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

Q2 Medicine Contraception: X Pub Date : 2023-01-01 DOI:10.1016/j.conx.2023.100098

Susan Ontiri , Claire Rothschild , Doreen Nakimuli , Oluwatosin Adeoye

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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.

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错过了自我注射避孕意识和采用的机会:来自乌干达和尼日利亚客户退出访谈的见解

目的评估乌干达和尼日利亚向妇女提供自我注射避孕信息和服务的程度。研究设计我们使用乌干达492名和尼日利亚720名计划生育客户的横断面离职访谈数据进行了描述性信息级联分析。结果乌干达（31.2%）和尼日利亚（40.5%）超过三分之一的受访者据报告，在提供服务期间没有收到任何关于自我注射避孕药的信息。乌干达和尼日利亚分别只有45.6%和1.7%的采用自行注射DMPA-SC的客户获得了额外的剂量，可以带回家。结论研究结果表明，错过了为女性提供DMPA-SC自我介绍信息和服务的机会。含义避孕咨询和服务级联可以成为一种有用的工具，用于识别计划生育服务质量和以人为本方面的差距，并最终改善客户的体验。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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