142nd APHA Annual Meeting and Exposition

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Barriers to use of reproductive health services among young women living in urban poor areas of Abuja, Nigeria

142nd APHA Annual Meeting and Exposition (November 15 - November 19, 2014): http://www.apha.org/events-and-meetings/annual
Monday, November 17, 2014 : 1:10 PM - 1:20 PM

Chinelo Okigbo, MBBS, MPH , Department of Maternal and Child Health, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, NC
Low use of reproductive health (RH) services is a major contributor to the high maternal mortality/morbidity in Nigeria. National/international governmental and non-governmental organizations have made considerable strides to increase availability of RH services especially in urban Nigeria. However, many of these life-saving services are not being utilized, especially among young women known to be less socio-economically empowered. Hence, this study aimed to identify the barriers young women face in using RH services (antenatal, delivery, postnatal, post-abortion, family planning, and STI services) in two urban-poor communities (Karu and Nyanya) in Abuja, Nigeria. Semi-structured in-depth interviews were conducted among thirty women (18 – 24 years). Preliminary analysis shows these women desire to use RH services; however, they are deterred by the long waiting-time and negative provider attitudes prevalent in the government-owned hospitals. The average waiting-time for a regular antenatal visit was seven hours and many of the unmarried women perceived negative attitudes from the nurses when they sought contraceptive methods. Distance and cost of services were not perceived as barriers to service utilization as the women acknowledged availability of affordable RH services in the public hospitals within their communities. However, they preferred to receive RH services from patent medicine stores because they do not face the aforementioned barriers there, despite their awareness that patent medicine sellers may not have the necessary qualifications and/or experience. Increasing the workforce and providing regular provider-training on appropriate provider-client interaction can help alleviate the challenges young women face in using RH services in urban-poor areas of Nigeria.

Learning Areas:

Provision of health care to the public
Social and behavioral sciences

Learning Objectives:
Discuss the challenges that young women (ages 18 - 24) who live in urban poor areas of Abuja, Nigeria face in assessing and using reproductive health services available in their communities. List the potential solutions that may improve young women's use of reproductive health services available to them.

Keyword(s): Utilization, Youth

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am the principal investigator on this project and have been part of the research team on other similar projects assessing reproductive and sexual health issues among young people in Kenya, Liberia, Senegal, and Nigeria. I am also a licensed physician with the Nigerian Medical and Dental Council. My research interest includes improving access and use of reproductive health services especially among young people and health service integration.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.