Parallel 2 - Abstract presentations (Oral-022 - Oral-024)

Background/Objectives
Unmet need for FP is highest among 15-19 years' sexually active unmarried women (66%) and decreases with age to 26% among 45–49-year women (NDHS2018). Unmet need among married female adolescents is lowest at 12%, rising to 23% among women aged 35-39 years. The objective of this study was to determine the effect of marital status on FP uptake and method preference among unmarried and married adolescents (15-19) in two urban slums in Kano State.
Methods 
The USAID supported project (YPE4AH) aims to improve adolescent health by improving access to voluntary family planning (FP) services among unmarried and married underprivileged out of school adolescents (15 – 19) in Kano State and Lagos states. In Kano, the project was implemented in two urban slums in Wudil and Ngogo LGAs, using a hub and spoke model of service delivery. Forty-nine different cadres of healthcare providers were trained on Youth Friendly Services. Adolescents were mobilized from communities around the Youth Hubs and referred to the two Youth Hubs and 47 spokes facilities for FP counseling and services. Data was captured using ASRH register adapted from Lagos state government and entered electronically by trained Data collectors. 

Results
A total of 1,147 unmarried adolescents were counselled on FP, 812 received FP method, with majority receiving pills(348), and condoms(210). FP uptake was more among the married adolescents (2,291) with majority receiving Injectables (948) and Oral pills (579). LARC services were also sought by both adolescent groups, accounting for less than10% among unmarried and less than 20% among the married adolescents. 

Conclusion
Marital status is an important factor for FP method preference and uptake in Kano state. The FP preferences by these adolescent groups has implications for programs, and practice. With disparity in long/short-term choices, programs are better served to improve access to adolescents.

Background: Vasectomy is one of the most effective contraception for men and most popular in many developed countries. However, the method is less known and used in Nigeria due to fear of impotence, and violation of God's creation. As a result, only few men are willing to take up the method. Marie Stopes Nigeria is increasing men's choice of safe contraceptive options. Hence, a simple, but effective out-patient vasectomy procedure was introduced in the our centres of excellence. Strategic behaviour change communication approach was layered on to raise awareness, correct misconceptions, change attitude and generate demand for the service. Our study aims to understand the uptake of vasectomy services, the user demographics, and the motivation for its use.
Methods: The study was retrospective analysis of 25 clients who received vasectomy in MSION Centres of excellence in Abuja, Lagos and Benin between 2018 and 2021. The data was retrieved from MSION service statistics database. Following informed consent, in-depth interview was conducted with the users to understand their motivation and decision-making journey.
Results: A total of thirty-one clients accepted vasectomy in Marie Stopes Centres The uptake of the service increased from 1 in 2017, to 31 2021. The clients were between age 25 and 54. More than half had two or more children. However, 6 had no children. Sixteen were skilled workers in the private sector Out of these, 15 were existing clients of MSION and had accessed male condoms while 12 were new. Two of the users had never used condoms. The users were mostly married.
Conclusion: The utilization of vasectomy is gaining traction due to safety in the procedure, continuum of care and client satisfaction with the procedure. Training of health workers to provide safe and quality vasectomy services in Nigeria is recommended

Background
Despite growing awareness on contraception and current global and national programmatic initiatives to improve contraceptive utilization, demand for modern contraception especially in Nigeria still persists. 
Side effects, myths, misconceptions, cost and service accessibility are known causes of low uptake of modern family planning methods. Besides these, sociocultural factors such as societal gender norms might also play serious roles in limiting the adoption, acceptability and continued use of modern contraception.
Materials and Methods
This was a cross-sectional study conducted among men and women aged 18-49 years in four selected states in Nigeria, Abia, Kaduna, Lagos and Niger state. Data collection was done in one selected LGA in each state. A random number of wards were selected from the total wards in the study area and the total sample for each location were proportionately drawn from the selected wards. From the selected wards a systematic random process was used to select households in the wards for interviews, and eligible respondents were randomly selected.
Results
Total number of male and female participants in the study was 293 and 311 respectively. Among females a high level of partner involvement in contraception use showed statistically higher proportion to ever using a modern contraception (87.4%),current use of modern contraception (39%) and on knowledge of where to obtain contraception (97%).Similarly, among males, high level of partner involvement was associated with ever using a modern contraception and current use of a modern contraceptive, compared with low-level of partner involvement
Conclusion
Addressing partner involvement and socially constructed gender dynamics may play a key role to facilitate the use and uptake of modern contraception methods and will reduce unplanned pregnancies. There is need for couple-focused program which would help in providing sufficient information and counselling to partners for decision making and behaviours that will empower both partners.