Based on the responses gathered from the first objective when participants were asked about their knowledge of Billing’s ovulation in terms of awareness of the method, techniques of the method, and source of knowledge. The majority of married women interviewed attested to a high level of awareness of Billing’s ovulation as a method of family planning. According to the responses gathered, the reason for the high knowledgeability rate could be that the majority of respondents have seen the need for family planning. When asked about their source of knowledge about the Billing’s ovulation method, their responses varied significantly, and these differences could be attributed to friends and relatives, health professionals, family counsellors, and religious organizations. It can be seen from this discussion that married women within the metropolis of Lagos are aware and knowledgeable about the Billing’s ovulation method and this could be responsible for the sizeable adoption rate recorded among the participants.
When the above result is compared to previous research, it is possible to conclude that many of these studies are in opposition to the current study. For example, understanding the BOM, like many other natural family planning techniques, entails knowledge of the method's existence as well as its processes, guiding rules, and everything else that must be learned in order to use it correctly. Scholars have argued that the understanding, knowledge and use of natural family planning methods, particularly the BOM, is limited in Nigeria in comparison to modern techniques 13 14 12. According to a study conducted by 14, lack of awareness was the primary barrier to the use of natural family planning techniques among the respondents in their study. As a result, for these scholars, modern contraceptive methods have surpassed natural methods in terms of awareness, with incorrect information even available on natural methods.
Inferring from the responses presented in the second objective of this study, when participants were asked about their perception of the perceived effectiveness of the Billing’s ovulation method in avoiding pregnancy by probing their feeling of security while using the method, willingness to recommend the method, and thought of disengagement. It was empirically evident that the majority of participants alluded to the Billing’s ovulation method's effectiveness in avoiding pregnancy and their willingness to recommend it to their friends and relatives, as well as their unwillingness to abandon this method. This means that the efficiency of a method is seen to be a key influence in its acceptance and security among individuals. In 1998, the World Health Organization (WHO) claimed that the effectiveness of a method is determined by how effectively it is comprehended and used.15, he opined that the ineffectiveness or failure of the Billing’s ovulation arises from the inability of the couple to follow through with the instruction and rules of the method. That is; if couples are well acquainted with the techniques surrounding this method, there would be high level of effectiveness recorded in the future to come among married couples.
According to the responses presented in the third objective of this study, when participants were asked about their spouse's attitude towards the adoption of the Billing’s ovulation method while probing them on their spouse's support and involvement in the techniques surrounding its use, their spousal willingness to abstain from sex during the fertile period, and spousal continuous approval of the method. It was concluded that the majority of participants mentioned their spouses as a supporting mechanism for their effective practice and adoption of the Billing’s ovulation method. Looking critically at their responses, one could detect positive narratives that positioned the spouses as supportive and fully involved in the calculation of menstrual cycles and the changes that occurred thereafter.
However, the majority of participants expressed satisfaction with their spouses' support for and participation in the Billing’s ovulation method adoption. 16 Communication between married partners is a key predictor of fertility-based methods like the BOM. It enables more equitable gender roles and shared decision-making, and it also serve as a good indicator for reproductive health decision among married couples.