Outcome of Motivational Counseling On Perceived Side Effects of Contraceptive Use Among Women of Childbearing Age in Selected Teaching Hospitals, South -West, Nigeria (Published)
Modern contraceptives prevent unwanted pregnancies and reduce maternal mortality, yet many women avoid them due to fear of perceived side effects. This fear often leads to reliance on less effective methods, increasing risks of unplanned pregnancies and unsafe abortions. Motivational counselling, though effective in promoting health decisions, is underused in Nigeria to address these concerns. This study explored the impact of motivational counselling on perceived side effects of modern contraceptives among women of childbearing age in selected teaching hospitals in South-West Nigeria. Using a participatory action research design, 78 women from three teaching hospitals participated in 13 focus group discussions. Data were gathered through the four phases of action research such as planning, action, observation, and reflection, and analysed thematically, ensuring trustworthiness through Lincoln and Guba’s standards. The study found the effectiveness of motivational counselling in correcting misconceptions about the side effects of modern contraceptives among women of childbearing age. Participants reported improved understanding, emphasising the importance of addressing side effects during family planning sessions. The study recommends that family planning providers institutionalise motivational counselling focused on side effects, offering clear explanations and management strategies. It also suggests shifting educational focus from contraceptive types to side effects, which often hinder uptake. Furthermore, regular training for healthcare providers on empathetic and culturally sensitive communication is essential.
Keywords: contraceptive use, modern contraceptives, motivational counselling, perceived side effect, women of childbearing age