Providers' and key opinion leaders' attitudes, beliefs, and practices regarding emergency contraception in Nigeria

Ahonsi, Babatunde; Ishaku, Salisu Mohammed; Idowu, Araoyinbo; Oginni, Ayodeji

doi:10.31899/rh2.1017

Cited by 4 publications

(2 citation statements)

References 7 publications

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“…A lack of understanding of the biological mechanism of action underpinning ECP was noted among many study respondents; some were not aware of the disruption of ovulation or said that ECP blocks the implantation of the fertilized ovum, or were not sure of the mechanism [ 30 , 42 - 44 ]. Some providers described ECP as an abortifacient [ 29 , 37 , 39 , 40 , 42 , 43 , 45 - 47 ]. In some studies in the review providers incorrectly believed that ECP use could result in congenital abnormalities if a woman was pregnant [ 29 , 35 , 37 , 39 , 40 , 43 ].…”

Section: Resultsmentioning

confidence: 99%

“…Providers identified ECP training as a need in four studies [ 25 , 32 , 52 , 54 ]. Some surveyed Nigerian and Nepalese providers reporting having received ECP training [ 41 , 45 ] while one Senegalese study found that a considerable proportion of providers (38%) had not received any ECP training [ 49 ]. Four studies described training initiatives that had led to improvements in provider knowledge and dispensing practice and more positive attitudes towards ECP [ 28 , 47 , 55 , 56 ].…”

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

Workforce interventions to improve access to emergency contraception pills: a systematic review of current evidence in low- and middle-income countries and recommendations for improving performance

Dawson

Tran

Westley³

et al. 2015

BMC Health Serv Res

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BackgroundEmergency contraceptive pills (ECP) are one of the 13 essential commodities addressed by the UN Commission on Life-Saving Commodities for Women and Children. Although ECP have been available for 20 years, a number of barriers still limit women’s access ECP in low and middle-income countries (LMIC). The workforce who prescribe or dispense ECP are diverse reflecting the varied contexts where ECP are available across the health, commercial and justice sectors and in the community. No reviews currently exist that examine the roles and experiences of the workforce that provide ECP in LMIC.MethodWe present a narrative synthesis of research to: identify provider factors that facilitate and constraint access to ECP; assess the effectiveness of associated interventions and; explore associated health system issues in LMIC. A search of bibliographic databases, meta-indexes and websites was undertaken to retrieve peer reviewed and grey literature. Literature was screened and identified documents examined to appraise quality.ResultsThirty-seven documents were included in the review. Studies focused on formal health workers revealing knowledge gaps concerning the role of private sector and non-health providers who increasingly provide ECP. Data from the findings section in the documents were coded under 4 themes: provider knowledge; provider attitudes and beliefs; provider practice and provider training. The analysis revealed provider knowledge gaps, less than favourable attitudes and practice issues. The findings provide limited insight into products prescribed and/or dispensed, the frequency of provision, and information and advice offered to consumers. Pre and in-service training needs were noted.ConclusionAs the provision of ECPs shifts from the clinic-based health sector to increasing provision by the private sector, the limited understanding of provider performance and the practice gaps revealed in this review highlight the need to further examine provider performance to inform the development of appropriate workforce interventions. A standardized approach to assessing performance using agreed outcomes measures may serve to ensure a systematic way forward that is inclusive of the diverse workforce that deliver ECP. Recommendations are outlined to enhance the performance of providers to improve access to ECP. A framework is offered to help guide this process with indicators.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Workforce interventions to improve access to emergency contraception pills: a systematic review of current evidence in low- and middle-income countries and recommendations for improving performance

Dawson

Tran

Westley³

et al. 2015

BMC Health Serv Res

View full text Add to dashboard Cite

show abstract

Self-care interventions for women’s health and well-being

Narasimhan,

Hargreaves,

Logie

et al. 2024

Nat Med

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The role of job aids in supporting task sharing family planning services to community pharmacists and patent proprietary medicine vendors in Kaduna and Lagos, Nigeria

Baruwa

Tobey

Okafor

et al. 2022

BMC Health Serv Res

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Background CPs and PPMVs are an important source of modern contraceptives in Nigeria, yet many lack the requisite knowledge and skills to capably provide these services. This skills gap might be addressed through targeted family planning (FP) training. This study measures family planning knowledge retention of CPs and PPMVs after receiving training in FP counseling and services in Kaduna and Lagos States, in Nigeria. Methods In a quasi-experimental longitudinal design without a comparison group, 559 CPs and PPMVs who were enrolled in the IntegratE project between January and December 2019, completed a self-administered questionnaire to assess their knowledge related to the provision of FP counseling, and injectable and implant contraceptive services at three points in time: 1) before the training; 2) immediately after the training; and 3) 9-months after the training in Kaduna and Lagos states, Nigeria. Adjusted multivariate logistic regression analysis was used to assess the effect of provider characteristics and receipt of job aids on FP knowledge retention 9 months after the training. 95% confidence intervals and p-values were used to assess statistical significance. Results Majority of study participants were females (60.3%) and between 30 and 49 years old (63.4%). The study revealed the importance of jobs aids as influence on knowledge retention. CPs and PPMVs who reported having the Balanced Counseling Strategy plus (BCS+) counseling cards, were more likely to retain knowledge (AOR: 2.92; 95% CI: 1.01–8.40, p-value = 0.05) at 9 months follow-up. Similarly, in terms of knowledge of injectable contraceptives, CPs and Tier 2 PPMVs who reported receiving the Medical Eligibility Criteria (MEC) Wheel were 2.1 times more likely to retain knowledge of injectable contraceptives 9-months later on (95% CI: 1.14–3.99, p-value = 0.02). Conclusion Community Pharmacists and Proprietary Medicine Vendors had good retention of family planning knowledge, especially when combined with job aids. Training and providing them with job aids on FP will therefore support task shifting and task sharing on family planning services provision in Nigeria.

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Providers' and key opinion leaders' attitudes, beliefs, and practices regarding emergency contraception in Nigeria

Cited by 4 publications

References 7 publications

Workforce interventions to improve access to emergency contraception pills: a systematic review of current evidence in low- and middle-income countries and recommendations for improving performance

Workforce interventions to improve access to emergency contraception pills: a systematic review of current evidence in low- and middle-income countries and recommendations for improving performance

Self-care interventions for women’s health and well-being

The role of job aids in supporting task sharing family planning services to community pharmacists and patent proprietary medicine vendors in Kaduna and Lagos, Nigeria

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