Bias in Contraceptive Provision to Young Women Among Private Health Care Providers in South West Nigeria

International Perspectives on Sexual and Reproductive Health
Maia SieverdingJenny Liu

Abstract

Health care providers' biases regarding the provision of contraceptives to adolescent and young adult women may restrict women's access to contraceptive methods. Two mystery client visits were made to each of 52 private-sector health care facilities and individual providers in South West Nigeria in June 2016. In one visit, the mystery client portrayed an unmarried, nulliparous adolescent, and in the other, the client portrayed a married adult woman with two children. During subsequent in-depth interviews, providers were read vignettes describing hypothetical clients with these same profiles, and were asked how they would interact with each. Descriptive analyses of mystery client interactions were combined with thematic analyses of the interview data. In greater proportions of married-profile visits than of unmarried-profile visits, mystery clients reported that providers had asked about past contraceptive use and method preference; the opposite was true in regard to providers' using side effects to dissuade clients from practicing contraception. In in-depth interviews, providers expressed concerns about fertility loss among unmarried women who used hormonal contraceptives. Providers more commonly recommended condoms, emergency ...Continue Reading

Citations

Apr 27, 2019·Autism Research : Official Journal of the International Society for Autism Research·David G AmaralAndrew Whitehouse
Sep 14, 2019·Global Health, Science and Practice·Julie Solo, Mario Festin
Feb 8, 2020·International Journal of Adolescent Medicine and Health·Marni SommerVenkatraman Chandra-Mouli
Apr 14, 2021·Tropical Medicine & International Health : TM & IH·Laura RouncivellTrudy D Leong
Jan 28, 2022·Studies in Family Planning·Ilene S SpeizerLisa M Calhoun

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