w wI
Trip Report 1 Travelers: Ms. Teresa lMrbito, IN7RAH Program Officer
Country Visited: Kwara State, NICG.LA Date of Trip: November 11 - 12, 1986 Purpose: 1) To discuss with the MDH the present status and future plans for expansion of family planning service delivery and subsequent training requirements.
2) To observe members of the Kwara State Training Te;rm as they conducted the fifth Family Planning/Oral Rehydration Therapy workshoo with INTRAH financial support and without technical assistance
3) To discuss with the ..DII the plan to include two mnmbers of the Kwara State Training Team as co-trainers for the Lagos State FP/ORT/CHE Project to comi.ance January 1987.
Program for International Training in Health 208 North Columbia Street The University of North Carolina Chapel Hill, North Carolina 27514 USA TABLE OF CONTENTS
PAGE LIST OF ABBREVIATIONS
EXECUTIVE SUMMARY ...... i SCHEDULE OF ACTIVITIES...... iii
I. PURPOSES OF TRIP...... 1 II. ACCOMPLISHMENTS ...... 1 III. BACKGROUND...... 2 IV. DESCRIPTION OF ACTIVITIES...... 2 V. FINDINGS AND CONCLUSIONS ...... 3 VI. RECOMMENDATIONS ...... 5
APPENDICES
A. Persons Contacted/Met
B. Kwara State Ministry of Health Family Planning Service: Quarterly Report July to September 1986 New Clients and Family Planning Methods C. Results of a Survey Conducted Under Supervision of Dr. 0. Fakeye, Chief, Obstetrics and Gynecology, University of Ilorin LIST OF ABBREVIATIONS
CHE Community Health Education CS Child-Spacing
LGA Local Government Area EXECUTIVE SUMMARY
Ms. Teresa Mirabito, INTRAH Program Officer, visited Ilorin, Kwara State, November 11-12, 1986. The purposes of the trip were: (1) to discuss future plans for in-service training of family planning service providers in Kwara State; (2) to observe members of the Kwara State Training Team as they conducted a clinical service delivery skills workshop; and (3) to discuss with Ministry of Health officials the inclusion of two Kwara State Trainers on the training team for the INTRAH-sponsored Lagos State Ministry of Health Family Planning/Oral Rehydration Therapy/Community Health Education Training project to commence January 1987.
Discussions were held with Mr. Saka Saadu, Permanent Secretary of Health; Dr. David Olubaniyi, Director of Health Services and Project Director; Mrs. Florence Tolushe, Family Planning Coordinator; and members of the training team: Mrs. Rachel Ajiboye, Mrs. Victoria Abodunrin, and Mrs. Grace Osunaiye. Present status and future plans for expansion of child spacing activities and plans for in-service training in Kwara State were reviewed. The Ministry of Health operates 70 health facilities which will all have at least two trained family planning service providers by the end of 1988. Fifty-three of these facilities currently offer family planning services and are staffed by one or two trained clinicians. In addition, it is anticipated that 90 Local Government Area facilities throughout the state will offer family planning services by the end of 1988. All health personnel will have been trained by members of the Kwara State Training Team.
Three members of the State Training Team were observed as they conducted their fifth Family Planning/Oral Rehydration Therapy workshop. By the end of 1986 the team will have trained 87 nurse midwives in family planning -ii clinical skills and 21 community health assistants in family planning community health education and motivation.
All training to date has been supported with funds from the Ministry of Health/INTRAH contract. The Ministry of Health is prepared to support fifty percent of the training costs over the next two years and is seeking support from other donors for the balance.
Mr. Saadu agreed to release two Kwara State Trainers who will co-train in the Lagos State MOH FP/ORT/CHE training project.
A need for training supervisors and community health educators and motivators was identified. Major recommendations include that INTRAH should provide support and technical assistance to the MOH for a Management and Supervision workshop for zonal supervision and a Community Health Education workshop for the community health aides. -iii-
SCHEDULE OF ACTIVITIES
Monday Arrived in Ilorin. November 10 Met with: Dr. David Olubaniyi, Director, Health Services, Ministry of Health, and Mrs. Florence Tolushe, State Family Planning Coordinator.
Visited School of Nursing to observe members of the Kwara State Training Team conduct the fifth Family Planning/Oral Rehydration Therapy workshop.
Met with members of the Kwara State Training Team: - Mrs. Victoria Abodunrin - Mrs. Rachel Ajiboye - Mrs. Grace Osunaiye
Tuesday Met with Dr. Olubaniyi and Mrs. Tolushe. November 11 Met with Mr. Saka Saadu, Permanent Secretary, Ministry of Health, Kwara State. Attendees included Dr. Olubaniyi and Mrs. Tolushe. Visited: - University Teaching Hospital Family Planning Clinic - DHU Ilorin Family Planning Clinic - School of Nursing to observe Family Planning/Oral Rehydration Therapy workshop in progress
Met with Dr. Olubaniyi.
3:00 p.m. Departed Ilorin for Lagos.
12:30 a.m. Departed Lagos for Paris. I. PURPOSES OF THE TRIP The purposes of the trip were to: 1) Discuss with the Ministry of Health the present status and future plans for expansion of family planning service delivery and subsequent training requirements. 2) Observe members of the Kwara State Training Team as they conducted the fifth Family Planning/Oral Rehydration Therapy workshop with INTRAH financial support and without technical assistance. 3) Discuss with the Ministry of Health the plan to include two members of the Kwara St,7te Training Team as co-trainers for the Lagos State FP/ORT/CHE Project to commence January 1987.
II. ACCOMPLISHMENTS A) Reviewed plans for the CS program in Kwara State with the Director of Health Services/MOH/INTRAH Project Director and the Family Planning Coordinator.
B) Visited the two family planning delivery points, one operated by the University of Ilorin Teaching Hospital and the second by the MOH.
C) Observed three members of the Kwara State Training Team during the process of conducting an FP/ORT Service delivery skills workshop.
D) Reviewed the FP/ORT curriculum developed and utilized by the Kwara State Trainers.
E) Reviewed MOH quarterly statistics for client attendance and acceptance of family planning methods at all MOH facilities.
F) Received verbal agreement from the Permanent Secretary and Director of Health Services for the participation -2
of two members of the Kwara State Training Team as co trainers in the Lagos State MOH/INTRAH FP/ORT/CHE training project.
III. BACKGROUND This was the eighth INTRAH visit to Kwara State. A needs assessment and project development visit was conducted in November 1984 (Trip Report #0-06); a sub contract was developed with the Ministry of Health in January 1985 (Trip Report #0-18)
A series of 5 training activities designed to develop institutional capabilities of the MOH to provide family pl&nning in-service training was completed in May 1986. These activities were as follows: TRIP WORKSHOP REPORT NO. 1) TOT Workshop and Health Education 0-124 2) FP/ORT Curriculum Development 0-119 3) FP/ORT Service Delivery Skills 0-120 4) Management/Supervision/Evaluation 0-121 5) Project Review & Follow-Up 0-78
This visit provided the initial opportunity for an INTRAH representative to observe Kwara State Trainers conduct in-service training.
IV. DESCRIPTION OF ACTIVITIES Activities during the two day visit focused on the following: Meetings with MOH officials to discuss the present status and future plans of the child spacing program in Kwara State and related training needs. The capability of the MOH to sustain in-service training given financial constraints as funds under MOH-INTRAH subcontract are nearly depleted. Visits to FP clinical facilities used for in service trainee clinical practica. -3-
Observation of members of the training team during the 5th FP/ORT workshop.
V. FINDINGS AND CONCLUSIONS A. Child-BSacing Program 1. Finding The MOH operates 70 health care facilities throughout the state which offer MCH services. Fifty-three facilities offer FP service and are staffed with 1 or 2 trained service providers. It is anticipated that by the end of 1988 all 70 facilities will offer a range of FP services and each will be staffed by 2 trained clinicians. Local Government Areas (LGA) operate 265 facilities which include maternities and dispensaries. LGA officials plan to offer a range of family planning services in 90 facilities by the end of 1988. In preparation, LGA officials have requested the MOH to allocate slots for LGA personnel in every FP/ORT service delivery skills workshop. The MOH has agreed to accept 3-4 participants per workshop. Conclusion The strategy to implement child-spacing services throughout Kwara State, particularly in MOH facilities, has been carefully planned by the Director of Health Services and the FP Coordinator. There is an apparent need to continue in-service training for MOH and LGA personnel in order to meet the established goals. 2. Finding Supervision of FP services and personnel is the responsibility of the State FP Coordinator and the Deputy Coordinator. Logistical constraints and lack of financial support hinder supervisory activities. The MOH has expressed a need to conduct a Supervision and Management workshop to prepare at least 12 zonal supervisors who already have had FP training. Conclusion The MOH recognizes the importance of supervision of FP services and personnel in order to improve and maintain quality of CS services. -4-
B. Service Statistics 3 . rn4ing a. A review of MOH/FP service statistics for the period July - September 1986 revealed: a well designed and detailed system of data collection (refer to report in Appendix B). - 6 of the 54 MOH facilities which offer CS services reported an average of 6-15 client visits daily. The 48 remaining clinics average 1.4 client visits daily. b. It was learned that the Pathfinder Fund will sponsor a male attitude survey to determine reasons for under-utilization of existing child-spacing services in the Ilorin area. The survey will be conducted in January 1987 and analysis of data is expected to be completed by April 1987. Conclusion The MOH has identified the need for increased effort in community health education and motivation and requested INTRAH technical assistance for a CHE workshop.
C. In-service Training 4. Finding The Kwara State Training Team has trained a total of 108 health personnel through in-service training: 87 clinical service prov4.ders and 23 community health aides. Funds from the MOH/INTRAH sub-contract were utilized to support all 5 FP/ORT workshops. MOH officials are prepared to provide funding for 50% of future training activities and are seeking assistance from other donors to support the balance. Conclusion Two key requirements for institutionalization of FP in-service training are in place in Kwara State: the commitment of MOH officials for continuation of training, and the skilled and committed trainers. -5-
D. Training Process 5. Finding Kwara State Trainers who were observed facilitating an FP/ORT workshop demonstrated knowledge of the subject and expertise in the use of participatory adult learning techniques. Plans for the workshop appeared well-organized. Conclusion The three trainers observed are capable of planning and conducting quality in-service FP/ORT training workshops. 6. Finding MOH officials agreed with the plan to include two Kwara State Trainers as co-trainers for the initial 3 activities in the Lagos State/INTRAH FP/ORT/CHE training project to commence January 15, 1987. Conclusion This experience will provide an example to the prospective Lagos State Training Team and will enable the Kwara State Trainers to up-date their skills and gain confidence in their training abilities.
VI. RECOMMENDATIONS 1. INTRAH should provide the MOR with assistance in identifying potential sources of training funds to enable the MOH to complete planned training activities and ultimately achieve institutiona lizational of FP in-service training. 2. INTRAH should support and provide technical assistance for a Management and Supervision workshop for 12 zonal supervisors.
3. INTRAH should provide support and technical assistance for a Community Health Education workshop for community health aides. Kwara State Trainers will co-train. The results of the male attitude survey to be sponsored by The Pathfinder Fund should be utilized when planning the workshop curriculum. 4. INTRAH should provide technical assistance to the MOH in the development of proposals for the two workshops recommended above. -6
5. INTRAH should continue to monitor training activities in Kwara State and provide mechanisms to up-date knowledge and strengthen the skills of members of the training team. Consideration should be given to including members of the team as co-trainers in other Nigerian states and regional training activities.
6. INTRAH should explore with the MOH the possibility and necessity of activating additional members of the CTT in order to avoid burn-out of the two lead trainers and expand the capabilities of the entire Kwara State Training team. APPENDIX A
Persons Contacted/Met
Ministry of Health
Mr. Saka Saadu, Permanent Secretary of Health
Dr. David Olubaniyi, Director of Health Services
Mrs. Florence Tolushe, Family Planning Coordinator
Mrs. H.F. Omotosho, Assistant Family Planning Coordinator
MOH In-Service Trainers
Mrs. Victoria Abodunrin, Senior Midwifery Tutor
Mrs. Rachel Ajiboye, Principle Health Sister Mrs. Grace Osunaiye, Midwifery Tutor
DHU Ilorin Maternal/Child Health Clinic
Mrs. C.M. Olubaniyi, Senior Health Sister
University of Ilorin Teaching Hospital
Mrs. Judith Johnson, Senior Nurse Midwife APPENDIX B
Kwara State Ministry of Health Family Planning Service:
Quarterly Report July to September 1986
New Clients and Family Planning Methods KWARA STATE MINISTRY OF HEALTH FAMINLY PLANNING SERVICE: QUARTERLY REPORT JULY TO SEPTEMBER, 1986 NEW CLIENTS .WNDPkMILY PLANNING METHODS
CINIC FAMILY PLANNING METHODS
rot P I LL S I. U. C. D. INJPCTABL BARRIER METH
lew 0 0Z z c H E- =1)o U)oEo -- " co En < z o Z:2o R W7 06 0 0 0 0 I:"Tj. Z mz 00 z j z Ilorin 1381i 641- 1- 148 11 -4 33 18'203
20kelele Mat. 127 27- - 43 01 - I - - - 3 ! _
31?akata Mat. 165 41" - 37 61 - 2 - 8 2__3
i. c Og _di 73 30 - 9 22 - 8 Shao 16 41 62 l 9COke-Oyi 20 13 - 3 -141 .-. 7 PiC Koko 3 3 . . 3LHU Afon 44 17- - 4- -- . .. 3 I --
c)FlHC Offa g 3 11- _ i1,1Cinile 266- 2 1 - - - 9- 2 6-
1 !DHU O/Aran 88 26 - 16 1 --- - 4.51 12 H 0ZAran- 76 12.m- 9 3 3 "
9 1 17 ---- -14 3 3
1 .,R'C 2L~ 3LO - 5------1~ .--_ 4CO 30 9 ------ :6)C/I-r, Kabb 44 16 - -12 - --- 6- - 9
171GH Okene 441 -- - 42 - - 2 . -
19 ;,--/H Lokoja 33114 -? 7 -, 3- -8 - -- 1iJ 10 2 I 5-5 32------2 51- 20 Isanlu 30 38 - 10 8 -- - 2J -- - 9 -11 -1I/Hst Aid MOH 50 5 - .- I - 4
22obi S/Ho2). 12 7 55 - 2 23 DHU Lafiagi 7 2 -- --- 3 - I 241- Pategi 12 2 --- 6 I_ 25 ,ClH Ogori 7 5 -- 2 . .- 1 7 26 q/H Koto .3 18-- 1 8 - - 15 -1 - P7 G/H Oro 141 42 - 51--- 9-- 1 -
- 1 H Mopa 12 41 20 3 - 12- -34 ------4/
S-- - - 2
CLINIC FAMILY PLANNING METHODS
Total New Clie- PILLS I.U.C.D. INJECTABLE BARRIER nts METHOD II
7 [771 ' I *
W O
29J 9HC0O/Aiye-. 11 3 - - -- - 3 5.l 33 WUne - 8 6
31. gbe HServ422j2~~g 1W~ 9 - 7..2 Iga03 zH -,
7 14 '2.' GH Kabbga 151 - 20.- - _1 -,,. :~ .oii 3 - U).cm7 -4 U "9 i I T Cu ~~jjor~~~(Z66 2". " 51 to.- 3__.BHc Eruk 12 _ - __- 2 .. l- -
HCIOo_ -r. . _ .- - I ---
39.:31BHDHUEgbe ObangeeIev 112 9 "-1- 7- E3 -"j- -- - 2-S2O-SI -,-
0.BHC A3 n 41 6 - 3 - - 1 E4
i3L GH Ilue 15. 3 - 9.. L:3gg sc 9 4s- -,.- - --. -__- -4-I _ 29______1 3 2 3 5
30.s.OHulOrn 3 ... 6 - 8 _t. - - - --
L2.1 KcAb- r - 38 - 2 1-..... -1 33 . OH C/B/Sa 33 3 - 16 -
36. BHC Tud- 13 2-3 -43EgH 614I 3 - 2....- --L1 ,,_-*,__-- -- ..--T-I_ -- -..--- . 37. o.a 6 _/. - - 1 3.O HCfa ,' 1 - -- 4- ,7 "-_- 4 613
1. RC 4TAGE ' 2642 - - 1 -2 .- 3 6QVICE: 'Ju''N QUART&U.Y,UwIWT,S ArEPRTA AID Pi,~ iY- IGIQUSSET DISTRIZUTION Q 6 Hi 1-0o Clinic Xtian Ms lim Xtian Muslim Total d NewjOld Ol. New Old New Old New Old Ne 1 Dirt Ilorin 4 70 9 92 225 85 276 134 5143 81 895 2COkoJele 1Ivat. - - - - 85 34 363 93 445 127 572 .3 'akata Mat. 8 21 31 45 27 16 161 83 227 165 392 3I+C0.- Ogd 9 - 20 17 .13 11 96 45 138 73 1211 'HCShao - 2 1 - 31 6 24 8 56 16 72 O5~.Jke-0yi 6 2 2-1 2 31 11 60 5 118 20 138 7 BHO Koko - - - - 3 7 - 103 13 1fLJ -fon 20 10 8 12 9 5 27 17 55 44 99 SJHU Offa. 30 31 72 67 132 57 335 98 56 253 822 10 tC rinle 1 i 4 3 2 50 ---- 11 152 9 106 26 - 132 - DHUOmu-ran - 34 45 9' 10 68 23 9 10 1-2 88 208 12 Gi0Hm-,ran 40 26 23- -11 - 80 31 - 20 - 8 163- 176 239 13 -)HU Share 7 17 21 18 14 8 21 21 63 64 1 * 1/lni 127 /-r - - 14i-/C--nicl/Oro - - 235 - 3 - - 41 29 21 17 54 54 118 - -5 - 1- RCL Omupo a------16 6 116 10 25 9 18 5 75 30 105 13 DHi Kabba 13 9 10 1 50 31 7 3 80 44 124 17 Ud Okene 11 29 - 52 18 84 26 176 44 220 GH LokoJaA 12 7 4 6 17 9 17 11 50 33 83 1' DHU Lokoja 11 9 6 11 35 18 26 16 78 54 132 2, GH IanluOy± 82 10 9 66 484 45 21 9 596 130 726 1t A/,in-MuH 40 25 2 T5 2 9 6 1 70 50 120 Ibi Hos. Ilorin 15 15 :7 3 13 14 23 23 58 55 113 2 DiXULaf iag± - 1 12 -1 2 3 6 2 107 17 -.4 DHU Pategi - 2 - 1 4 2 13 7 GK Ogor± 6 -- 171 9 16 6 4 I 26 'h-1oto 15 12 13 4 25 12 45 15 98 143 141 27 GH Oro 20 25 11 '26 102 26 99 37 1232 114 346 GGH iopa 113 36 18 3 262 88 2 398 129 1527 2 zilC O/Aiygunle - 4 - - 7 - 1 j)H LJOkene I7 21 8 1 46 33 79
i i
I ' jI I { ' I I I , -2-
M A L R~ol F E F4A -B 1.4 clinic It ALB Musimlian Musli Total Old Now Old N.o Old Now 0ld New 0 i New 1 zgbe HI/Se o. - 14 22_ - 1 22 )2 'i5Kabba 4 86 61 11 8 106 91 33 CorMamt 3BJiba 6 16 - 3 17 14 - 23 33 3 4H Pategi7.-~~ - T 0 7 43 "IT 2 2 z-2 14 1:1 3'.BCIgbaJa _ 3 - 1 14 5 7 1 21 10 BH -- BC-u~ rU - 16 7 - - 23 12 .7 RHC IjomI-Oro 4 3 1 2 12 1 3 - 20 6 RHC Iyamoye 7 13 1 1 3 10 2 8 13 32 7 DHUObangede 4 2 3 2 5 - - 1 12 11 ; BC Axan-Oriu 17 19 15 6 20 14 4 2 56 41 1! 1 SDC Ilorin 16 23 31 2 11 11 4 4 62 66 ,. . aC Ip-.ri. 4*~ 2~ Z1 7 - - 37 9 l 'HBC Agge 2 4 2 3 3 7 6 14 13 28 ; CoCIlorin 8 10 4 10 7 14 10 6 29 40 45 BHC Okngven 6 3 3 11 163 33 45 5862 r Police- O1in.Ilo T 2 4 T 2 4 13 26 7 lig. Airpox - -...... H - 4 - 12 . . . . 4 16 ;1
,BHC Iluk . .. '•BU m~-- 2 2 - - - 12
N/C Bod-adU 1 4 1 5 -2. BHC gu - 0 T3 - - - - -I j3 GH offa ......
GROSS OE6PT.PERCST- 5q32 46 3 1786lS8SI -a 3 16 P-RCBNAGR . D . 71 5.5 . 027.0 24.710
Clients Number Percentage Old 5176 65.36 New 2745 34.7% Total 7921 100 792 No, Clinics Total SOURCE Of RN4IA1 New Client4 Field Clnid fien Rela Radio Tole New Total Worker Staff tive visio paper ,
1 DMJ Ilorin 381.- 191 56a 20 14 26 74 m 381
Okelele Kat, 1.27 7 54 11 22 1o 23 - 1.27
3 Pskata Xat 165 39 33 20 3 31 37 2 165
4 BEC Ogidi .73 24 22 1.1 5 3 8 - 73
5 EEC Shao 16 - 5 7 3 - - $61
6 EC 0ka-Oyi 20 4 7 3 3 2 1 - 20
7 BHC oko 3 3 - - - - - 3
8 DEU Afon 44 5 It 14 5 5 2 2 44
9 DUOf , 253 5 $6o 39 22 16 9 2 253 10 RHO lBt, l, 26 1 7 5 l. 4 7 t 26
11 DEV Oa-A ea - 52 110 5 5 1.6 - 8
12 Gen.Hosp° Ou-Am 76 22 30 6 5 5 8 - 76 13 DEV Shm- 64 27 27 5 5 - - - 64
14 M/Clinio I/Oro 54 - 30 7 - 6 11 - 54 t5 BH 1muo~ 30 it 9 6 4 - - - 0 16 DHU gobbs, 44 25 9 2 2 3 5 - 44 t7 Gn.1bap a 44 6 22 0 - 3. 1 2 44
18 Gm m1hp Lokoj 33 1.2 tO 4 3 t 3 - 33
19 DT oRokoja 54 1O 12 7 6 2 9 - 54 20 HIamlu-0i 130 - tO7 4 1.4 2 3 - i30 21 lit A/C XOW 50 34 - 5 4 1 6 - 50
22 Speo, mp Sob± .55 - 28 7 7 - 13 - 55
23 ]NU L~j~ 7 - 2 5 -7
24 DEC Patqi 12 10 2 - 12
25 Ge omp Ogr 7 7 ...... 7T
26 Gen oto-.4rfi 43 - 43 .. . 43
27 Gen lop Oro 14 - 72 22 13 4 3 - 1t4
28 Gen Hoap Xopa 129 - 59 31 10 2 27 - $29 - 2
No Clifice Titl SOaCE C' AV 01ient ]Field Clmi Piod Res- Radio 1.1o- Now" 0tal Worker Staff visionipaper
29 ICO/Aiegunjo 11 3 6 - - - 2 " 11
30 DHU 0on 33 4 22 4 3 - - - 33
31 4/H Sov.F eb 22 - 9 5 - 3 5 - 22
32 Gen Rop Kabbs 91 - 76 11 3 - 1. - 9t
33 Com.at Ejiba. 3 - 29 6 2 3 2 - 33
34 Gan Hoop Pategi 15 - 6 8 - - - 151
35 REC Igbaja 10. 3 5 $ - - 1 - 10
36 BM Mmbu 12 - 8 2 - 2 - " 12 37 RHC IJain-Oro 6 - 6 .-. . . 6 _ __ _ _ - - - . ... lio-n 38 RHC Iymoye 31 - 28 2 2 " - " 32
39 D b ng Kde 1 - 5 3 3 - . - 11 40 EEC AranOrin 41 5 1.5 9 8 - 4 -.
41 SDC Ilorin 66 to 39 2 2 - 9 4 66
42 BEHC Iporin 9 - 5 _ 2 1 - - 9 43 310 gg 28 - 1.4 8 6 . - - 28
-44 C0 13 aM 40. - 39 , - - 40. 45 M m 62 14 19 1;6 6 3 4 - 62
46 Police Minf I1o -.. -o,...... ------.. - -
47 Gon Hoop I/Bum& 16 - 16 - - - 16 48 EEC nuke 2 - 2 . . . . . 2
49 Ni6eri Airport - - .. " -
50 BCCTeragi 13 .2 .. - 3
M/2Ge-Fm md&Amu Offs. g-7 ... . - . - .. - .La
- 54 4+w -k (ROSTOULI 2745 483 1$244 346 201t %51 298 22 274 P'CCTAGN o10 1$7.6% 45.3% $2.17.% 5.-%to.,% o.e, oo% ______I - I - - U I 1 0 )ERVICE-
FAMILY PLANING METHOD.
NC CLINIC FAMILY PLANN. JG METHODS
Tot- P I L L S I.U.C.D. INJECTABLE
Ci - 0 entiE'
:E Iorn 1L 3T - -3 - - 2 2 1 -2 p.2 4
0I EuJIlorin 514 338- -131 1-2C 62 .1 -20-7
4elele Maternity 45 110- - 254 36 -- 15 - 1 30- 1 a.ata Maternity 227 36-- 33 6 115 17 7 39
.H. C. Ogidi 138 39 -- 9 - 3 10 ...- 23!.
: H. C. Shao 56 36 - -- 1 - 1 - 15 -- - 3
-.H. C. Okeoyi 118 9 ----- 8 -- - 21
, .. C.Koko 10 5 .... - 5
6 D. H. U. Afn 55 30 11 6 - - 8
SD.H.U. Offa 569 47 1 1 - 31 - - 81
1 R. H. C. ftrinle 06 68 - - 3 - -. 19 -- 12
D. I. U. OMu-an 120 22 5 5 1 - 3 4 3 - 62
.2 G/H Omu-au 163 42 - - - 3 13 - :2 15 51
.DU Shaz 63- 145 - .. . . - 1-- 6 2 2 I-7 24 I-' M/Clino Iludm Ore 64 155 ------3 3 -- .3 15 RHC 7. 4 .. 2 - 2 - 31 1.5 DiU Kabba 80 27 ------2 33 2 - 35
17 .Gen.,Hoa. O .176 - 6 59 - 3 - 5 40 -'-n. Hoe. LokoJa 50 24 4 - 2 - - 19
' hU LokoLja 7852 - - 1 -.. 6 - - - 19 -
G/H Isalu Oyl 566 311 -- 48 5 .... 11 - " " 1 1 ,11
";t Aid CiniO MR 70 7 ---- -1 --- 62 ,.obi Speo. Hospital 58 32 - ...... 26
D. H. U. Lafiaqi 10 3 - ...... - - 3 - ---- 4- 2, D. H. U. Pat.gi 17 4 . -.--.- .- 13 - -en Hos0g.o-o- 1 - -- 1 - --
n. 7... -nto 18 5 /M .- 19 -2-
NO CLINIC FCMY PLANMIG PEMOID1
Ol jPI L S ZUOI C D 1nuzCTA3IZi
ant I am
*G/H Oro _2151.. IL .. L 2 1, 1i I 1,67-F . -- -- - . - - - -
3HBC Obbo.- Alyommil 1 1 - -- - - - - - 30ODHU Okene 422- -18 1- -3-- 2
1 iEe S. Sorvioe IILL 2- - - j .. 2 "_ G/H Kabe 106 1 , CO . 2.1--39a - 6 GoH Pataij 1. 1- -- - 1-1 MCRI. .C.o.aj..: 1 .. Bac2 Q &-i5.------2 1 i .1- J .1 1-"
- .-- BUC D ------__-
SPlo@ .I ,.oi 1 7 - - LL6 : 2 , . •L .. f.~.~.L - -1-- I-I- la U " - 1 2 - - - - -,
!,J HCW A------
Mi miui umm BHC1 ke~~ ~j Z...___ 1 ! . - 2. . -l eP 1i s 6T l 6 56 iui Pceontage 100 ------z.8 .3 16- Mgt fi, . , APPENDIX C
Resultz of a Survey Conducted
Under Supervision of Dr. 0. Fakeye, Chief
Obstetrics and Gynecology, University of Ilorin APPENDIX C
Reasons for Non-Use of Contraception, Ilorin LGA of Kwara State
Age Groups 15-19 2U-24 25-29 30-34 36-39 40 and above
N= 135 226 321 303 171 129 1. Personal problems with 3.7 3.5 7.2 5.9 7.6 4.7 method 2. Problems with a method 3.7 4.9 5.0 4.3 5.8 6.2 by other users 3. Fear of methods 6.7 6.2 9.3 5.9 7.6 1.6 Negative rumor 4. Husband rejection 9.6 17.7 14.0 15.2 19.3 18.6 5. Health reasons 3.0 4.0 2.8 2.6 2.9 9.3 Side effects 6. Temporary infecundity 2.2 0.4 1.9 3.0 2.3 1.6 7. Desire for another child 8.1 12.4 14.3 8.6 9.4 3.9 8. Not until first child is 13.3 5.8 1.2 1.0 - 1.6 born 9. Not until all wanted 8.9 9.7 5.6 7.6 (4.1) 4.7 children are born 10. Others 0.7 1.3 1.9 5.3 5.3 7.0 11. Declined response 40.0 34.1 36.8 40.6 35.7 41.1
Rec. 11/20/86 from The Pathfinder Fund