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Taking Over the Reins of Contraceptive Use: A Case for Self-Care Contraception

The risks associated with each pregnancy is carried almost entirely by a woman, however the decision about whether and when to get pregnant is a subject that several others contend with her to make. Partners, friends service providers and society hold various levels of influence over a client’s decision to use contraception. The pressure on a woman to avoid use of contraceptive is associated with Nigerian men’s desire for more children than women as well as myths and misconceptions often associated with religious and ethnic values, beliefs, and norms (NDHS, 2018).

The World Health Organization (2019) defines self-care as the capacity of individuals and groups to take control of their health and its determinants with or without the support of a healthcare provider. It includes DMPA-SC Self-injection (SI) as one of its new self-care recommendations for high-quality family planning services. DMPA-SC self-injection has the potential to expand access and create opportunities for women to take control of their reproductive health, particularly where there are barriers to facility-based services.

The Delivering Innovations in Self-Care (DISC) project supports women to take more control over their Sexual and Reproductive Health (SRH) by scaling up quality self-care options starting with self-inject DMPA-SC services. To obtain insight into the influences that interfere with a woman’s capacity to make contraceptive choices independently, the project conducted two intensive rounds of qualitative data collection and triangulation that included provider, client, and community mobilizer interviews, facility observations, and routine program data collection. This survey elicited the following insights as influencers of a client’s right to contraceptive uptake...

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