Women and girls living below poverty benchmarks have high fertility rates, unmet need, live in communities with limited accessibility to contraceptive, and are less likely to afford the cost of transport as well as the cost contraceptive services. To bridge the multidimensional disparities in access and utilization of contraception, Marie stopes deployed 23 Marie Stopes mobile Outreach across the six geo-political zones including the FCT to provide quality contraceptive services free of charge to the client. Our study aimed to assess the utilization of contraception among women and girls living in multidimensional poverty among other consideration.
Method: The study was cross sectional involved 277 randomly selected clients in Outreach sites. Following informed consent, a pretested-interviewer-administered questionnaire was used elicit information about the service taken, travel time, and access to alternative providers. The global multidimensional-poverty-index (MPI) was used to assess the living condition of the clients.
Results: 36% of the 277 clients live in severe MPI, while 62% are live in MPI. 74% traveled one- hour to reach an outreach site. 81% did not know alternative provider where they could access same service. The method of choice was mostly LARC. The reason for the choice was mainly the long duration of the method. FP2030-MII was 77%, and net promoter score was 61%.
Conclusion: The Outreach model is a viable approach for reaching vulnerable population living in hard-to reach geographies with contraceptive services. Outreach models should be scaled to ensure no one is left behind.
