Final Report (PDF, 2132K) - Measure DHS

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Periodic abstinence is the most widely used method among current users of family planning andthe second most widely used method among women who have ever used a family planning method.Successful practice of this method depends on knowledge of when, in the monthly ovulatory cycle, awoman is most likely to become pregnant if exposed to sexual intercourse. In the ODHS, all respondentswere asked when in the ovulatory cycle a woman is most at risk to becoming pregnant. These data canprovide an indication of whether or not women have sufficient knowledge to use periodic abstinenceeffectively. Table 4.8 presents the distribution of responses for all women and for the small number ofwomen who had ever used periodic abstinence. A broad interpretation of response categories wouldconsider as correct either "in the middle of the cycle" or "right after the period ends." Under thisdefinition, almost 65 percent of all women in Ondo State and about 85 percent of those who have everused periodic abstinence would be considered sufficiently knowledgeable to practice the method. Whileit is encouraging that women who have used periodic abstinence are more knowledgeable about theovulatory cycle'than women in general, it must be noted that one in seven of these women lacks theknowledge to effectively use periodic abstinence and that figure would be considerably higher if thecriteria for determining knowledge were stricter and limited to the response "in the middle of the cycle."Table 4.8Percent Distribution of All Women andWomen Who Have Ever Used PeriodicAbstinence by Knowledge of the FertilePeriod During the Ovulatory Cycle, ODHS,1986Ever Users ofFertile All PeriodicPeriod Women AbstinenceDuring Menstrual Period 0.5 0.0Right After Period Ends 43.6 48.6In Middle of Cycle 20.7 37.3Just Before Period Begins 2.8 1.4At Any Time ]9.7 10.4Other 13.6 2.4Total 100.O 100.0Number of Women 4213 21235
4.4 Trends in Family Planning Knowledge and UseTable 4.9 presents data on contraceptive knowledge and use from the 1981-82 Nigeria FertilitySurvey (NFS) and the ODHS. Although the NFS was a national-level survey, the data presented here arerestricted to Ondo State and are from a relatively small sample (389 weighted respondents). Also, in theNFS, respondents who had never menstruated or initiated sexual relations were not asked questionsconcerning family planning. Thus, caution should be taken in comparing the two surveys.The data indicate that knowledge of modem methods of family planning has increased in OndoState since 1981-82. Knowledge of traditional methods has either remained the same or decreased. Everuse of modem methods has increased substantially in the five years between surveys, from 3.5 percent in1981-82 to 10.8 percent in 1986. There was a small decline in ever use of traditonal methods. Sincerespondents in the ODHS were not asked about prolonged abstinence, the two surveys are not fullycomparable.Current use of contraceptives has increased from 1 to 9 percent of women of reproductive age.The increase includes both modem and traditional methods.Table 4.9 Knowledge, Ever Use, and Current Use of Specific Contraceptive MethodsAmong All Women 15-49, Nigerian Fertility Survey (Ondo State), 1981-82and ODHS t 1986PercentPercentPercent Knowing: Ever Using: Currently Using:NFS (OS) ODHS NFS (OS) ODHS NFS (OS) ODHSMethod 1981-82 1986 1981-82 1986 1981-82 1986Any Method 42.7 48.3 23.1 14.9 1.0 9.1Any Modern Method 32.7 47.1 3.5 10.8 1.0 8.7Pill 18.1 34.0 2.2 6.2 0.7 2.7IUD 5.4 19.8 0.0 1.1 0.0 8.5Injectables 17.0 36.0 0.3 2.2 0.3 8.9Diaphragm, Foam, Jelly 3.2 7.7 0,O 0.4 0.0 0.ICondom 7.5 19.1 0.9 4.4 0.0 1.5Female Sterilization 8.8 21.9 0.0 0.i 0.0 0.OMale Sterilization 3.7 4.8 0.0 0.0 0.O 0.0Any Traditional Method 9.9 19.6 O.0 3.4Periodic Abstinence 16.9 12.4 7.6 5.0 0.0 2.8Withdrawal ll.O 10.9 4.5 3.1 O.0 0.4Prolonged Abstinence 23.7 - 15.5Other 3.8 0.5 0.2Number of Women 329* 4213 329* 4213 329* 4213Note: Figures on ever-use from the NFS include prolonged abstinence, whilefigures on current use exclude it, so as to be comparable to the ODHS.Excludes women who had never menstruated or had sexual relations,Not availableSource: National Population Bureau and Federal Ministry of Health, 1986:Tables 15 and 17.36
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ONDO STATE, NIGERIADEMOGRAPHICANDHE
Page 3 and 4: This report presents the findings o
Page 5 and 6: Page4.34.44.54.64.74.8Current Use o
Page 7 and 8: PageTable 3.3Table 3.4Table 3.5Tabl
Page 9 and 10: PageTable 5.1Table 5.2Table 5.3Tabl
Page 11 and 12: PageAPPENDIX A ....................
Page 14: PREFACEThe Ondo State Demographic a
Page 17: percent of women using each) and th
Page 20 and 21: 1. BACKGROUND1.1 Geography and Hist
Page 22 and 23: Although the reporting of family pl
Page 24 and 25: Table 1.2Number of Selected Primary
Page 26 and 27: Religion and EthnicityThe majority
Page 28: Sources of WaterInformation was als
Page 31 and 32: consistent with the comparable stat
Page 33 and 34: esults must be interpreted with cau
Page 35 and 36: Following the birth of a child, the
Page 38 and 39: 3. FERTILITY3.1 Fertility Data in t
Page 40 and 41: educational attainment, differences
Page 42 and 43: distributions. The proportion with
Page 44: Table 3.5 Percent Distribution of A
Page 47 and 48: Table 4.1Percentage Knowing Any Met
Page 49 and 50: Women who had heard of methods were
Page 51 and 52: Table 4.6Percent Distribution of Al
Page 53: Table 4.7Percent Distribution of Cu
Page 57 and 58: Figure 4.4Source of Family Planning
Page 59 and 60: 4.7 Intention to Use Contraception
Page 61 and 62: Table 4.16 presents data on wives'
Page 63 and 64: Table 4.18Percentage of Currently M
Page 65 and 66: Figure 5.1Fertility PreferencesCurr
Page 67 and 68: In order to examine fertility prefe
Page 69 and 70: Table 5.4 also indicates that less
Page 72 and 73: 6. MORTALITY AND HEALTH6.1 Mortalit
Page 74 and 75: Table 6.1 Infant and Child Mortalit
Page 76 and 77: Table 6.3Mean Number of Children Ev
Page 78 and 79: Table 6.5 • Percent Distribution
Page 80 and 81: For the investigation of differenti
Page 82 and 83: In considering the morbidity inform
Page 84 and 85: Cough/Difficult BreathingThe ODHS c
Page 86 and 87: Nutritional StatusNutritional statu
Page 88 and 89: Weight-for-HeightWeight-for-height
Page 90 and 91: Weight-for-AgeTable 6.13 shows the
Page 92: REFERENCESCttieh-Johnson, D., Cross
Page 96 and 97: APPENDIX ASURVEY DESIGNA.1 Sample D
Page 98 and 99: However, as shown in Table A.2, the
Page 100 and 101: A total of 32 field staff participa
Page 102: Table A.3Household Response Rate an
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APPENDIX BSAMPLING ERRORSThe result
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Table B.I List of Variables for Whi
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Table B.2 Sampling Errors (con't):
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MINISTRY OF HEALTH, ONDO STATE, NIG
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CONTINUED FROM PREVIOUS PAGENAME OF
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MINISTRY OF HEALTH, C, OVERNMENT OF
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!P............IM,RSKIPattended: pri
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i SECTION 2: REPRODUCTION. ISKIP201
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TABLE 2.1rRECORD INFORMATION STARTI
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SKIP230 CHECK: COMPARE NUMBER OF BI
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I ISECTION 3:HEALTH AND BREASTFEEDI
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316317CHECK ~2:LAST BIRTH ALIVE [ ]
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SKIP334 What was done?CIRCLECODE 1
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!TABLE 3.1(ASK QUESTIONS STARTING W
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LTABLE 3.3(ASK @UESTIONS ONLY FOR S
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TABLE 3.5CF. TABLE 2.1:ENTER NAME A
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TABLE 4: IPILL "Women can take •
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SKIP413CHECK 404:NO STERILIZATION [
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SECTIOM 5: MARRIAGE. lSKIP501 /Have
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SKIP520 kow we need some detmils ab
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SKIP606 For how long should • cou
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SKIP7e9CHECK 7@8:DOES/DID NOT WORKI
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INTERVIEWER'S OBSERVATIONS.(To be t
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