BACKGROUND:
Family planning remains a cornerstone of reproductive health1,2, contributing to maternal and child survival, reducing unintended pregnancies, and improving socio-economic outcomes3. Despite these benefits, utilisation of family planning services in many parts of Nigeria remains suboptimal, often influenced by socio-cultural and religious factors.4–8.

OBJECTIVE:
This study assessed the knowledge, utilisation, and challenges associated with family planning methods among women attending the Family Support Clinic in Wadata, Makurdi.

METHODS:
A descriptive cross-sectional study was conducted among 80 women of reproductive age, selected purposively. Data were collected using a structured questionnaire on socio-demographic characteristics, knowledge, utilisation, and challenges of family planning. Findings were analysed using descriptive statistics and presented in frequencies and percentages.

RESULTS:
Respondents showed a strong understanding of family planning, correctly identifying natural, hormonal, and permanent methods (100%) and barrier methods (91%). Key benefits mentioned included preventing unwanted pregnancies (95%), reducing pregnancy-related complications (81%), and enhancing maternal and child health (68%). Usage was also high, with 91% reporting ever using a method and 94% currently using one. Barrier methods (81%) and hormonal methods (71%) were the most common, with no reports of permanent methods. Challenges faced included religious beliefs (84%), cultural perceptions (73%), and access to services (100%). Partner involvement was prominent, as all respondents (100%) reported discussing family planning with their spouses.

CONCLUSIONS:
The study showed high knowledge and utilisation of family planning among respondents, although socio-cultural and religious barriers still exist. Nurses and other healthcare providers need to enhance culturally sensitive health education, improve service accessibility, and encourage male involvement to maintain progress in family planning use.