Using behavior change communication to lead a comprehensive family planning program: the Nigerian Urban Reproductive Health Initiative

Krenn, S; Cobb, Lisa; Babalola, Stella; Odeku, Mojisola; Kusemiju, Bola

doi:10.9745/ghsp-d-14-00009

Cited by 73 publications

(99 citation statements)

References 11 publications

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“…Some potential mediums to consider are one-on-one counseling with patients in family planning clinics, community-based group education programs, or mass media campaigns. While communication campaigns have addressed side effects broadly, to our knowledge past communication programs have rarely if ever directly addressed the belief that contraceptive use causes infertility (Halperin et al 2013;Burke and Ambasa-Shisanya 2014;Krenn et al 2014). The message itself could acknowledge that using contraceptives and becoming a mother are not mutually exclusive, perhaps by role modeling mothers who have previously used family planning methods.…”

Section: Discussionmentioning

confidence: 99%

“They Destroy the Reproductive System”: Exploring the Belief that Modern Contraceptive Use Causes Infertility

Sedlander¹,

Bingenheimer²,

Thiongo³

et al. 2018

Studies in Family Planning

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A common reason for nonuse of modern contraceptives is concern about side effects and health complications. This article provides a detailed characterization of the belief that modern contraceptives cause infertility, and an examination of how this belief arises and spreads, and why it is so salient. We conducted focus group discussions and key informant interviews in three rural communities along Kenya's eastern coast, and identified the following themes: (1) the belief that using modern contraception at a young age or before childbirth can make women infertile is widespread; (2) according to this belief, the most commonly used methods in the community were linked to infertility; (3) when women observe other women who cannot get pregnant after using modern contraceptives, they attribute the infertility to the use of contraception; (4) within the communities, the primary goal of marriage is childbirth and thus community approval is rigidly tied to childbearing; and, therefore (5) the social consequences of infertility are devastating. These findings may help inform the design of programs to address this belief and reduce unmet need.

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Section: Discussionmentioning

confidence: 99%

“They Destroy the Reproductive System”: Exploring the Belief that Modern Contraceptive Use Causes Infertility

Sedlander¹,

Bingenheimer²,

Thiongo³

et al. 2018

Studies in Family Planning

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“…It is difficult for wives to initiate the family-planning talk, as many fear the prospect, especially if they suspect that their husband is opposed to contraceptive use 14 . Formative research for Nigerian Urban Reproductive Health Initiative (NURHI) in four states, among them Kaduna State in the north, found that women felt men should start the conversation, and men felt their wives should start the conversation, and so the contraceptive conversation never happened 31 . Poor spousal communication is, in many ways, driven by the many reasons couples want to keep having children, as described above 32 .…”

Section: Who Influences Women's Health Decisions?mentioning

confidence: 99%

Demand for Women’s Health Services in Northern Nigeria: A Review of the Literature

Sinaï

Anyanti

Khan³

et al. 2017

Afr J Reprod Health

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Demand for and utilization of women's health services in northern Nigeria are consistently low and health indicators in the region are among the poorest in the world. This literature review focuses on social and cultural barriers to contraceptive use, antenatal care, and facility births in northern Nigeria, and influencers of young women's health-seeking behavior. A thorough search of peer reviewed and grey literature yielded 41 publications that were synthesized and analyzed. The region's population is predominantly Muslim, practicing Islam as a complete way of life. While northern Nigerian society is slowly changing, most women still lack formal education, with a significant proportion married in their teens, and the majority neither socially nor economically empowered. The husband largely makes most household decisions, including utilization of healthcare services by members of his household. These practices directly impact women's health-seeking behaviors for themselves and for their children. Programs seeking to improve women's health outcomes in northern Nigeria should involve women's influencers to affect behavior change, including husbands, religious leaders, and others. More research is needed to identify pathways of information that can be utilized by programs designed to increase demand for health services. RésuméLa demande et l'utilisation des services de santé des femmes dans le nord du Nigeria sont toujours faibles et les indicateurs de santé dans la région sont parmi les plus pauvres du monde. Cette revue de la documentation se concentre sur les obstacles sociaux et culturels à l'utilisation de contraceptifs, les soins prénatals et les naissances dans des établissements dans le nord du Nigéria, et les influences du comportement de recherche de la santé des jeunes femmes. Une recherche approfondie de la documentation grise et évaluée par les pairs a permis d'obtenir 41 publications synthétisées et analysées. La population de la région est majoritairement musulmane, pratiquant l'islam comme toute une mode de vie. Tandis que la société au nord du Nigeria évolue lentement, la plupart des femmes manquent encore d'éducation formelle, avec une proportion importante mariée dans leur adolescence et la majorité n'étant ni socialement ni économiquement habilitée. Le mari prend en grande partie la plupart des décisions du ménage, y compris l'utilisation des services de santé par les membres de son ménage. Ces pratiques influent directement sur les comportements de recherche de la santé des femmes pour eux-mêmes et pour leurs enfants. Les programmes visant à améliorer les résultats de la santé des femmes dans le nord du Nigeria devraient impliquer les gens qui influencent des femmes pour affecter le changement de comportement, y compris les maris, les chefs religieux et d'autres. De plus amples recherches sont nécessaires pour identifier les voies d'information qui peuvent être utilisées par des programmes conçus pour accroître la demande de services de santé dans la région. (Afr J Reprod Health 2017;...

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“…Considering values, a healthy sexual behaviour involves their identifying or standing by practices that is "right" on the basis of both personal and sociocultural values, which may include compromise, self-control or tolerance. This also includes issues on use contraception to avoid unplanned pregnancy or sexually transmitted disease 21 .Values may also encompass spirituality 20 . For instance, religious people abstain from sexual intercourse during their time of 'prayer and fasting' .…”

Section: The Healthy Sexual Behaviourmentioning

confidence: 99%

“…A cursory search of PubMed, alone, for FPMS, yields thousands of published articles including hundreds arising from any single Low-Mid Income Country (LMIC). Several factors, methods and programs are already known including but not limited to ideas such as behavioural change motivation 21,59 , getting closer to the people 60 , and family education 61 . Other issues of barriers, generational change and provider behaviour have also been identified 62,63 .…”

Section: Implication For Further Studiesmentioning

confidence: 99%

“…This include appropriately expressing desires to have sex, or not to have sex; as well as negotiating sexual limits and accepting refusals of sex without hostility or feeling insulted 20 . Relative to rape and sexual assault, healthy sexual behaviour involves being consciously and conscionably sensitive to the feelings of other persons' nonverbal cues and boundaries 21,22 . A person with healthy sexually behaviour develops friendship with any gender without necessarily having any sexual agenda.…”

Section: The Healthy Sexual Behaviourmentioning

confidence: 99%

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Sexual Behaviour, Knowledge and Use of Contraceptives Among Undergraduate Students

Okpokumoku

Nwose

Nwajei

2017

Journal of Health Science Research

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The reproductive health of young adult women is integral to the well being of a society. The independence, lifestyle and sociocultural environment within an undergraduate institution predisposes to sexual behaviour that has become a serious concern in Nigeria and the global community at large. Previous studies have shown that there is significant or sufficient knowledge of contraceptives, especially among the youth in universities. This study is aimed at determining data on the sexual behaviour, knowledge and use of contraceptive, with a view to what may be known and unknown among undergraduate university students in Delta State from the contextual point. The methodology employed for this study was a narrative literature review approach. In order to guide the researcher, four composite focus of inquiry included (1) healthy and risky sexual behaviours, (2) contraception, (3) determinants of choice and use of contraceptives, and (4) knowledge and use of contraceptives among undergraduate students. The finding of this study indicates abundance of knowledge about sexual health. However, two themes are of particular mention needing further attention. Firstly, characteristics of being sexually healthy seem to be mixed up with healthy sexual behaviour. Secondly, contraception usage does not seem to match acclaimed knowledge, which translates to risky sexual behavior. How the undergraduate girls are successfully preventing pregnancies in order to maintain uninterrupted education also seems to remain a gap in the literature. Further research will benefit to provide adequate information on these two themes.

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Using behavior change communication to lead a comprehensive family planning program: the Nigerian Urban Reproductive Health Initiative

Cited by 73 publications

References 11 publications

“They Destroy the Reproductive System”: Exploring the Belief that Modern Contraceptive Use Causes Infertility

“They Destroy the Reproductive System”: Exploring the Belief that Modern Contraceptive Use Causes Infertility

Demand for Women’s Health Services in Northern Nigeria: A Review of the Literature

Sexual Behaviour, Knowledge and Use of Contraceptives Among Undergraduate Students

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