Motivational Counseling on Knowledge of Modern Contraceptives Methods among Reproductive Women in Selected Teaching Hospitals in Southwest, Nigeria (Published)
Use of modern contraceptives saves lives by preventing unwanted and unplanned pregnancies in women of childbearing age globally. Despite its benefits, studies have revealed that inadequate knowledge is a major hindrance to its uptake. Hence, this study explored the impact of motivational counselling on knowledge of modern contraceptive methods among reproductive women using a qualitative participatory action research (PAR) approach. The study engaged women attending child welfare clinics at three teaching hospitals in South-West Nigeria: Olabisi Onabanjo University Teaching Hospital, UNIOSUN Teaching Hospital, and Federal Teaching Hospital, Ido Ekiti. Participants were women not currently using any form of contraception and were recruited using multistage and convenient sampling techniques. Data were collected through focus group discussions (FGDs), with sessions conducted in local languages to ensure inclusivity. The PAR cycle—comprising planning, action, observation, and reflection phases—guided the research process. Data were analysed using thematic content analysis. While participants had basic awareness of modern contraceptives, detailed knowledge—especially regarding the range and mechanisms of different methods—was limited. Post-intervention assessments revealed significant improvements in understanding and interest in uptake, as verified through follow-up discussions and clinic records. Motivational counselling positively influenced contraceptive knowledge among participants. It recommends the integration of dialogue-based counselling sessions into routine family planning services, especially in underserved areas. Additionally, sustained health education campaigns, the provision of culturally appropriate informational materials, and the incorporation of contraceptive education into maternal and child health services are advised to bridge the knowledge-to-practice gap and enhance informed decision-making among women.
Keywords: Knowledge, contraceptive use, modern contraceptives, motivational counselling, reproductive women