Self-Care Practices in Management of Side-Effects Due to Use of Modern Contraceptive Methods: Findings from a Descriptive Mixed Methods Study in Niger, Nepal and Uganda

Dinah Amongin, Makerere University School of Public Health
Simon Peter P. S. Kibira, Makerere University School of Public Health
Sarah Ms Nabukeera, Makarere University
Fredrick Makumbi, Makerere University
Dieudonne Bidashimwa, FHI 360
Rhoda Wanyenze, Makerere University

Contraceptive side effects are a major reason for contraceptive discontinuation or inconsistent use. Self-care could empower contraceptive users in dealing with contraceptive side effects, especially where healthcare access is challenging. Little is known the opportunities available to contraceptive users in developing countries to practice self-care for side effects management. We conducted a secondary analysis of data from a mixed-methods study in Niger, Nepal, and Uganda to examine women's approaches to management of contraceptive side-effects. Our analysis population included women who reported experiencing contraception-induced side effects in Nepal (n=134), Niger (n=88), and Uganda (N=181). Almost half of these women attempted to self-manage. Self-management was mainly through the use of over-the-counter medicine especially in Nepal and Uganda (62% and 71%, respectively). Other approaches included applying heat, changing menstrual hygiene practices or diet. Findings suggest the role of self-care in family planning programming in improving universal access, but more evidence is needed.