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Abstract

Background: This study assessed knowledge, attitudes, and utilization of family planning (FP) among women of childbearing age attending the Federal University Teaching Hospital (FUTH), Owerri.


Methods: A cross-sectional survey was conducted among 120 women of reproductive age. Data were collected using a structured questionnaire distributed via Google Forms. Face and content validity were applied to validate the research instrument while research instrument was considered reliable, with a Cronbach’s alpha coefficient of 0.78. Information on socio-demographic characteristics, fertility, FP knowledge, and utilization patterns was obtained. Analysis of data was done using SPSS version 27, and inferential statistics (chi-square test) at a significance level of p ≤ 0.05.


Results: Findings showed that the mean age of respondents was 36.6 ± 8.5 years, with most being married 97 (80.8%), and the majority 108 (90%) having tertiary education. Knowledge of FP was generally good, 70 (58.3%). 54(45%) demonstrated good knowledge of fertility. The majority of respondents, 93(77.5%), had a positive attitude towards FP, 69(57.5%) had used any method, and current use was only 22(18.5%). A considerable number were not using any method, and only 47 (39.2%) had intention to still use FP. Statistically, educational level and employment status were significantly associated with knowledge of FP (p < 0.05). A higher proportion of respondents employed 47(68.1) had good knowledge compared to those unemployed 2(33.3%), (χ² = 9.538, p = 0.048). Marital status and occupation were significantly associated with fertility knowledge, while age and educational level influenced attitude. Age, marital status, and occupation were significantly associated with FP use.


Conclusion: Although knowledge and attitude were above average, utilization remained low; thus, there is knowledge-practice gap.

Keywords

women of childbearing age attitude fertility knowledge-practice gap contraception Family planning

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Olewuezi, G., Diorgu, F., A., H., & Ogbonna, V. (2026). Family Planning Knowledge, Attitudes, and Utilization among Women of Childbearing Age at a Tertiary Health Facility in Owerri, Nigeria. Journal of Public Health and Toxicological Research, 3(3), 349–359. https://doi.org/10.71637/jphtr.vol3no3.70
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