Unmet need for family planning and barriers to contraceptive use in Kaduna, Nigeria

Culture, myths and perceptions

Datos Bibliográficos

ID15099158
AutoresIrit Sinai (0000-0003-2445-7577, Palladium, Washington, DC, USA, autor de correspondencia), Elizabeth Omoluabi (0000-0003-1754-5384, Akena Associates, Kaduna, Nigeria), Adenike Jimoh (0000-0003-0291-2882, Department of Paediatrics, College of Medicine and Health Sciences, Bingham University, Jos, Nigeria), Kaja Jurczynska (Palladium, London, UK)
Año2020
Volumen22
Número11
Páginas1253-1268
Fecha de publicación2020-11-01
Peer ReviewedSí
Open AccessSí
TipoARTICLE
RevistaCulture Health & Sexuality (JOURNAL)
Identificadores de la revistaISSN: 1369-1058 • E-ISSN: 1464-5351
EditorialInforma UK Limited (PUBLISHER • GB)
DOI10.1080/13691058.2019.1672894
PMID31662042
OpenAlexW2982604226
IdiomaEN
Citas recibidas18
Referencias citadas8

In 2017, just one-fifth of all married women of reproductive age reported using contraception in Kaduna state, Nigeria, while many more experienced unmet need for contraception. These realities drive risky fertility behaviours and compromise reproductive rights. This study explored the determinants of low modern contraceptive uptake and persistent unmet need among women in the state. Nine focus group discussions were conducted with married women who met study criteria for unmet need, and who had different levels of access to contraception. Discussions confirmed that many women in Kaduna do not feel empowered to make contraceptive decisions. Yet there is a growing preference for smaller families and decreased stigmatisation of contracepting women. Barriers at home, in the community and in health facilities impose a ceiling on the extent to which women's fertility desires may be achieved. These include cultural, normative, social and financial factors, such as the need for husband's permission to access services, service providers' insistence on spousal consent, subtle and overt pressures to use folkloric approaches by religious leaders, and high real, or perceived, out-of-pocket costs. These findings suggest that Kaduna is on the cusp of social change and study findings can be translated into programmatic interventions to improve voluntary uptake of contraception

Abstinence · Business · Environmental health · Family medicine · Family planning · Fertility · Focus group · Population · Psychological intervention · Reproductive health · Service provider · Sociology · Adolescent Sexual and Reproductive Health · Global Maternal and Child Health · Medicine · Nursing · Psychology · Reproductive Health and Contraception