Exploration of Factors Responsible for Non-Uptake of Modern Contraceptives Among Women of Childbearing Age in Tertiary Healthcare Institutions in Southwest, Nigeria (Published)
The uptake of modern contraceptives is pivotal in promoting women’s reproductive health and controlling fertility rates, particularly in resource-constrained settings like Nigeria. Despite growing awareness and numerous governmental interventions, utilisation of modern contraceptives remains significantly low among women of childbearing age in tertiary healthcare institutions across Southwest Nigeria. This study explored the underlying factors responsible for the non-uptake of modern contraceptives among this demographic. Employing a qualitative phenomenological design, the study captured the lived experiences and perspectives of women attending child welfare clinics at three selected teaching hospitals in Ogun, Osun, and Ekiti States. Data were collected through focus group discussions (FGDs) with women who met strict inclusion criteria and were not currently using any form of contraception. Thematic content analysis of the discussions revealed two predominant themes: fear of adverse side effects and socio-cultural influences, including spousal disapproval. Participants expressed concerns about health complications such as excessive bleeding, fertility delays, and other physical discomforts, while also noting the influence of misinformation and prevailing community norms in shaping their reproductive decisions. The study concludes that a multifaceted approach is necessary to increase contraceptive uptake. Recommendations include intensifying culturally tailored health education programmes, promoting male involvement in reproductive health discussions, and integrating community-responsive counselling services in healthcare facilities. These strategies are essential to dismantling misconceptions, addressing socio-cultural barriers, and empowering women to make informed reproductive choices.
Keywords: factors responsible, modern contraceptives, non-uptake, women of childbearing age