Sociocultural context and innovation scale up

Objectives To explore how sociocultural factors may support or impede the adoption of community-based distribution of injectable contraceptives in Nigeria.

Design A qualitative study based on a grounded theory approach was conducted through indepth interviews and focus group discussions.

Setting Most participants lived in Gombe State, North East Nigeria. Other participants were from Ibadan (South West) and Abuja (Federal capital territory).

Participants Through seven key informant interviews, 15 in-depth interviews and 10 focus group discussions, 102 participants were involved in the study.

Methods This study, conducted in 2016 was part of a larger study on scale up of communitybased distribution of injectable contraceptives. Qualitative data were collected from traditional and religious leaders, health workers and community members. The data were audio recorded, transcribed and analysed using a thematic framework method.

Results Sociocultural challenges to scale up inclu...