A Study of the Behavioural Factors Associated with Low Uptake of Intra-Uterine Contraceptive Device in Zaria, Northern Nigeria: A Qualitative Survey ()
ABSTRACT
Aim: To document reasons for the low uptake of Copper 380A contraceptive
in Zaria, Northern Nigeria. Study Design: Qualitative analysis from In-depth
interviews (IDI) and Focus group discussions (FGD). Setting: Zaria, Northern
Nigeria. Methods: Five high volume public facilities within Zaria metropolis
were selected for the study (the teaching hospital, two district hospitals
serving the metropolis and two primary care centers). The most experienced
provider in each of these facilities was engaged in an IDI to explore reasons
for the low uptake of IUD from their perspective. Similarly, a session of FGD
was conducted in each of the facility involving at least eight family planning
clients who were para 4 or more and not using the IUD. Results: There were a total
of 397 new clients that were served various methods of contraceptive across the
five facilities three months prior to the study. Intrauterine device only
accounted for 11.8% of these clients while Injectable was responsible for 62%
of clients. 72% of the IUD insertions took place in the teaching hospital.
There were no IUD insertions in the two primary care centers within the last
three months prior to study. Conclusion: Misconceptions, lack of information
concerning IUD particularly at the primary care levels, lack of male
involvement and providers’ incompetence were the main barriers to accessing IUD
services in Zaria, Nigeria. In the course of this investigation, local Ethics
were observed.
Share and Cite:
Adogie, A. , Musa, H. , Madugu, N. and Bawa, U. (2015) A Study of the Behavioural Factors Associated with Low Uptake of Intra-Uterine Contraceptive Device in Zaria, Northern Nigeria: A Qualitative Survey.
Open Journal of Obstetrics and Gynecology,
5, 827-832. doi:
10.4236/ojog.2015.515117.