Background
Reproductive health programs for women have largely overlooked young first-time mothers (YFTMs).To address this gap, we implemented the PoPCare program through a series of interventions aimed at increasing access to and uptake of post-pregnancy modern contraception among YFTMs (15-24 years) and women of reproductive age (WRA) in Rivers State, Nigeria. This paper showcases the improved quality of life of YFTMs through the increased access and uptake of family planning services across 4 LGAs in Rivers.
Materials and Methods
To access the program's impact on YFTMs, we applied the most significant change (MSC) technique Using a cross-sectional qualitative research method, this study was segmented into two phases. During phase 1, stories of change were collected from the beneficiary group (YFTMs) through one-on-one in-person interviews with a semi-structured guide. In phase 2, there were group discussions where stories were ranked and the most impactful stories were selected. Story summaries and focus group transcripts were entered into NVivo textual analysis software applying three types of coding.
Results
On average, YFTMs were 23 years old, and the main focus of participants' stories was the benefits of FP in improving personal well-being. One participant described the importance of birth spacing to improve her quality of life and increase her choices
"At least now I am not thinking of how to buy another baby thing. Now, I am planning on how I will go to school. I am thinking of how to send my child to school, how I will look for business to do to take care of myself and my baby.."
Conclusion
The PoPCare project achieved valued outcomes that aligned with the original project objectives. It increased access to and uptake of modern contraceptive methods among YFTMs and afforded them the opportunity to make choices that improved their quality of life.
