The Influence of Functional Literacy on Women Reproductive Health Practices

1.1 Introduction

Functional literacy is literacy that observes the minimum skills needed to meet personal and social needs in general (Collins & O’Brien, 2003). Functional literacy is an important aspect of the requirements for fundamental education outcomes. It incorporates domestic skills, knowledge of other cultures and an opportunity to develop personal attributes such as initiative and freedom (UNESCO, 2011). The uses of functional literacy has evolved from merely thinking about the usefulness of reading and writing in the context of communication alone but now include the socio-economic improvements (UNESCO, 2013a). Furthermore, a person with functional literacy is more likely to have an open mind that opens him/her to business opportunities.

As a prelude to other parts of this study, this chapter will discuss the background upon which this study was initiated, the statement of problems that led to this study, the Aim and Objectives of the study. Others are Significance of the study, Scope of work, Research hypothesis and questions, Limitations of the Study and Definition of technical terms.

1.2 Background of Study

Functional literacy has many dimensions and its meaning varies according to context (Bakare, 2004). Literacy is now seen more in terms of whatever is required for one to be functionally competent, which may also involve the possession of certain basic skills. This is the idea behind functional literacy. In line with UNESCO’s definition, Egenti (2005) sees functional literacy as that aspect of education which enables an individual to perform his role in society. That is, it is an exercise in literacy education which is integrated with development and one which becomes, from its very nature a constituent part of a development plan. Literacy, therefore, is an indispensable strategy for empowering the girls, women and men. In essence, it is seen as a part of the way of improving a better quality of life. This is because it has the potency to fight ignorance, poverty, diseases, disillusionment and abandonment which are obstacles to self-fulfillment of an individual.

It is instructive to note that high levels of illiteracy among the girls and women are closely linked to poor health status in the family (Udeani, 2004). This is why the Federal Ministry of Health conferred with the World Health Organization in 1987 to initiate the female functional literacy for health projects in Benue and Niger States. Literacy and Numeracy Lessons were organized around several health issues such as nutrition, child care, personal and environmental health, reproductive health, combined with health improvement activities for mothers.

The development of primers in Tiv and Nupe languages were used to achieve the project objectives of literacy, health and income generation as they were the medium for three component messages. The remarkable improvement in the total quality of life project participants in the two states gave the project implementers at the Federal, State and Local Government levels the encouragement and confidence to call for the national replication of the project. The primers are now written in English and translated into three major languages of Hausa, Igbo and Yoruba to make them more relevant to a wider audience.

However, the importance of functional literacy for girls and women reproductive health control cannot be underscored. Evidences abound in literature on handsome rewards of functional literacy in promoting the girls and women reproductive health practices. Udeani (2004) posits that literacy is a key factor influencing women reproductive health. In other words, reproductive health practices may depend on level of education. This is why Njelesani, E.K. The World Health Organization (WHO) Representative for Nigeria said, ‘Education kills the disease of ignorance, superstitions, fear and poverty.

Most undeniably, women in Nigeria, including Lagos Mainland reproductive health’s affect and are affected by the broader context of their lives, including their economic circumstances, education, employment, living conditions and family environment, social and gender relationships, and the traditional and legal structures within which they live. According to Wikipedia Contributors (2012), most reproductive health problems cannot be significantly addressed in the absence of health services and medical knowledge and skills. The status of girls and women in society, and how they are treated or mistreated, is a crucial determinant of their reproductive health. Educational opportunities for girls and women powerfully affect their status and the control they have over their own lives and their health and fertility. The empowerment of women is therefore an essential element for health.

Undeniably, women bear by far the greatest burden of reproductive health problems. Women are at risk of complications from pregnancy and childbirth; they also face risks in preventing unwanted pregnancy, suffer the complications of unsafe abortion, bear most of the burden of contraception, and are more exposed to contracting, and suffering the complications of reproductive tract infections, particularly sexually transmitted diseases (STDs). Statistics show that among women of reproductive age, 36% of all healthy years of life lost are due to reproductive health problems such as unregulated fertility, maternal mortality and morbidity and sexually transmitted diseases including HIV/AIDS. By contrast, the equivalent figure for men is 12 % (United Nations Population Network, 2012). Biological factors alone do not explain women’s disparate burden. Their social, economic and political disadvantages have a detrimental impact on their reproductive health. Young people of both sexes are also particularly vulnerable to reproductive health problems because of a lack of information and access to services (Ransome-Kuti, 2001).

Therefore, in Lagos Mainland Local Government Area where the research was carried out, the activities that was conducted is to assess the Influence of Functional Literacy on Women Reproductive Health Practices.

1.3 Statement of Problems

Investigation revealed that girls and women face health problems related to their reproductive role, inferior social status, and lack of education and access to information. Consequently, they are often poorly informed about their sexuality, and become vulnerable to such problems as unwanted pregnancy, unsafe abortion and sexually transmitted diseases. Although, the Federal Ministry of Health conferred with the World Health Organisation in 1987 to initiate the female functional literacy for health projects in Nigeria, yet statistics show that 50 per cent of maternal deaths are young adult women due to illegal abortions, abortion complication account for 72 per cent of all deaths among young adult women under the age of 19 years.

Report also indicates that some 8 million children around the world have lost their mothers to HIV/AIDs (Ransome − Kuti, 2001). The fore going provide the basis for examining the Influence of Functional Literacy on Women Reproductive Health Practices and how this functional literacy can help alleviate to problem of reproductive health behavior.

1.4 Aim and Objectives of Study

The aim of the study is to assess the Influence of Functional Literacy on Women Reproductive Health Practices. In achieving this aim, the following specific objectives were laid out as follows:

1. To establish the relationship between educational status and improvement of the girls and women reproductive health.
2. To examine the girls’ and women’s knowledge about their reproductive health.
3. To assess the content and adequacy of female functional literacy for heath projects in Lagos Mainland.
4. To determine if participants’ occupation would affect their performance in the female functional literacy for health issues.
5. To ascertain whether participants in the female functional literacy for health issues have better control in their reproductive life than when they were not.

1.5 Research Questions

The study came up with research questions so as to be able to ascertain the above stated objectives. The specific research questions for the study are stated below as follows:

• Does educational status of the girls and women have positive influence in promoting their reproductive life?
• Do the girls and women have knowledge of their reproductive health?
• How relevant and effective is the female functional literacy for health programmes in Lagos Mainland?
• What influence does participants’ occupation have in their performance in female functional literacy for health issues?
• Will the girls and women who participate in functional literacy for health issues have control in their sexual lives than when they were not?

1.6 Research Hypothesis

In order to pursue the objective of this study, the following generalized statements have been designed to guide and aids in obtaining the result for the experiment to be conducted. For this work, the null hypothesis will be represented with H0 while the alternative hypothesis will be represented with hypothesis H1.

• H₀1: The level of education of the girls and women will not have significant positive effect in promoting their reproductive health.
• H₀2: The type of information available to the girls and women does not have significant effect on their reproductive health practices.
• H₀3: The content of the female functional literacy for health programmes does not have significant positive effect in promoting their sexuality.
• H₀4: Participants’ occupation does not have significant effect on their level of performance in female functional literacy for health programmes.
• H₀5: Participants in female functional literacy for health will not be capable of having satisfying and safe sex.

1.7 Significance of Study

The study is relevant in the true sense that it will promote the girls and women reproductive health. It has identified the place of female functional literacy for health issues and documents the present health improvement activities for the girls and women in Lagos Mainland Local Government Area.

The study will help non-literate women population in Nigeria, particularly in Lagos State with the skills (cognitive and occupational) necessary for maintaining a safe sex life. It will assist policy makers and instructors/ facilitators to have a deeper insight into more practical methods of organizing female functional literacy for health projects. It will help government at all levels to promote literacy education whether for the child or adults because of its importance to the recipients’ lives.

This study will also be a good reference material for the governments at all levels, more especially the Lagos State Government to utilize in identifying and promoting reproductive health of youth, women and men living in the state. The girls and women in the state will have to benefit from the study because it will serve as a mechanism of promoting their reproductive health. This study will further enhance participants’ capability to acquire or increase their literacy skill of reading, writing and numeracy. It will also add literature to the existing field of adult education.

1.8 Scope of Study

The scope of the research is focused on the Influence of Functional Literacy on Women Reproductive Health Practices using Lagos Mainland Local Government Area in Lagos State as a case study. The study covers 150 girls and women who participated or are still participating in functional literacy for health programmes. Also time and material pose some constraints.

1.9 Limitations of the Study

During the course of this study, many things militated against its completion, some of which are:

1. Time Constraint: The time frame given to accomplish this project was very short due to school academic calendar and it was carried out under pressure which made the researcher not to implement some necessary features.
2. Research material: availability of research material is a major setback to the scope of the study.
3. Frequent power failure: This made the researcher append more money on fuel to ensure sustainable power.
4. Financial Constraint: Insufficient fund tends to impede the efficiency of the researcher in sourcing for the relevant materials, literature or information and in the process of data collection (internet, questionnaire and interview).

1.10 Operational Definitions of Terms

The following terms are operationally defined.

Literacy: Ability to read, write in any language and to manipulate figures.

Functional Literacy: Using the literacy skills for ones’ occupation and environment.