Quality of counseling for self-administering injectable contraception: field evidence from mystery client interactions in Lagos, Nigeria.

ABSTRACT: Self-injection (SI) of subcutaneous depot medroxyprogesterone acetate (DMPA-SC) is a self-care intervention (drugs, diagnostics, or devices that can be provided mostly outside the health system) implemented across Nigeria. Per national guidelines, first-time DMPA-SC users can obtain units for SI after two in-person training visits. Success of self-care interventions, the option for SI included, depends on local policies and individual providers to create an enabling environment. Thus, we aimed to 1) assess providers' fidelity to Ministry of Health protocols; 2) assess the extent of bias in fidelity; and 3) to asses client-centeredness. Eight mystery client actors portrayed an older, married woman or a younger, unmarried woman without DMPA-SC experience. They sought contraception, including

SUBMITTER: Challa S 

PROVIDER: S-EPMC12369023 | biostudies-literature | 2025 Aug

REPOSITORIES: biostudies-literature