Preferences and Access to Family Planning Products and Services among Men and Women of Reproduction Age Group in Nigeria: Findings from a Qualitative Study

Background This research explores family planning (FP) product choices and access among men and women of reproductive age in Nigeria, where there is currently a dearth of relevant evidence and data. Methods A cross-sectional qualitative study was conducted among females of reproductive age (15 to 49 years) and males (15 to 65 years) in Ado-Ekiti, Nigeria. A total of 6 focus group discussions (FGDs) with 12 participants each recruited from the wards across the community were conducted. Thematic content analysis was conducted with the generation of themes and sub-themes. Product and service preferences, in addition to physical, economic, and cultural accessibility to their choice, were analyzed. Results The majority of the participants use modern FP methods and have preferred products that they use regularly, including condoms, implants, intra-uterine contraceptive devices, and oral contraceptive pills. The main factor influencing their choices was their partner’s consent. Availability of some products as well as affordability were key considerations for access because most purchases were made out-of-pocket, and clients often had to pay for ancillary services. Other identified barriers were sociocultural beliefs and the product's side effects. Conclusion The importance of partners' consent, affordability, sociocultural, and other determining factors in accessing and utilizing FP products was revealed. It was suggested thatthe partner’s choice and involvement should be taken into account during FP counseling. Also, there is a need for more collaboration between the government and funding partners to improve economic access to the preferred FP methods. Clinical Trial Number : not applicable