Perspectives of stakeholders on enhancing access to self-injectable contraception in rural South Sudan

Deleted Journal, Journal Year: 2025, Volume and Issue: 22(1)

Published: March 31, 2025

Although self-injectable subcutaneous depot medroxyprogesterone acetate (DMPA-SC) has demonstrated promise, there are significant barriers in promoting initiation and continued use low-resource settings. This study sought to understand the perspectives of stakeholders on promotion contraception rural South Sudan. The was conducted Aweil East County, Sudan, using a descriptive phenomenological approach. We 22 in-depth interviews 4 focus group discussions with key stakeholders. data interpretation guided by social behavior change self-care framework. showed that users valued privacy self-injecting at home, helping them overcome sociocultural geographical barriers. However, they faced challenges such as stigma, side effects, family interference. findings further expanding entry points for within community involving health workers (CHW) providers potential reach wider audience, including first-time marginalized groups. Stakeholders emphasized need champions create awareness contraception, particularly leaders, women-led organizations, gatherings. In addition, users' continuous training supportive networks were crucial successful implementation. Enhancing access requires multi-faceted approach prioritizes Support from is user use, while ensure effective self-injectable. collaborative holds address complexities surrounding leading improved reproductive community.

Language: Английский

Indigenous men's perspectives on long-acting reversible contraceptives: a qualitative study of relationship dynamics and infidelity fears

Journal of Social & Health Sciences, Journal Year: 2024, Volume and Issue: 3, P. 4 - 13

Published: Dec. 31, 2024

Annually, approximately 74 million women worldwide face unintended pregnancies, which are particularly prevalent in low- and middle-income countries (LMICs), notably Africa. Effective contraception is crucial for mitigating the substantial risks to maternal child health posed by pregnancies. Long-acting reversible contraceptives (LARCs) play a pivotal role addressing these facilitating pregnancy spacing reducing mortality rates. However, challenges persist their global adoption, regions such as Uganda, where inadequate male partner support contributes low usage rates, thereby exacerbating associated risks. The objective of this study was examine how women's use LARCs affects relationship stability fears infidelity among rural Ugandan men Nyamweru subcounty, Rubanda District, develop strategies increasing LARC use. This qualitative focused on understanding perspectives indigenous Bakiga Rubanda, regarding LARCs. Fifteen participants were purposefully selected from areas characterized usage, high fertility elevated mortality. In-depth focus group discussions in-depth interviews with aged 20 – 49 aimed explore perceptions beliefs about Data saturation guided sample size determination ensure comprehensive exploration perceptions. Analysis revealed misconceptions LARCs, including that makes more attractive other increases likelihood extramarital affairs breakups. These reflect men's insecurities partners' contraceptive choices. Dispelling surrounding essential improving acceptability women. Tailored interventions, behavior change communication, proper education, counseling fostering acceptance advancing reproductive outcomes.

Language: Английский

Exploring sexual and reproductive health needs, barriers, and coping strategies of internally displaced women of reproductive ages in north-central Nigeria: A qualitative analysis

PLoS ONE, Journal Year: 2024, Volume and Issue: 19(12), P. e0309317 - e0309317

Published: Dec. 6, 2024

Context Women and girls form a substantial proportion of the population internally displaced people (IDP) in Nigeria, these vulnerable populations are at risk sexual reproductive health (SRH) rights violations greater unsafe abortion high maternal deaths. IDP women’s living conditions often precarious, exposing them to risks, challenges faced due lack finance other related factors access care services leading improvising which is considered dangerous their health. There gap study regarding SRH needs women alternative they opt for meeting needs. Objective This explores needs, barriers coping strategies age North Central camps. Data methods A qualitative was conducted between January 8 th February 28 , 2024, 4 camps Abuja Benue among age. Using well-structured interview guide an in-depth interview, 14 respondents were purposively selected study. The interviewed provide insight into utilizing analysis using Nvivo version 11. Results revealed specific family planning methods, free antenatal facilities camp need toilets. Without cope herbs concoctions, also patronize traditional birth attendants some include finance, husbands’ approval distance facilities. Conclusion In conclusion, have that be met as not adequate but could complicate It therefore recommended government should medical personnel easy services.

Language: Английский