Qualitative Exploration of factors affecting Uptake and Demand for Contraception and other Family Planning Services in North-West Nigeria
), Oladapo A. Ladipo(2), Oluwaseun O. Akinyemi(3), Oluwafemi A. Popoola(4), Olajimi O. Latunji(5), Omowunmi Iyanda(6),
(1) Association for Reproductive and Family Health Training and Service Delivery Unit
(2) Association for Reproductive and Family Health
(3) Department of Health Policy and Management, College of Medicine
(4) Department of Community Medicine, College of Medicine
(5) 
(6) Association for Reproductive and Family Health
Corresponding Author
Abstract
In spite of the improvements in knowledge about family planning (FP), the contraceptive prevalence rate and unmet need for FP remain poor in most parts of Northern Nigeria. This study sought to explore specific factors that influence contraceptive uptake and demand in North-West Nigeria. Key Informant and In-depth Interviews were conducted using guides among stakeholders in two selected states in North-West Nigeria, Kebbi and Sokoto States. Interviewees were selected purposively to include Reproductive Health Focal Persons at the local government level, service providers, Women of Reproductive Age (WRA) and FP coordinators. Factors inhibiting contraceptive uptake included lack of health education, religion, fear of spousal rejection and side effects. Poor government funding and inadequate number of health workers were also identified as systemic factors. Suggested methods of overcoming identified challenges include; task-shifting, increased stakeholder participation and political will. (Afr J Reprod Health 2019; 23[4]: 63-74).
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