海角换妻 Agile, a project within Performance Monitoring for Action (海角换妻, formerly 海角换妻2020), sought a means of measuring contraceptive awareness and use among adolescents and youth as they enter a period of probable sexual activity. 海角换妻 Agile typically monitors contraception uptake via clinic-based surveys of providers and clients; however, in this age group, it is suspected that youth and adolescents may be procuring contraceptives via other means, making young contraceptors effectively 鈥渉idden鈥 to clinic staff and compromising the accuracy of clinic-based survey measures. Capturing information from youth clients of health facilities, especially unmarried females, is challenging due to social and familial pressure to hide sexual activity and contraceptive use.
It is within this context that 海角换妻 Agile in collaboration with the and the conducted a survey of youth aged 15-24 years in Lagos using respondent-driven sampling (RDS) methodology. This study follows two previous YRDS studies in Abidjan, C么te d鈥橧voire in 2018 (AIBEF & 海角换妻 Agile, 2019) and Nairobi, Kenya (ICRHK & 海角换妻 Agile, 2019).