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Global Public Health
An International Journal for Research, Policy and Practice
Volume 6, 2011 - Issue sup1: Contraception and Abortion: Not a Matter of Choice
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Articles

Contraceptive practice, unwanted pregnancies and induced abortion in Southwest Nigeria

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Pages S52-S72 | Received 20 Jul 2010, Accepted 20 Apr 2011, Published online: 04 Jul 2011
 

Abstract

Despite widespread awareness of and access to modern contraception, high rates of unwanted pregnancies and abortions still persist in many parts of the world, even where abortion is legally restricted. This article explores perspectives on contraception and abortion, contraceptive decision-making within relationships, and the management of unplanned pregnancies. It presents findings from an exploratory qualitative study based on 17 in-depth interviews and 6 focus group discussions conducted in 2 locations in Nigeria in 2006. The results suggest that couples do not practice contraception consistently because of perceived side effects and partner objections. Abortion is usually resorted to because pregnancy was unwanted due to incomplete educational attainment, economic hardship, immaturity, close pregnancy interval, and social stigma. Males usually have greater influence in contraceptive-decision making than females. Though induced abortion is negatively viewed in the community, it is still common, and women usually patronise quacks to obtain such services. An abortion experience can change future views and decisions towards contraception. Family planning interventions should include access to and availability of adequate family planning information. Educational campaigns should target males since they play an important role in contraceptive decision-making.

Notes

1. The word ‘abortion’ in the paper refers to an induced, as opposed to a spontaneous, abortion.

2. The following abbreviations are used: To indicate if the participant's comment arose during an in-depth interview we use IDI and FGD if it arose in a focus group discussion. M (male) or F (female) indicates the participant's sex.

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