Constraints to Family Planning among Slum Dwellers in Ibadan, Nigeria

Introduction Despite implementation of programs to improve contraceptive coverage in Nigeria; unmet need for family planning is still high especially among slum dwellers resulting in high population growth. This study... [ view full abstract ]

Introduction
Despite implementation of programs to improve contraceptive coverage in Nigeria; unmet need for family planning is still high especially among slum dwellers resulting in high population growth. This study qualitatively investigated barriers to family planning use among slum dwellers in Ibadan, Nigeria.

Methods
This qualitative study utilized semi structured one to one interviews for data collection and occurred between January and March 2015 in Oluyole and Ojoo community. One hundred participants purposively sampled included 76 male and female community members, and 24 community health workers. Informed consent was obtained from participants and participation was voluntary. Interviews were audiotaped, transcribed and analyzed for recurring themes and patterns.

Result
Findings revealed that only few had adequate knowledge of family planning methods. Some women revealed that their husbands held the decision making power and their opinions held little value. Barriers such as access to services and financial costs were also revealed. Perceived side effect such as weight gain and infertility were major concerns.

Conclusion
Community myths and misconceptions regarding family planning use should be addressed. Women need to be empowered to participate in household decision making process. Communities should also be enlightened about availability of safe, effective and accessible family planning methods.