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Nigeria

Articles by Nigeria

Safe abortion course

IPPF launches free online medical abortion course

Training co-created with How To Use Abortion Pill Training endorsed by the International Federation of Gynecology and Obstetrics (FIGO) Training course complete with quizzes and an option to download a certificate upon successful completion Course comes as World Health Organisation (WHO) issues new guidelines on abortion care and will help put the WHO guidelines into practice globally Over 25 million unsafe abortions occur each year From 2015 to 2019 in Kenya, there were 2,380,000 pregnancies annually. Of these, 1,450,000 pregnancies were unintended and 551,000 ended in abortion Landmark High Court of Kenya ruling in March 2022 affirms abortion care as a fundamental right under the Constitution of Kenya Nairobi – 20th September 2022 – International Planned Parenthood Federation (IPPF) and HowToUseAbortionPill.org have developed a free online medical abortion training course to equip healthcare workers with the necessary skills to provide care for women seeking medical abortion up to 13 weeks’ gestation. The course is aimed at the full range of providers, including physicians, midwives, pharmacists, medical students and community health workers. The course, which has been endorsed by the International Federation of Gynecology and Obstetrics (FIGO), is a seven-lesson video series accessible via the link https://elearning.howtouseabortionpill.org. It covers an overview of abortion care; how to support a medical abortion; symptoms, side effects and complications; and aftercare. The training is framed around four principles of care: person-centred care, rights-based care, quality, and privacy and confidentiality. “Abortion care continues to be left off medical training curriculums,” said Mallah Tabot, Lead SRHR Programming at IPPF Africa Region. “This online course will fill a critical gap in the education of many health workers. It has the potential to significantly increase the number of health workers with the skills and knowledge to provide abortion care, especially in low-resource settings, and thereby increase the number of women supported to safely end a pregnancy.” Unsafe abortion remains a serious global threat to women's health and safety, causing an estimated 7 million hospitalizations and up to 13% of all maternal deaths worldwide each year. Medical abortion is a non-invasive method using two pills - mifepristone and misoprostol - or misoprostol alone.  Medical abortion is safe and effective and is recommended by the Word Health Organisation (WHO). Between 2015 and 2019 in Kenya, there were a total of 2,380,000 pregnancies annually. Of these, 1,450,000 pregnancies were unintended and 551,000 ended in abortion. in Nigeria, there were a total of 10,500,000 pregnancies annually with 2,990,000 unintended and 1,430,000 ended in abortion. In both countries, abortion is legal to preserve the pregnant person’s health. However, a majority of abortions are carried out by unqualified practitioners who run unsafe clinics. “Research shows that when women cannot access safe abortion care, they often seek unsafe methods,”  said Rebecca Wilkins, Technical Lead, Abortion at IPPF.  “This training course provides the information and resources necessary for health workers to support women who choose to have a safe abortion with pills in early pregnancy either within or outside a clinical setting.” The course is hosted on a login-based web portal which can be accessed from desktop or mobile and is structured to be an interactive learning experience, complete with quizzes and an option to download a certificate upon successful completion. In March this year, WHO issued new guidelines on abortion care.  The updated guidelines contain more than 50 recommendations covering clinical practice, health service delivery, and policy and legal actions including ensuring access to quality medical abortion pills. The new online training course is aligned to the clinical protocols recommended in the WHO guidelines. A landmark ruling by the High Court of Kenya in Malindi this year affirmed the right to abortion as a fundamental right under the Kenyan Constitution.  The ruling in a case filed by the Center for Reproductive Rights and Reproductive Health Network Kenya (RHNK) in 2020 against government officials involved the arrest of a minor and a clinician. It has set a precedent against arbitrary arrests and prosecution of patients and health care providers for seeking or offering abortion services. Such arrests and prosecutions are now deemed illegal according to the new ruling. ENDs  For further information, download the media kit HERE or contact: PR Consultant Njeri Wangari              Tel: +254 (0)722353657, e-mail: [email protected] IPPF: Mahmoud Garga                     Tel.   +254 (0) 704626920, e-mail: [email protected]    Catherine Kilfedder                                                         e-mail: [email protected]   ABOUT IPPF AFRICA REGION (IPPFAR) The International Planned Parenthood Federation Africa Region (IPPFAR) is one of the leading sexual and reproductive health (SRH) service delivery organizations in Africa and a leading sexual and reproductive health and rights (SRHR) advocacy voice in the region. Headquartered in Nairobi, Kenya, the overarching goal of IPPFAR is to increase access to SRHR services to the most vulnerable youth, men and women, in sub-Saharan Africa.  Supported by thousands of volunteers, IPPFAR tackles the continent's growing SRHR challenges through a network of Member Associations (MAs) in 40 countries. We do this by developing our MAs into efficient entities with the capacity to deliver and sustain high-quality, youth-focused and gender-sensitive services.  We work with Governments, the African Union, Regional Economic Commissions, the Pan-African Parliament, and United Nations bodies, among others, to expand political and financial commitments to sexual and reproductive health and rights in Africa.  Learn more about us on our website. Follow us on Facebook, Twitter, Instagram and YouTube.

Photo of ACT!2030 young activists
07 February 2017

ACT!2030

IPPF collaborates with UNAIDS and The PACT to implement ACT!2030 (formerly ACT!2015), a youth-led social action initiative which engages young people in 12 countries with advocacy and accountability around the Sustainable Development Goals (SDGs) and other SRHR agreements/frameworks. ACT!2030 was initiated in 2013 as a way to increase youth participation in the negotiations leading up to the adoption of the post-2015 development agenda, and for two years focused on establishing alliances of youth-led and youth-serving organisations in 12 countries across the world. The project is currently in Phase 4, which runs until the end of 2017, and aims to establish youth-led, data-driven accountability mechanisms to ensure youth engagement with the implementation of the SDGs and build an evidence base for advocacy. Ultimately, Phase 4 of ACT!2030 seeks to identify, assess and address key policy barriers to young people’s sexual and reproductive data by using existing data, supplemented by youth-collected data, to advocate and lobby for policy change. This phase involves four main activities: indicator advocacy (persuading decision makers to adopt youth-friendly SRHR and HIV indicators, including on things like comprehensive sexuality education (CSE) and access to youth-friendly services, into national/global reporting mechanisms); evidence gathering (creating national databases on quality of and access to youth-friendly services and CSE); communications (transforming this data and evidence into communications pieces that can be used to advocacy and lobby at national and international level); and global exchange (facilitating global visibility to share advocacy and engagement learnings and increase youth-led accountability in global and regional processes). ACT!2030 is implemented by national alliances of youth organisations in 12 countries: Algeria, Bulgaria, India, Jamaica, Kenya, Mexico, Nigeria, Philippines, South Africa, Uganda, Zambia and Zimbabwe.  

Nigeria_IPPF_George Osodi
04 February 2022

Closing the Cervical Cancer Care Gap in Nigeria

By Dr. Abubakar OKAI AKU Aku and Maryanne W. WAWERU World Cancer Day takes place every year on 4 February and is dedicated to raising the awareness of cancer and to encourage its prevention, detection and treatment. This year’s theme is “Close the care gap”. The campaign raises awareness about the lack of equity in cancer care and highlights barriers that exist for many people in accessing services and receiving the care they need. In this article, we highlight the work of IPPF’s Member Association in Nigeria, Planned Parenthood Federation of Nigeria (PPFN), in closing the care gap in the country. While going about her business at the marketplace, Mrs. Olufemi came across information about cervical cancer screening services offered at the Planned Parenthood Federation of Nigeria (PPFN) clinic in Lagos. Curious, and wanting to take advantage of this opportunity, she decided to visit the clinic. Before doing so, she requested her friend Mrs. Emeka to accompany her, just in case the results were not good, and she would need a shoulder to lean on. At the PPFN clinic, Mrs. Olufemi underwent screening for cervical cancer, and could not hide her joy when her results came back bearing good news. She was tested using the Visual Inspection of the Cervix with Acetic Acid (VIA) method, which is an inexpensive, simple test that is sensitive to detecting precancerous lesions, while providing instant results. Motivated by her friend’s actions and the good results, Mrs. Emeka decided to get tested as well. Her results, however, revealed the presence of pre-cancerous lesions in her cervix. She was devastated. Early cancer detection saves lives Dr. Abubakar Okai Aku, a PPFN healthcare service provider reassured a distraught Mrs. Emeka by informing her that early detection and diagnosis of cervical cancer may offer favourable prognosis and improve survival. However, she was too overwhelmed with emotion to pay attention. Thankfully, her friend Mrs. Olufemi helped calm her down, wiping the tears off her cheeks, and comforting her. Since her diagnosis was in the pre-cancerous stage, Dr. Abubakar referred Mrs. Emeka for cryotherapy treatment, also available at the PPFN Lagos clinic. According to Dr. Abubakar, cryotherapy is a minimally invasive treatment method that involves the freezing of the abnormal cells in the cervix, creating way for healthy cells to grow back. This approach, used by IPPF’s Member Associations that offer cervical cancer services is aligned with national protocols and makes use of existing local infrastructure. Dr. Abubakar adds that the intervention is replicable and scalable nationwide. Successful treatment Mrs. Emeka immediately took up the cryotherapy treatment as advised by Dr. Abubakar. Three months later, she returned for a scheduled follow up visit at the clinic and all was found to be well. She had successfully responded to treatment. Despite having precancerous lesions, Ms. Emeka did not develop cervical cancer because of early detection. She always thanks her friend Mrs. Olufemi for her role in helping her realize her risk for developing cervical cancer. Today, Ms. Emeka is an advocate of cervical cancer screening in her community and uses all available opportunities to talk to women about the need for - and importance of - cervical cancer screening and respective treatment. PPFN’s cervical cancer intervention programs  Between 2012–2017, PPFN was part of the Cervical Cancer Screening and Preventative Therapy (CCSPT) initiative, which was aimed at improving reproductive health outcomes for women. The project significantly contributed to reducing the growing cervical cancer burden in Nigeria. By July 2017, a total of 1,145,525 women had been screened for cervical cancer, with 1,458 positive cases, of which 1,321 of them receiving cryotherapy treatment through PPFN healthcare service providers.  When the CCSPT project ended, cervical cancer services were integrated into regular PPFN services. In 2021, over 1 million women were screened for cervical cancer by IPPFAR’s member association in Nigeria. In 2014, the Federal Ministry of Health set up a cervical cancer screening technical working group for cancer prevention to scale up cervical cancer screening in the country, of which PPFN is a member. PPFN works closely with various partners, among them the National Cancer Control Program of the Federal Ministry of Health to achieve its goals. PPFN is committed to addressing the cancer burden in Nigeria, including the use of digital and other technology to increase people’s access to reproductive health services, and closing the equity gap in cancer care in the country. Dr. Abubakar Okai Aku is the Executive Director, Planned Parenthood Federation of Nigeria (PPFN). Maryanne W. Waweru is the Communications Officer, IPPFAR. Also read: Accessing Cervical Cancer Services and Healthcare in Nigeria For more updates on our work, follow IPPF Africa Region - Facebook, Twitter, Instagram and You Tube.

Nigeria_IPPF_George Osodi
04 February 2022

Accessing Cervical Cancer Services and Healthcare in Nigeria

By Maryanne W. Waweru Cervical cancer, a type of cancer that occurs in the cells of the cervix, is ranked as the fourth most common cancer among women globally, according to the World Health Organization (WHO). About 90% of the new cases and deaths worldwide in 2020 occurred in low and middle-income countries. Countries in sub-Saharan Africa experience a disproportionate burden of the disease, where 19 of the top 20 countries with the highest cervical cancer burden were in sub-Saharan Africa in 2018. In the West African country of Nigeria, over 12,000 new cervical cancer cases are diagnosed annually (estimations for 2020) and it is the second most common female cancer in women aged 15 - 44 years in the country. IPPF’s Member Association in Nigeria, the Planned Parenthood Federation of Nigeria (PPFN) is involved in various efforts aimed at increasing access to cervical screening and treatment in the country. PPFN’s efforts are geared towards closing the gap in cancer care in the country, complementing Government and other stakeholders’ efforts to increase access to life-saving preventive services, diagnosis, treatment and care. Recipients of PPFN’s cervical cancer services include women living with HIV, who are six times more likely to develop cervical cancer compared to women without HIV. PPFN uses the Visual Inspection of the Cervix with Acetic Acid (VIA) screening and cryotherapy treatment approaches across its 45 clinics spread over 36 states in Nigeria. It also offers these services in over 100 associate health facilities across the country. Eliminating the cost barrier Dr. Abubakar Okai Aku, a PPFN healthcare service provider says cancer services at all PPFN and associate health facilities are offered at an affordable, subsidized cost which enables more women to access the services. High medical fees are a significant barrier to people’s access to healthcare. Additionally, PPFN conducts mobile outreach clinics offering a wide range of sexual reproductive health services, including cancer services, to vulnerable communities in hard-to-reach, poor and marginalized areas. These areas, mostly in the countryside, have no proper road infrastructure and have few and poorly equipped health facilities. In some areas, insecurity challenges hinder access to health services. “PPFN accesses these areas by working with local Governmental authorities, the primary healthcare system and local community structures that include community health volunteers, chiefs, religious leaders and other gatekeepers to enhance our outreach work,” says Dr. Abubakar. He notes that since many women in these areas cannot afford the services, PPFN offers the services for free. Referrals are also made to PPFN’s nearest static clinics, as well as Government health facilities - with whom the organization collaborates closely.   Husband’s permission to access health services PPFN’s work in the community is however not without challenges. According to Dr. Abubakar, they must contend with cultural factors that hinder women’s access to reproductive health services. For example, some men do not allow their female partners or household members to go to the clinic without their permission and when they allow them to, they would only allow it under certain conditions. “The husbands tell the service providers to first come to their house and explain the services they wish to offer to their wife or wives. Sometimes they grant permission, other times they don’t. Many women in rural communities are often not in full control  of their own health. Since many don’t work, they not only have to ask their husbands for permission to go to the clinic or attend mobile outreaches, but they also need money for transport and for treatment. To this end, PPFN works with male champions in the community, sensitizing them on the need to empower women and enabling them to take charge of their own health,” says Dr. Abubakar. Dr. Abubakar also notes that misinformation, stigma and ostracization around women’s cancers also prevents many women from seeking cancer screening, treatment and care services. “We have seen women present with cancers at an advanced stage, leading to negative health outcomes. PPFN diligently works with local community structures to dispel myths and rumors about cancer, educating them and encouraging them to seek prevention and treatment services,” he says. PPFN is committed to addressing gaps with regard to cervical cancer prevention, treatment and care services in the country. Learn more: Closing the Cervical Cancer Care Gap in Nigeria. Maryanne W. Waweru is the Communications Officer, IPPF Africa Regional Office. For more updates on our work, follow IPPF Africa Region on Facebook, Twitter, Instagram and You Tube.

Dr Aproko
13 January 2022

Creative session between Dr Aproko and the Youth Action Movement of Nigeria on SRHR

In order to increase African youth awareness on specific issues related to sexual and reproductive health and rights, IPPFAR engaged the services of Influencer Aproko Dr. for a 1-month digital campaign including the production and dissemination of various video content. This video highlights the creative session between Dr Aproko and the Youth Action Movement of Nigeria on sexual reproductive health and education. The International Planned Parenthood Federation Africa Region (IPPFAR) is the leading sexual and reproductive health (SRH) service delivery organization in Africa, and the leading sexual and reproductive health and rights advocacy voice in the region. Headquartered in Nairobi, Kenya, the overarching goal of IPPFAR is to increase access to SRHR services to the most vulnerable youth, men and women in sub-Saharan Africa.

Establishing Digital Health Interventions in Nigeria
17 June 2021

Adapting Family Planning Services in Times of Crisis: Establishing Digital Health Interventions in Nigeria

The COVID-19 pandemic caused great disruptions in the lives and livelihoods of millions of people across the world. Among the most affected sectors was that of health, where the pandemic led to an overwhelming stretch in service delivery. This necessitated an urgent shift in regular service delivery models. In Nigeria, as was the case in most countries, many people were unable to access health facilities owing to the mobility restrictive measures imposed by the government in attempts to control the spread of the disease. COVID-19 constraints saw healthcare organizations such as Planned Parenthood Federation of Nigeria (PPFN) - IPPF’s Member Association in the country - limit the hours and days clients could access services at its static clinics. Mobile health outreaches were no longer possible, and people were cautious about visiting hospitals. Additionally, health workers desired to attend to fewer clients for their own precautionary measures. This called for a review of the traditional face to face model that clinicians traditionally provided to clients, necessitating their adoption of digital and mobile technologies for health service delivery. COVID-19 accelerated the shift towards the digital world, with PPFN tapping into this opportunity. Harnessing the power of digital and mobile technologies, PPFN implemented new Digital Health Interventions (DHIs) to ensure sustained provision of sexual reproductive health (SRH) information and services during the pandemic. Download the complete case study here: Establishing Digital Health Interventions in Nigeria

12 October 2017

RB Durex Establish New Partnership with PPFN on Sexual Health

In line with RB’s continuous commitment to being a socially responsible organization, RB* has signed an agreement with the Planned Parenthood Federation of Nigeria (PPFN) to help improve the sexual health and wellbeing of Nigerians. The scope of the partnership covers sexual and reproductive health education and increasing consumer access to condoms by opening new channels and reaching consumers previously unreached. According to a recent report by World Health Organization (WHO), ‘Every day, more than one million sexually transmitted infections are acquired worldwide, and each year an estimated 78 million people are infected’. This constituting a major health concern also in Nigeria. Sexual health education and contraception are therefore twin preventive health strategies to curb this. Research and Real World data reveals that male latex condoms when used consistently and correctly is an effective approach to achieve a reduction in spread the of sexually transmitted infections and prevent unintended pregnancy. Rahul Murgai, the Managing Director of RB Nigeria and Dr Ibrahim M. Ibrahim the Executive Director of Planned Parenthood Federation of Nigeria (PPFN) were optimistic that the joint efforts of the two organizations will help drive the sexual and reproductive health agenda in Nigeria. Speaking about the partnership with PPFN, Rahul Murgai said, “RB is excited to partner with PPFN to create scaled awareness and education in Nigeria on planned-parenthood, maternal health, safe contraception techniques and targeted reduction in HIV related deaths through the effective and consistent use of condoms. Through this collaboration, consumers will have the requisite education and empowerment to improve their Sexual Health with easy access to Durex- the World number 1 condom brand.” Over the years, RB has been at the forefront for cause-related initiatives that further the progress of Nigeria on UN Sustainable Development Goals such as reduction in infant mortality from preventable diseases such as diarrhea and malaria, improved public health and sanitation from reduced open defecation problem and now partnering to reduce HIV related deaths. Its brands, which are popular household names such as Dettol, Mortein and Harpic, have active partnerships with Federal Ministry of Health (MoH), Save the Children (STC), Nigerian Medical association which work to educate new mothers, school children and reach LGAs like Shomolu in Lagos to promote good healthy habits like handwashing and to build a healthier nation. The Planned Parenthood Federation of Nigeria (PPFN) is a national non-governmental organization and a leading advocate and provider of sexual and reproductive health services. PPFN is a member of the global movement that strives for universal access to reproductive health services to all (including poor, marginalized, vulnerable and socially excluded people) without discrimination. According to Dr Ibrahim “this partnership will contribute towards PPFN’s objective of expanding access to quality services particularly for young persons in Nigeria.” The PPFN and Durex strategic partnership will go a long way in reducing the spread of HIV/AIDS and other STIs. It will also contribute to reducing the incidence of unwanted/unplanned pregnancy and unsafe abortion as well as significantly improving the overall level of health and wellbeing in Nigeria   *RB is a trading name of Reckitt Benckiser group of companies  

IPPF Africa Region Director Mr. Lucien Kouakou
16 December 2015

Parliamentarians are Key to Realizing Demographic Dividend in Africa

African parliamentarians must seek ways of mobilizing resources to fund the demographic dividend agenda in their countries. This is according to the IPPF Africa Region Director Mr. Lucien Kouakou, who made these remarks during the closing ceremony of a two-day capacity building workshop for African Parliamentarians held in Nairobi, Kenya, from 14 – 15 December 2015. The meeting, attended by 13 legislators drawn from the Africa Parliamentary Forum on Population and Development (FPA), was aimed at enhancing the legislators' understanding of the concept of the ‘Demographic Dividend’, and their role in moving forward related agenda. The demographic dividend refers to the accelerated economic growth initiated by a rapid decline in fertility and mortality, and which results in a change of the age structure in the population –from one dominated by child dependents to one driven by an economically productive adult workforce. “Harnessing the demographic dividend is fundamental to Africa’s development. A demographic shift in any population is important because of it's direct bearing to among others: economic growth, education levels, poverty levels and the health and well-being of a nation. The current demographic transition in Africa is one that has the ability to steer the next surge of economic growth - with a population characterized by healthier and more educated youth, and who will have greater access to the labour force and economic markets. African leaders therefore need to put in place measures that will ensure that the continent harnesses the dividend from Africa’s youthful population,” he said. A new report from the World Bank reveals that government policies and other related actions undertaken today will increase the likelihood of harnessing various economic and social benefits of demographic change. “Parliamentarians are instrumental in this process, as they are the ones involved in the formulation of policies and legislations. When a country has the right set of policies in place, it is better placed to reap the benefits of a demographic change, hence the need to involve Members of Parliament in all conversations around the demographic dividend. There is no doubt that the demographic dividend can be achieved in Africa, if the right policies are instituted,” said Mr. Kouakou. The capacity building initiative for the African legislators, organized by IPPF and UNFPA and themed: "Moving the Demographic Dividend Agenda: from Ideas to Actions", established a harmonized understanding of the demographic dividend among the MPs, and helped define their level of engagement in advancing this agenda in their countries. A clear roadmap for moving forward the demographic dividend agenda at both regional and national levels was developed during the forum. Members of parliament who attended the forum included: Hon. Chris Baryomunsi (Uganda), Hon. Marie-Rose Nguini Effa (Cameroon), Hon. Jose Manuel Tavares Sanches (Cape Verde), Hon. Mbaidessemel Dionadiji (Chad), Hon. Zalikatou Diallo (Guinea Conakry), Hon. Larry Younquoi (Liberia), Hon. Illa Ousmane (Niger), Hon. Helen Kuyembeh (Sierra Leone), Hon. Dlamini Princess Phumelele (Swaziland), Hon. Highvie Hamdudu (Zambia), Hon. Nurudeen Abatemi-Usman (Nigeria), Hon. Ahmed Babou Babah (Mauritania) and Hon. Sado Nazaire (Benin). In his speech, Mr. Kouakou called on the MPs to take a lead role in mobilizing resources that will ensure that the demographic dividend will be realized in their countries. “Parliamentarians can influence their colleagues and garner their support for the formulation of policies and legislations, specifically those related to population and development. They can call for more budgetary allocation to respective institutions, such as the Ministries of Planning and Development, The Ministries of Health and Education, as well as institutions that focus on the youth. They can also take the lead in seeking innovative ways of mobilizing resources at the local level that would champion population and related issues. Members of Parliament have an unmatched role in steering development in their countries,” he said. Mr. Kouakou further urged the legislators to take advantage of the resource that is partners who have a presence in the region, such as IPPF and UNFPA – entities that are committed to Africa’s growth. Development partners, if convinced that the demographic dividend is key to the growth of the region, will definitely assist in different ways, including offering technical assistance, capacity building and mobilization of resources, he said. “IPPF and UNFPA are committed to this agenda, and are working in collaboration with the Africa Parliamentary Forum on Population and Development (FPA) to implement a programme that will ensure that all African countries are on track to realizing the demographic dividend. The project is initially slated for implementation in the six countries of Mauritania, Ivory Coast, Mali, Burkina Faso, Niger and Chad, with more countries being incorporated in the coming years. We are keen on ensuring that no country is left behind,” he said. The Africa Parliamentary Forum on Population and Development (FPA), which was established in 2012, seeks to exchange and coordinate action in support of the ICPD Beyond 2014. FPA also seeks to ensure that parliamentarians assist in the implementation of the ICPD Beyond 2014 Agenda by adopting initiatives in population policies, as well as harmonisation of African legislation on Sexual and Reproductive Health and Rights (SRHR). At the Abidjan General Assembly meeting in 2014, FPA reaffirmed its purpose as a regional body established to drive the agenda on population and development at both the national and regional levels.

Outreach work in Nigeria
13 October 2016

Changing lives in Nigeria

SIZE defines many things about Nigeria. Being Africa’s most populous country ensures that plenty of the issues it faces are big. Nigeria’s population is around 188 million, and growing at more than 3% a year. Around a quarter of young women will be mothers or pregnant by the age of 19. One reason is a historically low use of contraception – at around 10%. One estimate suggests 35% of 15-24-year-olds who want access to contraception can’t get it – creating a huge unmet need for family planning. Nigeria’s Government has pledged to do something about that gap. It wants to increase the use of contraception to 36% by 2018 - its part in the global effort to give women around the world equal access to contraception. And a pilot programme run in Oyo State by the Planned Parenthood Federation of Nigeria (PPFN), IPPF’s national member, has offered startling progress. ClusterPLUS is something of a hybrid. It was built on the foundation of PPFN’s previous work but added new thinking, including ideas developed by IPPF member associations in Kenya and Uganda, who helped PPFN adapt them for Nigeria. At its heart is a simple concept - partnership. The closer you can get to local communities, the better you work with national and local government and more you try to build local ownership, the better. The project used PPFN’s earlier development of “clusters” of clinics, pharmacies and other outlets, as a base. The original cluster project, introduced in 2009, was funded in part by the UK Department for International Development. One ClusterPLUS innovation was a tireless approach to community outreach. In villages without permanent centres, clinics would set-up for three days at a time in schools, churches, markets or mosques. But to make sure everyone who could benefit from them knew they were coming, workers armed with enthusiasm and megaphones would go around drumming-up interest first. These CHEWS (Community Health Extension Workers), lent from Nigeria’s Ministry, did far more than generate publicity though. They also lived in the communities and were trained to supply forms of contraception themselves. Women unable to get to a clinic, perhaps because of work, could visit a CHEW at home in the evening. Often they might bring a friend too. Greater accessibility boosted the numbers of women using contraception. Sherifat Adelke is a 32-year-old CHEW with the Joy Hospital in Ibadan. She thinks her Islamic faith helped one fellow Muslim to end his opposition to his wife using contraception. "He was furious at me and kept looking at my Hijab. Then he asked me if I was a Muslim at all. I told him the Quran didn’t instruct Muslims not to use Family Planning. After enough lecture, he agreed. That was a victory for me.” Male opposition wasn’t anything new. PPFN was already using “male motivators” to combat men’s ignorance about contraception. Owolabi Temidayo is one male motivator in Ibadan. “Some men believe that when their wives start using family planning they will become promiscuous. Others believe if their wives have implants they won’t be able to enjoy intercourse. The religious ones believe family planning is a sin. I go places to educate men. I go to motor parks, markets, town hall meetings, speaking on the need for family planning. It goes a long way in clearing the misinformation out there.” One partnership which proved critical to ClusterPLUS was between PPFN and local government in Oyo State – it helped to galvanise local leadership and create buy-in from officials. And the support was concrete. As well as providing three clinical staff, local authorities supplied the contraceptives and places for training, for meetings and for clinics. ClusterPLUS also set out to emphasize the benefit of long acting forms of contraception such as implants and IUCDs. And their provision was integrated with other services. Someone coming to a clinic for breast or cervical cancer screening or a test for HIV or a sexual transmitted infection would find family planning available there and then. Reaching those in poorer communities was also a priority. 28-year-old Tawa Agungbaide was responsible for making sure that one group of 63 women who couldn’t afford to pay for contraception gain access to it nevertheless. “We realized finance was a huge challenge. In some instances, it wasn’t a question of paying for services, but also of not even having enough money to pay for their transport to a clinic.” The solution, says Tawa, was a voucher scheme, funding transport and contraception for women who simply couldn’t fund it themselves. It helped her group and many others. “With eligibility criteria, we were able to single women who really couldn’t afford family planning. The voucher scheme was able to solve that. I feel fulfilled helping these women.” And new technology has played a major part too. An app on tablets and smartphones allowed health workers to input what they’d handed out every day – quickly and in real time. The supply team could then make sure that a delivery point never ran out of supplies – avoiding the dreaded stock-out. How well has it worked? The figures are impressive. The project aimed to reach 20,200 people in its nine months. It actually got to 53,152 clients. But as well as reaching more people, with more family planning services, it also gave women wider choice about the form of contraception they wanted. Two thirds of new users chose long-acting forms of contraception, more than double the rate outside of the project. The aim for PPFN now is to roll out the same approach across Nigeria, reaching more young people, especially poorer women. ClusterPLUS is already running in three other states in Nigeria – and if it proves as successful as in Oyo State, Nigeria’s Government will be making big progress towards its family planning pledge.

Planned Parenthood Federation of Nigeria

As the statistics show, Nigeria faces considerable sexual and reproductive health (SRH) challenges. Established over 25 years ago, the Planned Parenthood Federation of Nigeria (PPFN) is one of the country’s most experienced SRH organizations and nationally, it delivers around 10% of all family planning services. Its work extends to voluntary counselling and testing (VCT) in HIV and AIDS, antenatal and post-natal care, post-abortion care, infertility diagnosis and counselling, and education and counselling on sexually transmitted infections (STIs) including HIV and AIDS.

PPFN’s network of service delivery points is substantial: it has over 2,300 distinct service points. This includes 68 permanent clinics, 1,558 associated clinics and 27 community-based services (CBSs). The team consists of 110 permanent staff, over 750 volunteers and a Youth Action Movement membership of 350. Working together, they deliver a phenomenal number of sexual health services.

PPFN partners closely with the Nigerian government to deliver services and providing technical guidance on policy development and implementation. It works in collaboration with other non-governmental organizations (NGO) and with private sector companies including The Central Bank of Nigeria, the National Agency for the Control of AIDS, Allied Products Plc and Nigeria Breweries. PPFN receives financial support from the UNDP, the Global HIV/AIDS Initiative, Pathfinder Nigeria, and IPPF’s Japan Trust Fund.

 

Safe abortion course

IPPF launches free online medical abortion course

Training co-created with How To Use Abortion Pill Training endorsed by the International Federation of Gynecology and Obstetrics (FIGO) Training course complete with quizzes and an option to download a certificate upon successful completion Course comes as World Health Organisation (WHO) issues new guidelines on abortion care and will help put the WHO guidelines into practice globally Over 25 million unsafe abortions occur each year From 2015 to 2019 in Kenya, there were 2,380,000 pregnancies annually. Of these, 1,450,000 pregnancies were unintended and 551,000 ended in abortion Landmark High Court of Kenya ruling in March 2022 affirms abortion care as a fundamental right under the Constitution of Kenya Nairobi – 20th September 2022 – International Planned Parenthood Federation (IPPF) and HowToUseAbortionPill.org have developed a free online medical abortion training course to equip healthcare workers with the necessary skills to provide care for women seeking medical abortion up to 13 weeks’ gestation. The course is aimed at the full range of providers, including physicians, midwives, pharmacists, medical students and community health workers. The course, which has been endorsed by the International Federation of Gynecology and Obstetrics (FIGO), is a seven-lesson video series accessible via the link https://elearning.howtouseabortionpill.org. It covers an overview of abortion care; how to support a medical abortion; symptoms, side effects and complications; and aftercare. The training is framed around four principles of care: person-centred care, rights-based care, quality, and privacy and confidentiality. “Abortion care continues to be left off medical training curriculums,” said Mallah Tabot, Lead SRHR Programming at IPPF Africa Region. “This online course will fill a critical gap in the education of many health workers. It has the potential to significantly increase the number of health workers with the skills and knowledge to provide abortion care, especially in low-resource settings, and thereby increase the number of women supported to safely end a pregnancy.” Unsafe abortion remains a serious global threat to women's health and safety, causing an estimated 7 million hospitalizations and up to 13% of all maternal deaths worldwide each year. Medical abortion is a non-invasive method using two pills - mifepristone and misoprostol - or misoprostol alone.  Medical abortion is safe and effective and is recommended by the Word Health Organisation (WHO). Between 2015 and 2019 in Kenya, there were a total of 2,380,000 pregnancies annually. Of these, 1,450,000 pregnancies were unintended and 551,000 ended in abortion. in Nigeria, there were a total of 10,500,000 pregnancies annually with 2,990,000 unintended and 1,430,000 ended in abortion. In both countries, abortion is legal to preserve the pregnant person’s health. However, a majority of abortions are carried out by unqualified practitioners who run unsafe clinics. “Research shows that when women cannot access safe abortion care, they often seek unsafe methods,”  said Rebecca Wilkins, Technical Lead, Abortion at IPPF.  “This training course provides the information and resources necessary for health workers to support women who choose to have a safe abortion with pills in early pregnancy either within or outside a clinical setting.” The course is hosted on a login-based web portal which can be accessed from desktop or mobile and is structured to be an interactive learning experience, complete with quizzes and an option to download a certificate upon successful completion. In March this year, WHO issued new guidelines on abortion care.  The updated guidelines contain more than 50 recommendations covering clinical practice, health service delivery, and policy and legal actions including ensuring access to quality medical abortion pills. The new online training course is aligned to the clinical protocols recommended in the WHO guidelines. A landmark ruling by the High Court of Kenya in Malindi this year affirmed the right to abortion as a fundamental right under the Kenyan Constitution.  The ruling in a case filed by the Center for Reproductive Rights and Reproductive Health Network Kenya (RHNK) in 2020 against government officials involved the arrest of a minor and a clinician. It has set a precedent against arbitrary arrests and prosecution of patients and health care providers for seeking or offering abortion services. Such arrests and prosecutions are now deemed illegal according to the new ruling. ENDs  For further information, download the media kit HERE or contact: PR Consultant Njeri Wangari              Tel: +254 (0)722353657, e-mail: [email protected] IPPF: Mahmoud Garga                     Tel.   +254 (0) 704626920, e-mail: [email protected]    Catherine Kilfedder                                                         e-mail: [email protected]   ABOUT IPPF AFRICA REGION (IPPFAR) The International Planned Parenthood Federation Africa Region (IPPFAR) is one of the leading sexual and reproductive health (SRH) service delivery organizations in Africa and a leading sexual and reproductive health and rights (SRHR) advocacy voice in the region. Headquartered in Nairobi, Kenya, the overarching goal of IPPFAR is to increase access to SRHR services to the most vulnerable youth, men and women, in sub-Saharan Africa.  Supported by thousands of volunteers, IPPFAR tackles the continent's growing SRHR challenges through a network of Member Associations (MAs) in 40 countries. We do this by developing our MAs into efficient entities with the capacity to deliver and sustain high-quality, youth-focused and gender-sensitive services.  We work with Governments, the African Union, Regional Economic Commissions, the Pan-African Parliament, and United Nations bodies, among others, to expand political and financial commitments to sexual and reproductive health and rights in Africa.  Learn more about us on our website. Follow us on Facebook, Twitter, Instagram and YouTube.

Photo of ACT!2030 young activists
07 February 2017

ACT!2030

IPPF collaborates with UNAIDS and The PACT to implement ACT!2030 (formerly ACT!2015), a youth-led social action initiative which engages young people in 12 countries with advocacy and accountability around the Sustainable Development Goals (SDGs) and other SRHR agreements/frameworks. ACT!2030 was initiated in 2013 as a way to increase youth participation in the negotiations leading up to the adoption of the post-2015 development agenda, and for two years focused on establishing alliances of youth-led and youth-serving organisations in 12 countries across the world. The project is currently in Phase 4, which runs until the end of 2017, and aims to establish youth-led, data-driven accountability mechanisms to ensure youth engagement with the implementation of the SDGs and build an evidence base for advocacy. Ultimately, Phase 4 of ACT!2030 seeks to identify, assess and address key policy barriers to young people’s sexual and reproductive data by using existing data, supplemented by youth-collected data, to advocate and lobby for policy change. This phase involves four main activities: indicator advocacy (persuading decision makers to adopt youth-friendly SRHR and HIV indicators, including on things like comprehensive sexuality education (CSE) and access to youth-friendly services, into national/global reporting mechanisms); evidence gathering (creating national databases on quality of and access to youth-friendly services and CSE); communications (transforming this data and evidence into communications pieces that can be used to advocacy and lobby at national and international level); and global exchange (facilitating global visibility to share advocacy and engagement learnings and increase youth-led accountability in global and regional processes). ACT!2030 is implemented by national alliances of youth organisations in 12 countries: Algeria, Bulgaria, India, Jamaica, Kenya, Mexico, Nigeria, Philippines, South Africa, Uganda, Zambia and Zimbabwe.  

Nigeria_IPPF_George Osodi
04 February 2022

Closing the Cervical Cancer Care Gap in Nigeria

By Dr. Abubakar OKAI AKU Aku and Maryanne W. WAWERU World Cancer Day takes place every year on 4 February and is dedicated to raising the awareness of cancer and to encourage its prevention, detection and treatment. This year’s theme is “Close the care gap”. The campaign raises awareness about the lack of equity in cancer care and highlights barriers that exist for many people in accessing services and receiving the care they need. In this article, we highlight the work of IPPF’s Member Association in Nigeria, Planned Parenthood Federation of Nigeria (PPFN), in closing the care gap in the country. While going about her business at the marketplace, Mrs. Olufemi came across information about cervical cancer screening services offered at the Planned Parenthood Federation of Nigeria (PPFN) clinic in Lagos. Curious, and wanting to take advantage of this opportunity, she decided to visit the clinic. Before doing so, she requested her friend Mrs. Emeka to accompany her, just in case the results were not good, and she would need a shoulder to lean on. At the PPFN clinic, Mrs. Olufemi underwent screening for cervical cancer, and could not hide her joy when her results came back bearing good news. She was tested using the Visual Inspection of the Cervix with Acetic Acid (VIA) method, which is an inexpensive, simple test that is sensitive to detecting precancerous lesions, while providing instant results. Motivated by her friend’s actions and the good results, Mrs. Emeka decided to get tested as well. Her results, however, revealed the presence of pre-cancerous lesions in her cervix. She was devastated. Early cancer detection saves lives Dr. Abubakar Okai Aku, a PPFN healthcare service provider reassured a distraught Mrs. Emeka by informing her that early detection and diagnosis of cervical cancer may offer favourable prognosis and improve survival. However, she was too overwhelmed with emotion to pay attention. Thankfully, her friend Mrs. Olufemi helped calm her down, wiping the tears off her cheeks, and comforting her. Since her diagnosis was in the pre-cancerous stage, Dr. Abubakar referred Mrs. Emeka for cryotherapy treatment, also available at the PPFN Lagos clinic. According to Dr. Abubakar, cryotherapy is a minimally invasive treatment method that involves the freezing of the abnormal cells in the cervix, creating way for healthy cells to grow back. This approach, used by IPPF’s Member Associations that offer cervical cancer services is aligned with national protocols and makes use of existing local infrastructure. Dr. Abubakar adds that the intervention is replicable and scalable nationwide. Successful treatment Mrs. Emeka immediately took up the cryotherapy treatment as advised by Dr. Abubakar. Three months later, she returned for a scheduled follow up visit at the clinic and all was found to be well. She had successfully responded to treatment. Despite having precancerous lesions, Ms. Emeka did not develop cervical cancer because of early detection. She always thanks her friend Mrs. Olufemi for her role in helping her realize her risk for developing cervical cancer. Today, Ms. Emeka is an advocate of cervical cancer screening in her community and uses all available opportunities to talk to women about the need for - and importance of - cervical cancer screening and respective treatment. PPFN’s cervical cancer intervention programs  Between 2012–2017, PPFN was part of the Cervical Cancer Screening and Preventative Therapy (CCSPT) initiative, which was aimed at improving reproductive health outcomes for women. The project significantly contributed to reducing the growing cervical cancer burden in Nigeria. By July 2017, a total of 1,145,525 women had been screened for cervical cancer, with 1,458 positive cases, of which 1,321 of them receiving cryotherapy treatment through PPFN healthcare service providers.  When the CCSPT project ended, cervical cancer services were integrated into regular PPFN services. In 2021, over 1 million women were screened for cervical cancer by IPPFAR’s member association in Nigeria. In 2014, the Federal Ministry of Health set up a cervical cancer screening technical working group for cancer prevention to scale up cervical cancer screening in the country, of which PPFN is a member. PPFN works closely with various partners, among them the National Cancer Control Program of the Federal Ministry of Health to achieve its goals. PPFN is committed to addressing the cancer burden in Nigeria, including the use of digital and other technology to increase people’s access to reproductive health services, and closing the equity gap in cancer care in the country. Dr. Abubakar Okai Aku is the Executive Director, Planned Parenthood Federation of Nigeria (PPFN). Maryanne W. Waweru is the Communications Officer, IPPFAR. Also read: Accessing Cervical Cancer Services and Healthcare in Nigeria For more updates on our work, follow IPPF Africa Region - Facebook, Twitter, Instagram and You Tube.

Nigeria_IPPF_George Osodi
04 February 2022

Accessing Cervical Cancer Services and Healthcare in Nigeria

By Maryanne W. Waweru Cervical cancer, a type of cancer that occurs in the cells of the cervix, is ranked as the fourth most common cancer among women globally, according to the World Health Organization (WHO). About 90% of the new cases and deaths worldwide in 2020 occurred in low and middle-income countries. Countries in sub-Saharan Africa experience a disproportionate burden of the disease, where 19 of the top 20 countries with the highest cervical cancer burden were in sub-Saharan Africa in 2018. In the West African country of Nigeria, over 12,000 new cervical cancer cases are diagnosed annually (estimations for 2020) and it is the second most common female cancer in women aged 15 - 44 years in the country. IPPF’s Member Association in Nigeria, the Planned Parenthood Federation of Nigeria (PPFN) is involved in various efforts aimed at increasing access to cervical screening and treatment in the country. PPFN’s efforts are geared towards closing the gap in cancer care in the country, complementing Government and other stakeholders’ efforts to increase access to life-saving preventive services, diagnosis, treatment and care. Recipients of PPFN’s cervical cancer services include women living with HIV, who are six times more likely to develop cervical cancer compared to women without HIV. PPFN uses the Visual Inspection of the Cervix with Acetic Acid (VIA) screening and cryotherapy treatment approaches across its 45 clinics spread over 36 states in Nigeria. It also offers these services in over 100 associate health facilities across the country. Eliminating the cost barrier Dr. Abubakar Okai Aku, a PPFN healthcare service provider says cancer services at all PPFN and associate health facilities are offered at an affordable, subsidized cost which enables more women to access the services. High medical fees are a significant barrier to people’s access to healthcare. Additionally, PPFN conducts mobile outreach clinics offering a wide range of sexual reproductive health services, including cancer services, to vulnerable communities in hard-to-reach, poor and marginalized areas. These areas, mostly in the countryside, have no proper road infrastructure and have few and poorly equipped health facilities. In some areas, insecurity challenges hinder access to health services. “PPFN accesses these areas by working with local Governmental authorities, the primary healthcare system and local community structures that include community health volunteers, chiefs, religious leaders and other gatekeepers to enhance our outreach work,” says Dr. Abubakar. He notes that since many women in these areas cannot afford the services, PPFN offers the services for free. Referrals are also made to PPFN’s nearest static clinics, as well as Government health facilities - with whom the organization collaborates closely.   Husband’s permission to access health services PPFN’s work in the community is however not without challenges. According to Dr. Abubakar, they must contend with cultural factors that hinder women’s access to reproductive health services. For example, some men do not allow their female partners or household members to go to the clinic without their permission and when they allow them to, they would only allow it under certain conditions. “The husbands tell the service providers to first come to their house and explain the services they wish to offer to their wife or wives. Sometimes they grant permission, other times they don’t. Many women in rural communities are often not in full control  of their own health. Since many don’t work, they not only have to ask their husbands for permission to go to the clinic or attend mobile outreaches, but they also need money for transport and for treatment. To this end, PPFN works with male champions in the community, sensitizing them on the need to empower women and enabling them to take charge of their own health,” says Dr. Abubakar. Dr. Abubakar also notes that misinformation, stigma and ostracization around women’s cancers also prevents many women from seeking cancer screening, treatment and care services. “We have seen women present with cancers at an advanced stage, leading to negative health outcomes. PPFN diligently works with local community structures to dispel myths and rumors about cancer, educating them and encouraging them to seek prevention and treatment services,” he says. PPFN is committed to addressing gaps with regard to cervical cancer prevention, treatment and care services in the country. Learn more: Closing the Cervical Cancer Care Gap in Nigeria. Maryanne W. Waweru is the Communications Officer, IPPF Africa Regional Office. For more updates on our work, follow IPPF Africa Region on Facebook, Twitter, Instagram and You Tube.

Dr Aproko
13 January 2022

Creative session between Dr Aproko and the Youth Action Movement of Nigeria on SRHR

In order to increase African youth awareness on specific issues related to sexual and reproductive health and rights, IPPFAR engaged the services of Influencer Aproko Dr. for a 1-month digital campaign including the production and dissemination of various video content. This video highlights the creative session between Dr Aproko and the Youth Action Movement of Nigeria on sexual reproductive health and education. The International Planned Parenthood Federation Africa Region (IPPFAR) is the leading sexual and reproductive health (SRH) service delivery organization in Africa, and the leading sexual and reproductive health and rights advocacy voice in the region. Headquartered in Nairobi, Kenya, the overarching goal of IPPFAR is to increase access to SRHR services to the most vulnerable youth, men and women in sub-Saharan Africa.

Establishing Digital Health Interventions in Nigeria
17 June 2021

Adapting Family Planning Services in Times of Crisis: Establishing Digital Health Interventions in Nigeria

The COVID-19 pandemic caused great disruptions in the lives and livelihoods of millions of people across the world. Among the most affected sectors was that of health, where the pandemic led to an overwhelming stretch in service delivery. This necessitated an urgent shift in regular service delivery models. In Nigeria, as was the case in most countries, many people were unable to access health facilities owing to the mobility restrictive measures imposed by the government in attempts to control the spread of the disease. COVID-19 constraints saw healthcare organizations such as Planned Parenthood Federation of Nigeria (PPFN) - IPPF’s Member Association in the country - limit the hours and days clients could access services at its static clinics. Mobile health outreaches were no longer possible, and people were cautious about visiting hospitals. Additionally, health workers desired to attend to fewer clients for their own precautionary measures. This called for a review of the traditional face to face model that clinicians traditionally provided to clients, necessitating their adoption of digital and mobile technologies for health service delivery. COVID-19 accelerated the shift towards the digital world, with PPFN tapping into this opportunity. Harnessing the power of digital and mobile technologies, PPFN implemented new Digital Health Interventions (DHIs) to ensure sustained provision of sexual reproductive health (SRH) information and services during the pandemic. Download the complete case study here: Establishing Digital Health Interventions in Nigeria

12 October 2017

RB Durex Establish New Partnership with PPFN on Sexual Health

In line with RB’s continuous commitment to being a socially responsible organization, RB* has signed an agreement with the Planned Parenthood Federation of Nigeria (PPFN) to help improve the sexual health and wellbeing of Nigerians. The scope of the partnership covers sexual and reproductive health education and increasing consumer access to condoms by opening new channels and reaching consumers previously unreached. According to a recent report by World Health Organization (WHO), ‘Every day, more than one million sexually transmitted infections are acquired worldwide, and each year an estimated 78 million people are infected’. This constituting a major health concern also in Nigeria. Sexual health education and contraception are therefore twin preventive health strategies to curb this. Research and Real World data reveals that male latex condoms when used consistently and correctly is an effective approach to achieve a reduction in spread the of sexually transmitted infections and prevent unintended pregnancy. Rahul Murgai, the Managing Director of RB Nigeria and Dr Ibrahim M. Ibrahim the Executive Director of Planned Parenthood Federation of Nigeria (PPFN) were optimistic that the joint efforts of the two organizations will help drive the sexual and reproductive health agenda in Nigeria. Speaking about the partnership with PPFN, Rahul Murgai said, “RB is excited to partner with PPFN to create scaled awareness and education in Nigeria on planned-parenthood, maternal health, safe contraception techniques and targeted reduction in HIV related deaths through the effective and consistent use of condoms. Through this collaboration, consumers will have the requisite education and empowerment to improve their Sexual Health with easy access to Durex- the World number 1 condom brand.” Over the years, RB has been at the forefront for cause-related initiatives that further the progress of Nigeria on UN Sustainable Development Goals such as reduction in infant mortality from preventable diseases such as diarrhea and malaria, improved public health and sanitation from reduced open defecation problem and now partnering to reduce HIV related deaths. Its brands, which are popular household names such as Dettol, Mortein and Harpic, have active partnerships with Federal Ministry of Health (MoH), Save the Children (STC), Nigerian Medical association which work to educate new mothers, school children and reach LGAs like Shomolu in Lagos to promote good healthy habits like handwashing and to build a healthier nation. The Planned Parenthood Federation of Nigeria (PPFN) is a national non-governmental organization and a leading advocate and provider of sexual and reproductive health services. PPFN is a member of the global movement that strives for universal access to reproductive health services to all (including poor, marginalized, vulnerable and socially excluded people) without discrimination. According to Dr Ibrahim “this partnership will contribute towards PPFN’s objective of expanding access to quality services particularly for young persons in Nigeria.” The PPFN and Durex strategic partnership will go a long way in reducing the spread of HIV/AIDS and other STIs. It will also contribute to reducing the incidence of unwanted/unplanned pregnancy and unsafe abortion as well as significantly improving the overall level of health and wellbeing in Nigeria   *RB is a trading name of Reckitt Benckiser group of companies  

IPPF Africa Region Director Mr. Lucien Kouakou
16 December 2015

Parliamentarians are Key to Realizing Demographic Dividend in Africa

African parliamentarians must seek ways of mobilizing resources to fund the demographic dividend agenda in their countries. This is according to the IPPF Africa Region Director Mr. Lucien Kouakou, who made these remarks during the closing ceremony of a two-day capacity building workshop for African Parliamentarians held in Nairobi, Kenya, from 14 – 15 December 2015. The meeting, attended by 13 legislators drawn from the Africa Parliamentary Forum on Population and Development (FPA), was aimed at enhancing the legislators' understanding of the concept of the ‘Demographic Dividend’, and their role in moving forward related agenda. The demographic dividend refers to the accelerated economic growth initiated by a rapid decline in fertility and mortality, and which results in a change of the age structure in the population –from one dominated by child dependents to one driven by an economically productive adult workforce. “Harnessing the demographic dividend is fundamental to Africa’s development. A demographic shift in any population is important because of it's direct bearing to among others: economic growth, education levels, poverty levels and the health and well-being of a nation. The current demographic transition in Africa is one that has the ability to steer the next surge of economic growth - with a population characterized by healthier and more educated youth, and who will have greater access to the labour force and economic markets. African leaders therefore need to put in place measures that will ensure that the continent harnesses the dividend from Africa’s youthful population,” he said. A new report from the World Bank reveals that government policies and other related actions undertaken today will increase the likelihood of harnessing various economic and social benefits of demographic change. “Parliamentarians are instrumental in this process, as they are the ones involved in the formulation of policies and legislations. When a country has the right set of policies in place, it is better placed to reap the benefits of a demographic change, hence the need to involve Members of Parliament in all conversations around the demographic dividend. There is no doubt that the demographic dividend can be achieved in Africa, if the right policies are instituted,” said Mr. Kouakou. The capacity building initiative for the African legislators, organized by IPPF and UNFPA and themed: "Moving the Demographic Dividend Agenda: from Ideas to Actions", established a harmonized understanding of the demographic dividend among the MPs, and helped define their level of engagement in advancing this agenda in their countries. A clear roadmap for moving forward the demographic dividend agenda at both regional and national levels was developed during the forum. Members of parliament who attended the forum included: Hon. Chris Baryomunsi (Uganda), Hon. Marie-Rose Nguini Effa (Cameroon), Hon. Jose Manuel Tavares Sanches (Cape Verde), Hon. Mbaidessemel Dionadiji (Chad), Hon. Zalikatou Diallo (Guinea Conakry), Hon. Larry Younquoi (Liberia), Hon. Illa Ousmane (Niger), Hon. Helen Kuyembeh (Sierra Leone), Hon. Dlamini Princess Phumelele (Swaziland), Hon. Highvie Hamdudu (Zambia), Hon. Nurudeen Abatemi-Usman (Nigeria), Hon. Ahmed Babou Babah (Mauritania) and Hon. Sado Nazaire (Benin). In his speech, Mr. Kouakou called on the MPs to take a lead role in mobilizing resources that will ensure that the demographic dividend will be realized in their countries. “Parliamentarians can influence their colleagues and garner their support for the formulation of policies and legislations, specifically those related to population and development. They can call for more budgetary allocation to respective institutions, such as the Ministries of Planning and Development, The Ministries of Health and Education, as well as institutions that focus on the youth. They can also take the lead in seeking innovative ways of mobilizing resources at the local level that would champion population and related issues. Members of Parliament have an unmatched role in steering development in their countries,” he said. Mr. Kouakou further urged the legislators to take advantage of the resource that is partners who have a presence in the region, such as IPPF and UNFPA – entities that are committed to Africa’s growth. Development partners, if convinced that the demographic dividend is key to the growth of the region, will definitely assist in different ways, including offering technical assistance, capacity building and mobilization of resources, he said. “IPPF and UNFPA are committed to this agenda, and are working in collaboration with the Africa Parliamentary Forum on Population and Development (FPA) to implement a programme that will ensure that all African countries are on track to realizing the demographic dividend. The project is initially slated for implementation in the six countries of Mauritania, Ivory Coast, Mali, Burkina Faso, Niger and Chad, with more countries being incorporated in the coming years. We are keen on ensuring that no country is left behind,” he said. The Africa Parliamentary Forum on Population and Development (FPA), which was established in 2012, seeks to exchange and coordinate action in support of the ICPD Beyond 2014. FPA also seeks to ensure that parliamentarians assist in the implementation of the ICPD Beyond 2014 Agenda by adopting initiatives in population policies, as well as harmonisation of African legislation on Sexual and Reproductive Health and Rights (SRHR). At the Abidjan General Assembly meeting in 2014, FPA reaffirmed its purpose as a regional body established to drive the agenda on population and development at both the national and regional levels.

Outreach work in Nigeria
13 October 2016

Changing lives in Nigeria

SIZE defines many things about Nigeria. Being Africa’s most populous country ensures that plenty of the issues it faces are big. Nigeria’s population is around 188 million, and growing at more than 3% a year. Around a quarter of young women will be mothers or pregnant by the age of 19. One reason is a historically low use of contraception – at around 10%. One estimate suggests 35% of 15-24-year-olds who want access to contraception can’t get it – creating a huge unmet need for family planning. Nigeria’s Government has pledged to do something about that gap. It wants to increase the use of contraception to 36% by 2018 - its part in the global effort to give women around the world equal access to contraception. And a pilot programme run in Oyo State by the Planned Parenthood Federation of Nigeria (PPFN), IPPF’s national member, has offered startling progress. ClusterPLUS is something of a hybrid. It was built on the foundation of PPFN’s previous work but added new thinking, including ideas developed by IPPF member associations in Kenya and Uganda, who helped PPFN adapt them for Nigeria. At its heart is a simple concept - partnership. The closer you can get to local communities, the better you work with national and local government and more you try to build local ownership, the better. The project used PPFN’s earlier development of “clusters” of clinics, pharmacies and other outlets, as a base. The original cluster project, introduced in 2009, was funded in part by the UK Department for International Development. One ClusterPLUS innovation was a tireless approach to community outreach. In villages without permanent centres, clinics would set-up for three days at a time in schools, churches, markets or mosques. But to make sure everyone who could benefit from them knew they were coming, workers armed with enthusiasm and megaphones would go around drumming-up interest first. These CHEWS (Community Health Extension Workers), lent from Nigeria’s Ministry, did far more than generate publicity though. They also lived in the communities and were trained to supply forms of contraception themselves. Women unable to get to a clinic, perhaps because of work, could visit a CHEW at home in the evening. Often they might bring a friend too. Greater accessibility boosted the numbers of women using contraception. Sherifat Adelke is a 32-year-old CHEW with the Joy Hospital in Ibadan. She thinks her Islamic faith helped one fellow Muslim to end his opposition to his wife using contraception. "He was furious at me and kept looking at my Hijab. Then he asked me if I was a Muslim at all. I told him the Quran didn’t instruct Muslims not to use Family Planning. After enough lecture, he agreed. That was a victory for me.” Male opposition wasn’t anything new. PPFN was already using “male motivators” to combat men’s ignorance about contraception. Owolabi Temidayo is one male motivator in Ibadan. “Some men believe that when their wives start using family planning they will become promiscuous. Others believe if their wives have implants they won’t be able to enjoy intercourse. The religious ones believe family planning is a sin. I go places to educate men. I go to motor parks, markets, town hall meetings, speaking on the need for family planning. It goes a long way in clearing the misinformation out there.” One partnership which proved critical to ClusterPLUS was between PPFN and local government in Oyo State – it helped to galvanise local leadership and create buy-in from officials. And the support was concrete. As well as providing three clinical staff, local authorities supplied the contraceptives and places for training, for meetings and for clinics. ClusterPLUS also set out to emphasize the benefit of long acting forms of contraception such as implants and IUCDs. And their provision was integrated with other services. Someone coming to a clinic for breast or cervical cancer screening or a test for HIV or a sexual transmitted infection would find family planning available there and then. Reaching those in poorer communities was also a priority. 28-year-old Tawa Agungbaide was responsible for making sure that one group of 63 women who couldn’t afford to pay for contraception gain access to it nevertheless. “We realized finance was a huge challenge. In some instances, it wasn’t a question of paying for services, but also of not even having enough money to pay for their transport to a clinic.” The solution, says Tawa, was a voucher scheme, funding transport and contraception for women who simply couldn’t fund it themselves. It helped her group and many others. “With eligibility criteria, we were able to single women who really couldn’t afford family planning. The voucher scheme was able to solve that. I feel fulfilled helping these women.” And new technology has played a major part too. An app on tablets and smartphones allowed health workers to input what they’d handed out every day – quickly and in real time. The supply team could then make sure that a delivery point never ran out of supplies – avoiding the dreaded stock-out. How well has it worked? The figures are impressive. The project aimed to reach 20,200 people in its nine months. It actually got to 53,152 clients. But as well as reaching more people, with more family planning services, it also gave women wider choice about the form of contraception they wanted. Two thirds of new users chose long-acting forms of contraception, more than double the rate outside of the project. The aim for PPFN now is to roll out the same approach across Nigeria, reaching more young people, especially poorer women. ClusterPLUS is already running in three other states in Nigeria – and if it proves as successful as in Oyo State, Nigeria’s Government will be making big progress towards its family planning pledge.

Planned Parenthood Federation of Nigeria

As the statistics show, Nigeria faces considerable sexual and reproductive health (SRH) challenges. Established over 25 years ago, the Planned Parenthood Federation of Nigeria (PPFN) is one of the country’s most experienced SRH organizations and nationally, it delivers around 10% of all family planning services. Its work extends to voluntary counselling and testing (VCT) in HIV and AIDS, antenatal and post-natal care, post-abortion care, infertility diagnosis and counselling, and education and counselling on sexually transmitted infections (STIs) including HIV and AIDS.

PPFN’s network of service delivery points is substantial: it has over 2,300 distinct service points. This includes 68 permanent clinics, 1,558 associated clinics and 27 community-based services (CBSs). The team consists of 110 permanent staff, over 750 volunteers and a Youth Action Movement membership of 350. Working together, they deliver a phenomenal number of sexual health services.

PPFN partners closely with the Nigerian government to deliver services and providing technical guidance on policy development and implementation. It works in collaboration with other non-governmental organizations (NGO) and with private sector companies including The Central Bank of Nigeria, the National Agency for the Control of AIDS, Allied Products Plc and Nigeria Breweries. PPFN receives financial support from the UNDP, the Global HIV/AIDS Initiative, Pathfinder Nigeria, and IPPF’s Japan Trust Fund.