0.10) per condom. |
TABLE 4. Percentage of new client visits in which providers addressed specific components of dual-protection counseling | ||||
Indicator | Baseline | Time 2 | ||
(N=88) | (N=76) | |||
HIV/STI risk assessment and risk reduction | ||||
Discussed client's sexual behavior | 19.4 | 34.2* | ||
Discussed partner's sexual behavior | 16.4 | 35.5* | ||
Discussed HIV/AIDS | 12.1 | 42.1* | ||
Discussed client's STI concerns | 9.1 | 21.1* | ||
Indicated to client that she might have an STI | 3.6 | 22.4* | ||
Discussed how to bring up HIV/STI prevention with partner | 3.0 | 23.7* | ||
Dual protection family planning counseling Tailored counseling and education to client's personal situation | 28.0 | 67.1* | ||
Compared HIV/STI protective effects of different family planning methods | 7.0 | 42.1* | ||
Showed client how to use the male condom | 10.5 | 34.2* | ||
Showed client how to use the female condom | | 80.3 | ||
Discussed how dual protection could be achieved by either one or two family planning methods | 4.7 | 75.0* | ||
Discussed if client's initially preferred method provided protection against HIV/STIs | 2.3 | 49.2* | ||
Discussed with client how she might convince her partner to use a condom | 0.0 | 18.4* | ||
Used dual-protection flip chart | | 47.4 | ||
Distributed brochures | 3.8 | 27.6* | ||
*Difference is statistically significant at p<.05 by chi-square test. Female condom and dual-protection flip chart were unavailable at baseline. |
© copyright 2002, the Alan Guttmacher Institute. |