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      Attitudes of Healthcare Providers towards Providing Contraceptives for Unmarried Adolescents in Ibadan, Nigeria

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          Abstract

          Objective

          This study sought to assess the attitude of Healthcare Providers towards providing contraceptives for unmarried adolescents in four Local Government Areas in Ibadan, Nigeria.

          Materials and methods

          A cross-sectional descriptive study was conducted among 490 Healthcare Providers in 24 randomly selected healthcare facilities using self-administered, pre-tested questionnaires.

          Results

          More than half (57.5%) of the respondents perceived the provision of contraceptives for unmarried adolescents as promoting sexual promiscuity. The attitude of 42.7% of them was informed by the Nigerian culture which does not support premarital sex. About half (51.7%), reported that unmarried adolescents should be asked to abstain from sex rather than providing them with contraceptives. Over a third (44.2%) reported that providers should not provide services for both married and unmarried adolescents.

          Conclusion

          Many healthcare providers have unfavourable attitudes towards the provision of contraceptives for unmarried adolescents. There is a need for further training of Healthcare Providers to address this situation.

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          Nigeria Demographic and Health Survey 2008

          (2009)
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            Predictors of early sexual initiation among a nationally representative sample of Nigerian adolescents

            Adesegun O Fatusi, Robert W. Blum (2008)
            Background Early sexual debut among adolescents is associated with considerable negative heath and development outcomes. An understanding of the determinants or predictors of the timing of sexual debut is important for effective intervention, but very few studies to date have addressed this issue in the Nigerian context. The aim of the present study is to examine predictors of adolescent sexual initiation among a nationally representative sample of adolescents in Nigeria. Methods Interviewer-collected data of 2,070 never-married adolescents aged 15–19 years were analysed to determine association between age of sexual debut and demographic, psychosocial and community factors. Using Cox proportional hazards regression multivariate analysis was carried out with two different models – one with and the other without psychosocial factors. Hazard ratio (HR) and 95% confidence interval (CI) were calculated separately for males and females. Results A fifth of respondents (18% males; 22% females) were sexually experienced. In the South 24.3% males and 28.7% females had initiated sex compared to 12.1% of males and 13.1% females in the North (p < 0.001). In the first model, only region was significantly associated with adolescent sexual initiation among both males and females; however, educational attainment and age were also significant among males. In the second (psychosocial) model factors associated with adolescent sexual debut for both genders included more positive attitudes regarding condom efficacy (males: HR = 1.28, 95% CI = 1.07–1.53; females: HR = 1.24, 95% CI = 1.05–1.46) and more positive attitudes to family planning use (males: HR = 1.19, 95% CI = 1.09–1.31; females: HR = 1.18, 95% CI = 1.07–1.30). A greater perception of condom access (HR = 1.42, 95% CI = 1.14–1.76) and alcohol use (HR = 1.90, 95% CI = 1.38–2.62) among males and positive gender-related attitudes (HR = 1.13, 95% CI = 1.04–1.23) among females were also associated with increased likelihood of adolescent sexual initiation. Conversely, personal attitudes in favour of delayed sexual debut were associated with lower sexual debut among both males (males: HR = 0.36, 95% CI = 0.25–0.52) and females (HR = 0.38, 95% CI = 0.25–0.57). Higher level of religiosity was associated with lower sexual debut rates only among females (HR = 0.59, 95% CI = 0.37–0.94). Conclusion Given the increased risk for a number of sexually transmitted health problems, understanding the factors that are associated with premarital sexual debut will assist programmes in developing more effective risk prevention interventions.
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              Nurse-midwives' attitudes towards adolescent sexual and reproductive health needs in Kenya and Zambia.

              Petronella Chishimba, Eva Nissen, E Faxelid … (2006)
              Adolescent sexuality is a highly charged moral issue in Kenya and Zambia. Nurse-midwives are the core health care providers of adolescent sexual and reproductive health services but public health facilities are under-utilised by adolescents. The aim of this study was to investigate attitudes among Kenyan and Zambian nurse-midwives (n=820) toward adolescent sexual and reproductive health problems, in order to improve services for adolescents. Data were collected through a questionnaire. Findings revealed that nurse-midwives disapproved of adolescent sexual activity, including masturbation, contraceptive use and abortion, but also had a pragmatic attitude to handling these issues. Those with more education and those who had received continuing education on adolescent sexuality and reproduction showed a tendency towards more youth-friendly attitudes. We suggest that critical thinking around the cultural and moral dimensions of adolescent sexuality should be emphasised in undergraduate training and continuing education, to help nurse-midwives to deal more empathetically with the reality of adolescent sexuality. Those in nursing and other leadership positions could also play an important role in encouraging wider social discussion of these matters. This would create an environment that is more tolerant of adolescent sexuality and that recognises the beneficial public health effect for adolescents of greater access to youth-friendly sexual and reproductive health services.
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                Author and article information

                Journal
                Journal ID (nlm-ta): J Family Reprod Health
                Journal ID (iso-abbrev): J Family Reprod Health
                Journal ID (publisher-id): JFRH
                Title: Journal of Family & Reproductive Health
                Publisher: Tehran University of Medical Sciences
                ISSN (Print): 1735-8949
                ISSN (Electronic): 1735-9392
                Publication date (Print): March 2014
                Volume: 8
                Issue: 1
                Pages: 33-40
                Affiliations
                School of Nursing, Lagos University Teaching Hospital (LUTH), Idi-Araba, Lagos, Nigeria
                Author notes
                Correspondence: Ezihe Loretta Ahanoun, Email: lezi2002@ 123456yahoo.com
                Article
                Publisher ID: JFRH-8-033
                PMC ID: 4064762
                PubMed ID: 24971131
                SO-VID: a5754cf3-dbf2-4880-aeee-753ca2c23cad
                Copyright © Copyright © Vali-e-Asr Reproductive Health Research Center, Tehran University of Medical Sciences
                License:

                This work is licensed under a Creative Commons Attribution-NonCommercial 3.0 Unported License which allows users to read, copy, distribute and make derivative works for non-commercial purposes from the material, as long as the author of the original work is cited properly.

                History
                Date received : June 2013
                Date revision received : September 2013
                Date accepted : September 2013
                Categories
                Subject: Original Article

                Keywords: adolescents,attitudes,contraceptives,healthcare provider
                Data availability:
                Keywords: adolescents, attitudes, contraceptives, healthcare provider

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