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Articles about Nigeria

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.

 

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.