International Family Planning Perspectives | |
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Promoting dual Protection in Family Planning Clinics in Ibadan Nigeria
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| 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. |