DISCUSSION OF FINDINGS FROM RESEARCH ON CHILD ADOPTION

 The chapter deals with discussion and detailed interpretation of the finding of the data and analyzed with regards to the research questions posed in this study.
This is done under the following headings:
·        Discussion of findings
·        Implication for nursing
·        Summary
·        Conclusion
·        Summary
·        Suggestions for further studies
DISCUSSION OF FINDINGS
Research question 1: what is the attitudes of couples towards child adoption practices?
From the analysis of data in figure 1 questionnaire item 1, 104(65%) of the respondents agreed that couples do not consider adopted children as bonafide members of their families, 38(23%) strongly agreed, 16(10%) disagreed while 4(2%) strongly disagreed. From the same component bar chart (figure 1), questionnaire item 2,96(60%) of the respondents agreed that couples have poor feelings towards child adoption, 38(24%) strongly agreed, 20 (12%) disagreed while 6(24%) strongly disagreed. From that same component bar chart  (fig.1), questionnaire item3, 106 (66%) of the respondents agreed that couples prefer adopting infants than older children, 30(19%) strongly agreed, 18(11%) disagreed while 6(4%) strongly disagreed.
This is in line with what Drame (2008) said that some families had to fake pregnancies to hide the truth of adoption due to poor societal attitude towards it. Pennington (2004) further stated that in developing countries, child adoption is carried out secretly in order not to expose the fact that “the parents” are not the biological parents. This further establishes the fact that couples have negative attitudes towards child adoption practice.
Research questions 2: How does gender influence the attitudes of couple towards child adoption?
From the analysis of data in figure 2, questionnaire item 4, 104(65%) of the respondents agreed that men would rather remarry than go for child adoption, 44(28%) strongly agreed, 7(4%) disagreed while 5(3%) strongly disagreed, from analysis of questionnaire item 5,  (figure 2  which was to know if an individual’s gender determines his acceptances of child adoption, 100(62%)  strongly agreed, 12(8%) disagreed while 6(4%) strongly determinant of his acceptance of child adoption.  Thus gender plays a major role on the influence of the attitudes of couples towards child adoption.  This is in line with what Bharatiya, (2005) said that men in developing countries would rather remark than go for child adoption. 
Research Question 3:  What are the factors that influence the choice of adoption as a management option for infertility? 
As noted from the responses to the questions asked to answer his question which were presented in (figure3).  In questionnaire item 6, 42(26%) of the respondents option for infertility depends on the cause of the infertility, 110(69%) strongly agreed, 5(3%) disagreed while 3(2%) strongly disagreed.  Furthermore, from the analysis  of questionnaire item 7, 32(20%) agreed, 115(27%) strongly agreed that spouse support for adoption makes the process of adoption easier while  8(5%) disagreed.  In questionnaire item 8 form the same component bar chart in figure 3, 107(6767%) of the respondents agreed, 38(24%) strongly agreed that the choice of adoption by infertile couples can be helped by advice and information from health workers while 11(7%) disagreed and k4(2%) strongly disagreed.
From this findings above, it was found out that among the reasons why coupled go for child adoption could be as a result of seeking adoption as a treatment option for their infertility.  Especially when the probability of cure of infertility is very slim, child adoption as a treatment option could be offered early by the Health workers so that willing couples can in initiate the processes. This  findings  are in line with what Keister, (2009)  reported  that every couple  has the desire to have their  own offspring  but in  a situation where they can not, due to congenital  or acquired disorder,  they will resort   to  adoption.  This findings also draws us  to the report  of  Steck, (1999)  who sees adoption as an  alternative  strategy in  the management of infertility  aimed  at bringing succor  to the affected couples.
Research question 4:  what are  the factors tat hinders  the process  of adoption?
From the  analysis of  data in figure  4  questionnaire   item 9, 98(61%) of  the respondents agreed that some cultures do not  accept  child adoption,  52(33%)  strongly  agreed,  7(4%)  disagreed while  3 (3%)  strongly  disagreed.  Another question was posed to find out  that the  financial  burden of child  adoption is not  affordable by  most adoptive couples . as  analyzed in questionnaire item 10,   35(22%) of the respondents are  of the positive view  that   the financial burden of child  adoption is not  affordable  by  most couples while  110(69%)  strongly agreed  and the remaining 15(9%)  are of the negative opinion. In  questionnaire item  11, figure  4,  it shows that  56(35%)  of the respondents agreed that the children and their  offspring are often stigmatized in the society while  104(65%)  sternly agreed. Furthermore, questionnaire item  12, was opined that   the undue   delay process and protocol hinders couples from opting for  adoption. From the analysis in figure 7,151(94%)  of the respondents are of the positive opinion that the undue delay process and  protocol   hinders couples from opting for  adoption while  9(5%)  are of  the negative opinion.
These findings above show that some cultures do not accept child adoption. It also shows that financial burdens of child adoption is not  affordable by most  adoptive couples and finally that these children are  often stigmatized in the society and this is in line with the report by Araoye, (2003) which stated that there could be possibility of  labeling the child “bastard”  and likelihood of anti-social – behaviours  in the society.
IMPLICATION OF NURSING  /MIDWIFERY
From the findings of this research work,  it was found out that men have strong negative attitude towards  child adoption practices. Also that some culture frown at child adoption.
This will pose a very big problem to the midwife/counselor who may wish to suggest  child  adoption as a means of solving infertility / childlessness in  couple
The nurse/midwife therefore ha  a great role  in creating awareness on child adoption as a means of  solving the problem of infertility in  marriage. Thus the work or  awareness creation  about child adoption  will be focused more on the  men folk.

SUMMARY
From  the research study, it was found out that child adoption is a legal process whereby a couple assume  parental  responsibilities of a child  who is not their  biological child. It  is legal process bracket by the force of the law and therefore must  be legally carried out.
In Nigeria and  Africa as a whole where the presence of children in the family is of immense value,  child adoption has been proved to ameliorate the suffering of  woman who remained childless after reproductive years.  Child adoption is therefore a practice that should be  supported and practiced.
It was also found out that infertility  is one  of the major reasons why  couples go for child adoption in Abakaliki  Urban of Ebonyi State. Another reason was the desire to even the sex of  children in the family where  a particular sex  dominates.
Gender was  found out to be the major determinant of  an individual’s  acceptance of child adoption as men were found to have strongly negative attitudes towards  the practice. It  was also found out the men would rather remarry than go for  child adoption.
Cultural  belief is  also a determinant  of the attitude of couples towards child adoption as some culture like Yoruba’s culture do not support child adoption practices

CONCLUSION
From the findings and discussions  of this study, it was concluded that:
-       gender is  a major determinant of the attitude of couple  towards child adoption as male  spouse have negative attitude towards it and thus would rather  remarry than go for child adoption
-      Infertility/childlessness in marriage  is a major  reason whey couple go for  child adoption, so therefore, the choice of adoption as a management option for infertility depends on the cause of the infertility .
-      Spouse support for adoption makes the process of adoption easier
-      The cultural belief on an individual  determines  to an extent his acceptance of family planning as some culture do not support  child  adoption.
-      finally, it was found out that the choice of adoption  by  infertile couples can be helped by advice and information from health workers.

RECOMMENDATIONS
Based on the above, various recommendations were made  including;
1. Government should  organize seminars,  workshops  or conferences for the public especially infertile couples on  the concept of child adoption as a alternative method of  having the  child of their own when it  is obvious that they can not bear children.
The state government, public and private health agencies and religious organization in Ebonyi  State  should campaign  against various misconceptions held  by people against child adoption  and government should also subsidize the financial burden involve   in child adoption

SUGGESTIONS FOR  FURTHER STUDIES
Further research study should  be  carried out on: - 
-      impact  of gender on the acceptance of  child adoption.
-      The role of child adoption practices in solving infertility in marriage.
-      The influence of culture on child adoption practices.

REFERENCES
Araoye, M.O. (2003). Epidemiology of infertility: Social problems of the infertile couples. West Afr. J. Med; 22(2):190-6.
Bharatiya-Samaj, (2005). Child Adoption and Fostering – A way for infertile couples. New York: Wiley.
Dellacara, F.A. Engel, M. and Norman, K.(2007).
International policy on Child Adoption and Fostering. International Journal of Sociology and Social Policy 27(5),2570.
Diri, B.(2003). Introduction to the Child Act – A new Framework for the care and upbringing. London: Scarlett Press.
Drame, D. (2008). The impact of Infertile on Couples. Retrieved December 7, 2008. From htt//www.NYscc.org.
Ezugwu F.O., Obi S.N. Onah HE. The Knowledge, Attitude and Practice of Child Adoption among Infertile Nigeria  Women. J Obstet Gynaecol 2002; 22(2):2116.
Fummilayo, O.O. and Kolawole, K.O. (2006). Draft copy of Training Hand book or family planning clinical service provider. Fertile Research Unit Department of Obstetrics and Gynaecology, College of Medicine, University of Ibadan, Ibadan.
Hewett, P.C. (2001). The Adoption Triangle. New York: Anchor. Lori Bau-Adoption of Children in Nigeria under the Child.doc.
Matter, M.(2000). Doctors for Children in Public and Care.
London: British Agencies for Adoption and Fostering. Fraster and Cooper, (2003). Myles Text Book for Midwives 14th edition, Church Hill Living Stone Edinburg London New York. Nwalozie, G. (2003). Helping Childless Couples to Adopt.
Retrieved December 7, 2008 from www.martinslibrary.com
Obi M.AO. (2005). Fundamentals of Research Methods and Basic Statistics for the Social  Sciences Onitsha: Abbot Books Ltd.
Okonofua, F. (2003). Infertility in Sub-Saharan Africa. Contemporary Obstetrics and Gynaecology for Developing Countries edited by Friday Okonofua and Kunle Odunsi Publshed by Women” Health and Action Research Centre, Benin City, 8:128-56.
Pennington, J.P. (2004). Letting Go and Holding on. New York: The Chapman and Hall. Retrieved December 7, 21008. From times of India Indiatimes
Rustein S, Shah, IH (2005). Infecundity, Infertility and Childlessness in Developing Countries. In: information and knowledge for optional Health (INFO) Project USAID 2005. 4th July,  2005.
Steinberg, L.T (2005). Trasracially Adopted Children Bill of Rights. New York State Citizens Coalition for Children incorporated. Retrieved. December 7, 2008. From http//www.nysc.org.

Questionnaire
Dear Respondent,
Letter of Introduction
I am a student midwife of the above named department conducting a research on “Attitudes of Couples towards Child Adoption Practices in Abakaliki Urban of Ebonyi State”.
It would be highly appreciated if you would kindly answer the questions contained in the questionnaire attached. The purpose of this research is purely academics as all information supplied by you would be treated with utmost confidentially.
Thanks for your anticipated cooperation.
Yours faithfully,
Ukwuome Esther N.
Student Midwife

Section A: Bio-Data
1.      Sex: (a) Male        (b) Female      
2.      Age: (a) 25-45 years        (b)45-65 years     
Above 65 years     
Educational Qualification (a) FSLC       (b) SSCE      
(c) Graduate       (d) post graduate       
Section B
(Please indicate to what extent you are agree or disagree to the following statement)
Key
SA – Strongly agree A – Agree
D – Disagree SD – Strongly disagree
s/n

AS
A
D
SD
1
Couples do not consider adopted children as bonafide members of their families
AS



2
Couples do not consider adopted children as bonafide members of their families.




3
Couples prefer adopting infants than older children




4
Men would rather remarry than go for child adoption.




5
Gender of an individual is a strong determinant of the acceptance of child adoption.




6
The choice of adoption as a management option for infertility depends on the cause of the infertility.




7
Spouse support for adoption makes the process of adoption easier.




8
The choice of adoption by infertile couples can be helped by advice and information from Health workers.




9
Some cultures do not accept child adoption.




10
the financial burden of child adoption is not affordable by most adoptive couples.




11
The children and their offspring are often stigmatized in the society.




12
The undue delay process and protocols hinders couples from opting for adoption.




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