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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:
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