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From Awareness to Ownership: How Community-Led Behaviour Change Expanded Demand for DMPA-SC Self-Care in Oyo State, Nigeria

Session Information

Nigeria continues to face a significant burden of unintended pregnancies and unmet need for modern contraception. Although DMPA-SC self-injection offers a transformative self-care option that enhances women's autonomy and expands contraceptive choice, its uptake remains limited. Deep-rooted social norms, widespread myths and misconceptions, low contraceptive awareness, and the strong influence of community gatekeepers continue to hinder broader adoption.

The Delivering Innovation in Self-Care (DISC 2.0) project, implemented by Society for Family Health (SFH) Nigeria in partnership with PSI, employs social and behaviour change communication (SBCC) strategies to shift self-care from policy to practice, thus mitigating barriers to uptake. Through client-centred messaging, community-led interpersonal communication, community sensitization and outreaches, clinic-inreaches, male engagement, engagement with community and state-owned media, community-led storytelling in video content format, self-agency and self-efficacy is fostered among women of reproductive age (WRA), creating enabling environments for self-care in the communities where the intervention is implemented. Early evidence shows improved supportive attitudes among community gatekeepers, enhanced skills among family planning providers, growing self-efficacy, and increased uptake of self-injection among WRAs for family planning.

This abstract shows how SBCC, when localized and grounded in contextual realities at the community level, can accelerate the adoption of self-care health innovations. Beyond communication, it shapes agency, confidence, and community ownership. Self-care scale-up is a behaviour change challenge long before it becomes a service delivery challenge, and when communities lead this behaviour change, progress lasts.

Jun 23, 2026 16:00 - 17:15(America/Panama)
Local :
20260623T1600 20260623T1715 America/Panama From Awareness to Ownership: How Community-Led Behaviour Change Expanded Demand for DMPA-SC Self-Care in Oyo State, Nigeria

Nigeria continues to face a significant burden of unintended pregnancies and unmet need for modern contraception. Although DMPA-SC self-injection offers a transformative self-care option that enhances women's autonomy and expands contraceptive choice, its uptake remains limited. Deep-rooted social norms, widespread myths and misconceptions, low contraceptive awareness, and the strong influence of community gatekeepers continue to hinder broader adoption.

The Delivering Innovation in Self-Care (DISC 2.0) project, implemented by Society for Family Health (SFH) Nigeria in partnership with PSI, employs social and behaviour change communication (SBCC) strategies to shift self-care from policy to practice, thus mitigating barriers to uptake. Through client-centred messaging, community-led interpersonal communication, community sensitization and outreaches, clinic-inreaches, male engagement, engagement with community and state-owned media, community-led storytelling in video content format, self-agency and self-efficacy is fostered among women of reproductive age (WRA), creating enabling environments for self-care in the communities where the intervention is implemented. Early evidence shows improved supportive attitudes among community gatekeepers, enhanced skills among family planning providers, growing self-efficacy, and increased uptake of self-injection among WRAs for family planning.

0 Enviado por Mercy Okeyode on 14 Jun, 04:00 PM

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