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Research Paper | Obstetrics and Gynecology | Nigeria | Volume 12 Issue 8, August 2023 | Popularity: 5.6 / 10

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Empowering Adolescent Girls and Young Women: A Self-Care Approach to Overcoming Sexual and Reproductive Health Barriers in Nigerian Urban Slums

Francis Awasighe Eremutha, Emmanuel Okpetu

Abstract: Adolescent girls and young women face significant sexual and reproductive health challenges in Nigeria with barriers limiting access to safe therapeutic and post abortion care especially at the grassroots including urban slums. The study evaluated a self care and task shifting intervention to increase access to safe therapeutic and post abortion. A pre and post intervention study between 2021 and 2022 was conducted in 3 urban slums of the Federal Capital Territory of Nigeria. This was followed by an intensive training on modern contraceptives, effective administration of Misoprotol for safe therapeutic and post-abortion care, supply of Misoprostol and contraceptives and; monitoring. Both baseline and endline data were collected using semi-structured questionnaires and interviews. The quantitative data were analyzed for frequency of occurrence. The information from the KIIs were transcribed and analyzed for themes and contents. All respondents were exposed to safe therapeutic abortion and family planning information and services as a result of the intervention with significant increased uptake. There was a significant increase in the knowledge and performance of the respondents in the use of Misoprostol for safe therapeutic abortion and post abortion care family planning methods. Utilization of safe therapeutic abortion service and uptake of modern contraceptives increased at all intervention sites over the duration of the intervention. The self care and task shifting safe therapeutic abortion intervention showed favourable outcomes over the short implementation timeframe. The evaluation demonstrated the potential for sustainability with more efforts and further intervention.

Keywords: safe abortion, self care, misoprostol, post-abortion contraceptives

Edition: Volume 12 Issue 8, August 2023

Pages: 2391 - 2397

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