Setbacks in the road to self-injection: a descriptive study of provider and mystery client reports on the DMPA-SC care-seeking experience in Nigeria
This mixed-methods study describes perspectives from health providers and simulated clients on initiation and continuation of DMPA-SC for self-injection in Nigeria. Through mystery (simulated) client interactions, we found that providers were similarly willing to dispense units of DMPA-SC for self-i...
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2025-08-01
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| Series: | Frontiers in Global Women's Health |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fgwh.2025.1552379/full |
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| author | Madeline Griffith Sneha Challa Ayobambo Jegede Ivan Idiodi Chioma Okoli Aminat Tijani Shakede Dimowo Awawu Grace Nmadu Elizabeth Omoluabi Jenny Liu |
| author_facet | Madeline Griffith Sneha Challa Ayobambo Jegede Ivan Idiodi Chioma Okoli Aminat Tijani Shakede Dimowo Awawu Grace Nmadu Elizabeth Omoluabi Jenny Liu |
| author_sort | Madeline Griffith |
| collection | DOAJ |
| description | This mixed-methods study describes perspectives from health providers and simulated clients on initiation and continuation of DMPA-SC for self-injection in Nigeria. Through mystery (simulated) client interactions, we found that providers were similarly willing to dispense units of DMPA-SC for self-injection to different client profiles, which varied in age, marital status, and parity. However, in-depth interviews with providers revealed nuance in their approaches to assessing clients’ eligibility for unsupervised self-injection of DMPA-SC. Factors including client age, marital status, parity, and education influenced who they deemed able to self-inject, which may limit access to DMPA-SC for clients who wish to self-inject the method. Quantitative and qualitative data also indicated that clients faced setbacks in continuing unsupervised self-injection when seeking refills from an unfamiliar provider. Stockouts of DMPA-SC further complicated access; some providers resorted to purchasing DMPA-SC privately and passing the cost onto clients. These findings highlight the need for clearer refill protocols and more consistent supply to ensure equitable access to DMPA-SC for self-injection in Nigeria. |
| format | Article |
| id | doaj-art-978a5bb72b9a41f39e9985956e80c002 |
| institution | Kabale University |
| issn | 2673-5059 |
| language | English |
| publishDate | 2025-08-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Global Women's Health |
| spelling | doaj-art-978a5bb72b9a41f39e9985956e80c0022025-08-20T04:00:48ZengFrontiers Media S.A.Frontiers in Global Women's Health2673-50592025-08-01610.3389/fgwh.2025.15523791552379Setbacks in the road to self-injection: a descriptive study of provider and mystery client reports on the DMPA-SC care-seeking experience in NigeriaMadeline Griffith0Sneha Challa1Ayobambo Jegede2Ivan Idiodi3Chioma Okoli4Aminat Tijani5Shakede Dimowo6Awawu Grace Nmadu7Elizabeth Omoluabi8Jenny Liu9Institute for Health & Aging, School of Nursing, University of California, San Francisco, CA, United StatesInstitute for Health & Aging, School of Nursing, University of California, San Francisco, CA, United StatesAkenaPlus Health, Abuja, NigeriaAkenaPlus Health, Abuja, NigeriaAkenaPlus Health, Abuja, NigeriaAkenaPlus Health, Abuja, NigeriaAkenaPlus Health, Abuja, NigeriaAkenaPlus Health, Abuja, NigeriaAkenaPlus Health, Abuja, NigeriaInstitute for Health & Aging, School of Nursing, University of California, San Francisco, CA, United StatesThis mixed-methods study describes perspectives from health providers and simulated clients on initiation and continuation of DMPA-SC for self-injection in Nigeria. Through mystery (simulated) client interactions, we found that providers were similarly willing to dispense units of DMPA-SC for self-injection to different client profiles, which varied in age, marital status, and parity. However, in-depth interviews with providers revealed nuance in their approaches to assessing clients’ eligibility for unsupervised self-injection of DMPA-SC. Factors including client age, marital status, parity, and education influenced who they deemed able to self-inject, which may limit access to DMPA-SC for clients who wish to self-inject the method. Quantitative and qualitative data also indicated that clients faced setbacks in continuing unsupervised self-injection when seeking refills from an unfamiliar provider. Stockouts of DMPA-SC further complicated access; some providers resorted to purchasing DMPA-SC privately and passing the cost onto clients. These findings highlight the need for clearer refill protocols and more consistent supply to ensure equitable access to DMPA-SC for self-injection in Nigeria.https://www.frontiersin.org/articles/10.3389/fgwh.2025.1552379/fullself-injectionself-careDMPA-SCimplementation researchmixed-methodsrefills |
| spellingShingle | Madeline Griffith Sneha Challa Ayobambo Jegede Ivan Idiodi Chioma Okoli Aminat Tijani Shakede Dimowo Awawu Grace Nmadu Elizabeth Omoluabi Jenny Liu Setbacks in the road to self-injection: a descriptive study of provider and mystery client reports on the DMPA-SC care-seeking experience in Nigeria Frontiers in Global Women's Health self-injection self-care DMPA-SC implementation research mixed-methods refills |
| title | Setbacks in the road to self-injection: a descriptive study of provider and mystery client reports on the DMPA-SC care-seeking experience in Nigeria |
| title_full | Setbacks in the road to self-injection: a descriptive study of provider and mystery client reports on the DMPA-SC care-seeking experience in Nigeria |
| title_fullStr | Setbacks in the road to self-injection: a descriptive study of provider and mystery client reports on the DMPA-SC care-seeking experience in Nigeria |
| title_full_unstemmed | Setbacks in the road to self-injection: a descriptive study of provider and mystery client reports on the DMPA-SC care-seeking experience in Nigeria |
| title_short | Setbacks in the road to self-injection: a descriptive study of provider and mystery client reports on the DMPA-SC care-seeking experience in Nigeria |
| title_sort | setbacks in the road to self injection a descriptive study of provider and mystery client reports on the dmpa sc care seeking experience in nigeria |
| topic | self-injection self-care DMPA-SC implementation research mixed-methods refills |
| url | https://www.frontiersin.org/articles/10.3389/fgwh.2025.1552379/full |
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