DOI: 10.1101/19010587Nov 2, 2019Paper

Our culture prohibits some things: Qualitative inquiry into how sociocultural context influences the scale up of community-based injectable contraceptives in Nigeria

MedRxiv : the Preprint Server for Health Sciences
Oluwaseun AkinyemiMary Kawonga


Objectives: To explore how sociocultural factors may support or impede the adoption of community-based distribution of injectable contraceptives in Nigeria. Design: A qualitative study based on a grounded theory approach was conducted through in-depth interviews and focus group discussions. Setting: Most participants lived in Gombe State, North East Nigeria. Other participants were from Ibadan (South West) and Abuja (Federal capital territory). Participants: Through seven key informant interviews, 15 in-depth interviews and 10 focus group discussions, 102 participants were involved in the study. Methods: This study, conducted in 2016 was part of a larger study on scale up of community-based distribution of injectable contraceptives. Qualitative data were collected from traditional and religious leaders, health workers and community members. The data were audio recorded, transcribed and analysed using a thematic framework method. Results: Sociocultural challenges to scale up included patriarchy and men fear of losing control over their spouses, traditional and religious beliefs about fertility, and myths about contraceptives and family planning. As a result of deep-rooted beliefs that children are divine blessings and that procr...Continue Reading

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