Document Type

Article

Publication Date

8-2016

Keywords

Hormonal contraception, Service delivery, Family panning, Service provision, Nigeria, Urban

Abstract

Objectives

The medicalization and clinic-based distribution of contraceptive methods have been criticized as barriers to increasing levels of contraceptive use in Nigeria and other settings; however, our understanding of how clients themselves perceive the contraceptive method decision-making process is very limited.

Methods

Focus group discussions among men and women in Ibadan and Kaduna, Nigeria, were used to examine attitudes and norms surrounding contraceptive method decision-making in September and October of 2010.

Results

Choosing a family planning method was presented as a medical decision: best done by a doctor who conducts clinical tests on the client to determine the best, side effect free, contraceptive method for each client. An absolute trust in health professionals, hospitals, and governments to provide safe contraception was evident.

Conclusion

The level of medicalization placed on contraceptive method choice by urban Nigerians is problematic, especially since a test that can determine what contraceptive methods will cause side effects in an individual does not exist, and side effects often do occur with contraceptive method use.

Practice implications

Provider and client education approaches would help to improve client involvement in contraceptive decision-making and method choice.

Publication Title

Patient Education and Counseling

Volume

99

Issue

8

First Page

1400

Last Page

1405

Required Publisher's Statement

© 2016 The Authors. Published by Elsevier Ireland Ltd.

https://doi.org/10.1016/j.pec.2016.03.026

Open Access funded by Bill & Melinda Gates Foundation

Subjects - Topical (LCSH)

Contraception--Nigeria--Ibadan; Contraception--Nigeria--Kaduna; Medical personnel--Nigeria--Ibadan; Medical personnel--Nigeria--Kaduna; Family planning--Nigeria--Ibadan; Family planning--Nigeria--Kaduna

Geographic Coverage

Ibadan (Nigeria); Kaduna (Nigeria)

Genre/Form

articles

Type

Text

Creative Commons License

Creative Commons Attribution 4.0 License
This work is licensed under a Creative Commons Attribution 4.0 License.

Language

English

Format

application/pdf

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