Perceived Risks Associated with Contraceptive Method Use among Men and Women in Ibadan and Kaduna, Nigeria

Hilary M Schwandt, Joanna Skinner, Luciana E Hebert, Abdulmumin Saad


Research shows that side effects are often the most common reason for contraceptive non-use in Nigeria; however, research to date has not explored the underlying factors that influence risk and benefit perceptions associated with specific contraceptive methods in Nigeria. A qualitative study design using focus group discussions was used to explore social attitudes and beliefs about family planning methods in Ibadan and Kaduna, Nigeria. A total of 26 focus group discussions were held in 2010 with men and women of reproductive age, disaggregated by city, sex, age, marital status, neighborhood socioeconomic status, and—for women only—family planning experience. A discussion guide was used that included specific questions about the perceived risks and benefits associated with the use of six different family planning methods. A thematic content analytic approach guided the analysis. Participants identified a spectrum of risks encompassing perceived threats to health (both real and fictitious) and social concerns, as well as benefits associated with each method. By exploring Nigerian perspectives on the risks and benefits associated with specific family planning methods, programs aiming to increase contraceptive use in Nigeria can be better equipped to highlight recognized benefits, address specific concerns, and work to dispel misperceptions associated with each family planning method.

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Hatcher RA, Trussell J, Nelson AL, Cates W,

Stewart FH and Kowal D. Contraceptive Technology, 19th ed. New York, NY, USA: Ardent Media, 2007.

Schwandt et al. Perceived Contraceptive Risks in Nigeria

African Journal of Reproductive Health December 2015; 19 (4):

Khan S, Mishra V, Arnold F and Abderrahim N. DHS

Comparative Reports No. 16: Contraceptive Trends in Developing Countries. Calverton, MD, USA: Macro International, 2007.

Westoff CF. DHS Comparative Reports No. 1: Unmet

need at the end of the century. Calverton, MD, USA: ORC Macro, 2001.

Campbell M, Sahin-Hodoglugil NN and Potts M.

Barriers to fertility regulation: a review of the literature. Stud Fam Plann 2006; 37(2): 87-98.

Williamson LM, Parkes A, Wight D, Petticrew M and

Hart GJ. Limits to modern contraceptive use among young women in developing countries: a systematic review of qualitative research. Reprod Health 2009; 6(3): 1-12.

Bradley SEK, Schwandt HM and Khan S. DHS

Analytical Studies No. 20: Levels, trends, and reasons for contraceptive discontinuation. Calverton, MD, USA: ICF Macro, 2009.

National Population Commission of Nigeria and ICF

Macro. Nigeria Demographic and Health Survey 2008. Abuja, Nigeria: National Population Commission and ICF Macro, 2009.

Omideyi AK, Akinyemi AI, Aina OI, Adeyemi AB, Fadeyibi OA, Bamiwuye SO, Akinbami CA and

Anazodo A. Contraceptive practice, unwanted pregnancies and induced abortion in Southwest Nigeria. Glob Public Health 2011; 6(S1): S52-S72.

Aransiola JO, Akinyemi AI and Fatusi AO. Women's

perceptions and reflections of male partners and couple dynamics in family planning adoption in selected urban slums in Nigeria: a qualitative exploration. BMC Public Health 2014; 14:869.

Adeyinka DA, Oladimeji O, Adeyinka EF, Adekanbi

IT, Falope Y and Aimakhu C. Contraceptive knowledge and practice: a survey of undergraduates in Ibadan, Nigeria. Int J Adolesc Med Health 2009; 21(3): 405-411.

Ugboaja JO, Nwosu BO, Ifeadike CO, Nnebue CC

and Obi-Nwosu AI. Contraceptive choices and practices among urban women in southeastern Nigeria. Niger J Med 2011; 20(3): 360-365.

Green J and Thorogood N. Qualitative methods for

health research. Thousand Oaks, CA, USA: Sage Publications, 2004.

Audu BM, El-Nafaty AU, Bako BG, Melah GS,

Mairigaand AG and Kullima AA. Attitude of Nigerian women to contraceptive use by men. J Obstet Gynaecol 2008; 28(6): 621-625.

Renne EP. Condom use and the popular press in

Nigeria. Health Transition Rev 1993; 3(1): 41-56.

Drennan M, Reproductive health: new perspectives on

men‘s participation. Popul Rep 1998, Series J, No. 46.

Adebiyi AO and Asuzu MC. Condom use amongst

out of school youths in a local government area in Nigeria. Afr Health Sci 2009; 9(2): 92-97.

Sunmola AM. Sexual practices, barriers to condom

use and its consistent use among long distance truck drivers in Nigeria. AIDS Care 2005; 17(2): 208-221.

Stanback J, Spieler J, Shah I and Finger WR.

Community-based health workers can safely and effectively administer injectable contraceptives: conclusions from a technical consultation. Contraception 2010; 81(3): 181–184.

Adekunle AO, Arowojolu AO, Adedimeji AA and

Roberts OA. Adolescent contraception: survey of attitudes and practice of health professionals. Afr J Med Med Sci 2000; 29(3-4): 247-252.

Askew I, Mensch B and Adewuyi A. Indicators for

measuring the quality of family planning services in Nigeria. Stud Fam Plann 1994; 25(5): 268-283.

Hebert LE, Schwandt HM, Boulay M and Skinner J.

Family planning providers' perspectives on family planning services delivery in Ibadan and Kaduna, Nigeria: a qualitative study. J Fam Plann Reprod Health Care 2013; 39(1): 29-35.

Speizer IS, Hotchkiss DR, Magnani RJ, Hubbard B

and Nelson K. Do Service Providers in Tanzania Unnecessarily Restrict Client‘s Access to Contraceptive Methods? Int Fam Plan Perspect 2000; 26(1): 13-20 & 42.

Calhoun LM, Speizer IS, Rimal R, Sripad P,

Chatterjee N, Achyut P and Nanda P. Provider imposed restrictions to clients‘ access to family planning in urban Uttar Pradesh, India: a mixed methods study. BMC Health Serv Res 2013; 13: 532.

Stanback J and Twum-Baah KA. Why Do Family

Planning Providers Restrict Access to Services? An Examination in Ghana. Int Fam Plan Perspect 2001; 27(1): 37-41.

Adesiyun AG. Female sterilization by tubal ligation: a

re-appraisal of factors influencing decision making in a tropical setting. Arch Gynecol Obstet 2007; 275(4): 241-244.

Okunlola MA, Oyugbo IA and Omonikoko KM.

Knowledge, attitude and concerns about voluntary surgical contraception among healthcare workers in Ibadan, Nigeria. J Obstet Gynaecol 2007; 27(6): 608-611.


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