The assessment of factors affecting family planning education on its practices - a case study at Dormaa District

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Ghana adopted a population policy aimed at reducing the rate of growth of the population from 3.0% in 1970 to 1.7% by the year 2000. However, thirty years after adopting the policy, there have been no signs that the target has been achieved. Dormaa district has an estimated population of 148,626 according to the 2,000 population census figures released in 2002 with a growth rate of 3.1%. The District Health Management Team (DHMT) has identified low practice of family planning as a matter of great concern, considering the multiplying effect that lack of reasonable level of family planning practice can have on other health and socioeconomic conditions. A cross sectional study was undertaken to examine the low usage of family planning methods. Both quantitative and qualitative data were collected for analysis. Simple random sampling was used to select respondents for the study, and a cluster sampling was used for the focus group discussion. The results of the study showed that the facilities that exist in the Dormaa District for family planning services are woefully inadequate. The existing facilities are also not maintained. Transportation difficulties both on the part of clients and service providers made it impossible for the clients to visit the clinics. The providers generally find it difficult to do extension work. There is not enough trained staff to educate the people on family planning services. The study recommends therefore that more rural clinics be provided through community participation. It is also recommended that motor-bikes and bicycles be provided for family planning service providers for outreach programmes.
A thesis submitted to the Department of Community Health, School of Medical Sciences, College of Health Sciences Kwame Nkrumah University of Science and Technology in partial fulfilment of the requirements for the award of in Health Services Planning and Management, 2002