Missed opportunity for self-injectable contraception awareness and adoption: Insights from client exit interviews in Uganda and Nigeria

Susan Ontiri; Claire Rothschild; Doreen Nakimuli; Oluwatosin Adeoye

doi:10.1016/j.conx.2023.100098

Missed opportunity for self-injectable contraception awareness and adoption: Insights from client exit interviews in Uganda and Nigeria

Contracept X. 2023 Aug 7:5:100098. doi: 10.1016/j.conx.2023.100098. eCollection 2023.

Authors

Susan Ontiri¹, Claire Rothschild², Doreen Nakimuli³, Oluwatosin Adeoye^{4

5}

Affiliations

¹ Population Services International, Kenya.
² Population Services International, USA.
³ Population Services International, Uganda.
⁴ Society of Family Health, Nigeria.
⁵ Center for Disease Control, Nigeria.

Abstract

Objectives: To assess the extent to which self-injection contraceptive information and services are provided to women in Uganda and Nigeria.

Study design: We conducted a descriptive information cascade analysis using data from a cross-sectional exit interviews with 492 family planning clients in Uganda and 720 in Nigeria.

Results: More than a third of respondents in Uganda (31.2%) and Nigeria (40.5%) reported not receiving any information about the self-injection contraceptive during service provision. Only 45.6% clients who adopted self-injected DMPA-SC in Uganda and 1.7% in Nigeria were issued with additional doses to take home.

Conclusion: The findings suggest that there are missed opportunities to provide women with information and services on DMPA-SC self-injection.

Implication: A contraceptive counseling and services cascade can be a useful tool for identifying gaps in the quality and person-centeredness of family planning services, and ultimately improving the experience of clients.

Keywords: Contraceptive; Counseling; DMPA SC; Quality of care; Self-injection.