| Abstract: |
This study examined awareness and utilisation of intrauterine devices among married female civil servants in Onitsha North Local Government Area, Anambra State, Nigeria. Specifically, the study sought to determine the level of awareness of intrauterine devices, assess the extent of utilisation, and identify factors influencing utilisation among the respondents. The study was anchored on the Diffusion of Innovation theory, which explains how new ideas and health practices spread within a social system. A descriptive survey design was adopted. The population comprised 220 married female civil servants and a census approach was used. A total of 220 copies of the questionnaire were distributed, 214 were retrieved and found usable for analysis. Data were analysed using frequency counts and percentages. Findings revealed varying levels of awareness among respondents, with a considerable proportion indicating relatively high awareness though differences in depth of knowledge existed. Utilisation levels also varied, suggesting that awareness may not necessarily translate into consistent utilisation. Informational factors, interpersonal influences, perceived health concerns, socio cultural considerations, and access to health services appeared relevant in shaping utilisation patterns. The study concludes that awareness exists but varies, while utilisation is influenced by multiple contextual factors. It recommends sustained health education, strengthened counselling services, culturally sensitive communication strategies, and improved access to reproductive health services. |