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Item Predictors of the usage of contraceptive implants among women of reproductive age in Ondo State, Southwest Nigeria(Pacini Editore Srl, 2020) Ojo, O. O.; Ndikom, C. M.; Alabi, P. I.Background: A major characteristic of all developing countries is rapid population growth which is due to high fertility, birth rates and poor utilization of contraceptive methods. This study therefore assessed the predictors of contraceptive implants utilization among women of reproductive age in Ondo State, Nigeria. Methods: A descriptive cross-sectional study design was used and a total of 230 women were selected by multi-stage sampling technique. Questionnaire administration was interviewer-based majority of the women could not read. Data analysis was con- ducted using SPSS version 23. Research questions and hypotheses were answered and tested with descriptive statistics (frequency, percentages), chi-square test of significance and binary logistic regression. Levels of significance was set at p ≤ 0.05. Results: The prevalence of contraceptive utilization (any method) and contraceptive implant utilization were 92.2% and 31.1% respectively. Variables such as education (72= 6.91, p = 0.03) and lack of counseling from providers (72 5.05, p = 0.03) were significantly associated with the utilization of contraceptive implant. These two variables were also the predictors of contraceptive implant utilization. Women with secondary and tertiary education have higher odds of utilizing contraceptive implants (OR = 1.21, 95% CI = 1.01-7.82, p = 0.04) and (OR = 2.53, 95% CI = 1.49-11.47, p = 0.03) compared to women who had primary or no education while those who claimed to be adequately counseled by providers are about two times more likely to use contraceptive implants (OR = 2.33, 95% CI = 1.08-5.51) Conclusion: This study showed the important role of education and health workers in providing information about contraceptive implants. Therefore, health workers' knowledge of family planning counseling and services should be constantly upgraded so as to improve their roles in educating, mobilizing, counseling the women regarding contraceptive implant insertion.Item Women’s Choice, Satisfaction, and Compliance with Contraceptive Methods in Selected Hospitals of Ibadan, Nigeria(School of Nursing & Midwifery, Mashhad University of Medical Sciences, 2018) Ndikom, C. M.; Ojo, O. C.; Ogbeye, G. B.Background & aim: Population control has remained an issue of concern to many developing nations. Many women have unmet needs for contraception. Despite the available options for abortion, unwanted pregnancies account for a high maternal mortality rate. Regarding this, the present study aimed to investigate the choices, satisfaction, and compliance with contraceptive use among the women living in Ibadan, Nigeria. Methods: This cross-sectional study was conducted on 290 women attending the pediatric welfare clinics in four hospitals in 2015. The study population was selected through purposive sampling technique. The data were collected using a self- administered questionnaire. The data were analyzed using descriptive statistics and Chi-square test through SPPS, version 16. Results: According to the results, 95% of the participants were aware of the contraceptive methods, and 72.1% of them had used these methods. Partner's refusal was the major reason for non-use of contraceptives. The birth control methods, which were commonly utilized, were natural family planning (36.5%) and oral contraceptives (30.8%). Furthermore, up to 60% of the subjects were satisfied with the method they used, and 70% of them adhered to the chosen methods. Additionally, compliance with contraceptive methods had a significant association with partners' approval (P=0.038) and satisfaction with contraceptive methods (P=0.04). Conclusion: As the findings of the present study revealed, partners' approval of contraceptives had a significant role in the use of the birth control methods. Furthermore, some women were not satisfied with the methods they used. Regarding the findings of the study, the partners should be involved and well informed about contraceptives in order to enhance their use of contraceptives. Moreover, the women should be provided with appropriate information to be able to make an informed decision for choosing the suitable contraceptive methods.Item Awareness and attitudes of women towards cervical cancer screeningin Oyo state, Nigeria(MA Healthcare, 2014) Bammeke, O. O.; Ndikom, C. M."Cervical cancer is one of the leading causes of cancer deaths among women especially in the developing world. This study examined the awareness and the attitude of women towards cervical cancer screening in Agbowo Primary Health Centre in Ibadan, Nigeria. Using a cross-sectional study design and convenient sampling, a questionnaire was administered to collect data from 100 women who utilised postnatal and immunization services in the health centre. The hypotheses were tested using Pearson product moment correlation at significance level of P<0.005. The findings showed that the majority (52%) of the participants were aware of cervical cancer, 58% were aware of cervical cancer screening but only 5.0% had utilised cervical cancer screening services. There was significant positive relationship (r=0.369; P=0.001) between awareness and utilisation of cervical cancer screening services and educational background and utilisation of cervical cancer screening services (P=0.002) as well as economic status and use of the screening services (r=0.276; P=0.001). Attitude and uptake of cervical cancer screening services also showed a positive correlation (r=0.276; P<0.006) some of the factors that influenced uptake include lack of awareness about where to get screened, cost, attitude of health workers and delay in hospitals. The study has shown that cervical cancer screening uptake is still very poor, although, the awareness of cervical screening was fairly high. There is no doubt that education improve uptake of cervical cancer screening. There is still the need to create more awareness and make the services available so as to improve the uptake of cervical cancer screening.Item Awareness, perception and factors affecting utilization of cervical cancer screening services among women in Ibadan, Nigeria(BioMed Central, 2012) Ndikom, C. M.; Ofi, B. A.Background: Over the years awareness and uptake of cervical cancer screening services has remained poor in developing countries. Problems associated with cervical cancer incidence include late reporting, ignorance and cultural issues relating to cervical cancer screening. This study sought to explore the awareness, perception and utilization of cervical cancer screening among women in Ibadan as well as factors that influence utilization. Method: This is a qualitative study that utilized Eight Focus Group Discussions to collect information from women in selected health facilities in Ibadan, South West, Nigeria. The 82 participants were purposely recruited from women attending Antenatal clinics in 4 secondary and 4 primary health care facilities after approval was received from the Institutional Review Board in charge of the facilities. The focus group discussions were tape recorded and transcribed verbatim. The transcripts were analyzed into themes. Findings: The study provided qualitative information on the awareness, perception of the utilization of cervical cancer screening services among women in Ibadan. Participants were mainly married women (92.7%), mean age =27.6, SD =4.5, mainly traders (39%) and from Yoruba ethnic backgrounds (87.8%) and had secondary education (39%). The respondents reported not being aware of cervical cancer and were not utilizing the services. Though they did not know what cervical cancer screening entailed or the screening methods, they still believed that it is important since like for other diseases will help in early detection and treatment. The participants were eager to get more information from nurses on cervical cancer about cervical cancer screening. The major factors identified by the women that influence screening utilization were ignorance, Illiteracy, belief in not being at risk, having many contending issues, nonchalant attitude to their health, financial constraint and fear of having a positive result. Conclusion: There is an urgent need for more enlightenment about cervical cancer especially by health workers. Also, cervical cancer services should be made available at very affordable cost so that women can easily access the services in order to reduce incidence of invasive cancer.