Northern Nigeria presents a complex reproductive health landscape shaped by patriarchy, religious sensitivities, and structural fragility. Katsina is an agrarian state where 20 of 34 Local Government Areas (LGAs) are affected by insecurity, displacement, poverty, malnutrition, absenteeism from school, and high youth unemployment-all of which exacerbate reproductive health challenges. With a fertility rate of 7.3 children per woman, many men regard children as divine blessings, often resulting in births beyond household economic capacity. The State's overstretched healthcare system, marked by inadequate health workers and limited facility reach, further constrains access to reproductive health services.
This study describes a Social and Behavioural Change Communication (SBCC) intervention under the Delivering Innovation in Self-Care (DISC 2.0) project, aimed at strengthening uptake of DMPA SC Self-Injection (SI) among women of reproductive age. Grounded in SBCC principles, DISC used evidence-based strategies to challenge social norms, dispel misconceptions, and mobilize community influencers. Self-care was framed as both a practical response to service barriers and a transformative pathway enhancing women's autonomy and decision-making (WHO, 2021).
Through participatory communication, the project collaborated with Health Promotion Units, traditional rulers, clerics, and Ward Development Committees (WDCs) to deliver culturally resonant messages via community gatherings, Jumat prayers, tea shops, and house-to-house mobilization. Routine DHIS2 data showed DMPA-SC SI uptake rose from 12% in April 2024 to 85% by September 2025. These results underscore SBCC's power to translate knowledge into action and advance Universal Health Coverage in fragile contexts.
Northern Nigeria presents a complex reproductive health landscape shaped by patriarchy, religious sensitivities, and structural fragility. Katsina is an agrarian state where 20 of 34 Local Government Areas (LGAs) are affected by insecurity, displacement, poverty, malnutrition, absenteeism from school, and high youth unemployment-all of which exacerbate reproductive health challenges. With a fertility rate of 7.3 children per woman, many men regard children as divine blessings, often resulting in births beyond household economic capacity. The State's overstretched healthcare system, marked by inadequate health workers and limited facility reach, further constrains access to reproductive health services.
This study describes a Social and Behavioural Change Communication (SBCC) intervention under the Delivering Innovation in Self-Care (DISC 2.0) project, aimed at strengthening uptake of DMPA SC Self-Injection (SI) among women of reproductive age. Grounded in SBCC principles, DISC used evidence-based strategies to challenge social norms, dispel misconceptions, and mobilize community influencers. Self-care was framed as both a practical response to service barriers and a transformative pathway enhancing women's autonomy and decision-making (WHO, 2021).
Through participatory communication, the project collaborated with Health Promotion Units, traditional rulers, clerics, and Ward Development Committees (WDCs) to deliver culturally resonant messages via community gatherings, Jumat prayers, tea shops, and house-to-house mobilization. Routine DHIS2 data showed DMPA-SC SI uptake rose from 12% in April 202 ...
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