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

• DOI: 10.1016/j.conx.2023.100098
• Publication Date: 2023-08-07T09:29:18Z
• Authors: Susan Ontiri; Claire Rothschild; Doreen Nakimuli; Oluwatosin Adeoye
• Keywords: Counseling; Brief Research Article; Contraceptive; 5. Gender equality; Quality of care; RG1-991; DMPA SC; Gynecology and obstetrics; Public aspects of medicine; RA1-1270; 3. Good health; Self-injection

To assess the extent to which self-injection contraceptive information and services are provided to women in Uganda and Nigeria.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.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.The findings suggest that there are missed opportunities to provide women with information and services on DMPA-SC self-injection.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.