Skip to main content

Table 2 Challenges of uptake of family planning services

From: Why does uptake of family planning services remain sub-optimal among Nigerian women? A systematic review of challenges and implications for policy

Author/Year of publication

Location of study

Factors/challenges to uptake

Oye-Adeniran/2006

Anambra, Oyo, Kaduna & Bauchi

Client related factors:fear of side effects, religious belief, older age, marital status and education.

Health service related factor: Prior counseling significantly improved the continuation rate of contraception)

Okanlawon/2010

Ogun

Health service related: difficulty in accessing family planning services. Client related: misperceptions that contraceptives are dangerous)

Umoh/2011

Akwa-Ibom

Client related factors: education, side effect, uncertainty about its need, partner objection

Idris/2013

Kaduna

Client related factors: desire for more children, religion, partner disapproval, lack of privacy

Asekun-Olarinmoye/2013

Osun

Client related factors:

Desire for more children Fear of side effects/complications, ignorance, perceived low-risk of getting pregnant/not sexually active,

Religion, Partner disapproval, marital status, number of living children, loss of a child and awareness of place of family planning services

Eluwa/2016

Anambra, Abia, Delta, Ebonyi, Edo, Enugu

Client related: lower education, higher number of children, being single

Ugboaja/2011

Anambra

Client related:(fear of side effects, not aware of where to access services, husband’s disapproval, cultural unacceptability, religious disapproval

Egede/2015

Ebonyi

Client related factors: desire for more children, religious prohibition, spousal disapproval, perceived side effects

Adebayo/2016

Ondo

Client related factors: education, health condition

Durowade/2017

Ekiti

Client related factors: desire for more children, partner disapproval, fear of side-effects, culture, ignorance, marital status, educational level and religion.

Schwandt/2017

Abuja, Benin, Ibadan, Ilorin, Kaduna, Zaria

Health service related factors: Restriction of access due to age, parity, marital status

Solanke

Nigeria

Client factors: lower education, higher number of living children, being single

Etokidem/2017

Cross-River

Client related factors: religious beliefs, cultural barrier desire for more children, partner disapproval, family

planning does not work, it reduces sexual enjoyment, it

promotes unfaithfulness/infidelity

Okigbo, 2014

Cross River

Client Related: Partner opposition

Adebowale 2011

Nigeria

Client Related: Education, wealth index, region, religion, completed fertility,

Nwachukwu 2008

Imo

Client related:

fear of the unknown

effects, spouse’s disapproval, religious belief, cultural disapproval, shyness, moral disapproval, ignorance.

Health service related: cost, procurement

difficulties, long distances of sources, and

poor service of Family Planning Clinics

Akamike 2019

Ebonyi

Client related:

Desire for more children, fear of side effects, partner opposition, religious opposition, ignorance, cultural unacceptability, unaware of where to access services

Health service related: cost

Abiodun 2015

Ogun

Client related:

Age

Region/Residence

Adeyemi 2016

Oyo

Client Related: younger age group, less

educated, singles,

Bishwajit 2018

Nigeria

Client related: Domestic violence

Chimah 2016

Lagos

Client Related: Lack of fund, Too embarrassed to source for it, fear of side effects, fear of adult disapproval, Ignorance, Unexpected timing of sexual intercourse

Johnson 2017

Nigeria

Client related: Education, wealth quintile, age, residence

Omo-Aghoja 2009

Delta

Client related: Fear of side effects, lack of knowledge, spousal disapproval, culture, Religion, Desire for more children

Adefalu 2019

Kebbi and Sokoto

Client related: Influence of relatives, Religion, Ignorance, Number of male children, Age at marriage, Educational attainment, spousal rejection of family planning.

Health service related: health facility dependence on donor organizations for supply

of FP materials, women seeking to accept contraceptive are responsible for purchasing

required consumables

Sinai 2019

Kaduna

Client related: Religion, Desire for more children, poor community support, partner disapproval

Health service related: Cost, Stockout, providers adhering to cultural practices

Ankomah 2013

13 States in Nigeria

Client related

Fear of side effects, causes promiscuity, religion, lack of social support, lack of family support, lack of husband’s support

Health service related: Cost

Aransiola 2014

Ibadan and Kaduna

Client related: Lack of partner support