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Service Delivery

Improving Urban Family Planning Services in Nigeria: the NURHI Approach

In 2009, when NURHI began working in the four cities of Ilorin, Ibadan, Abuja and Kaduna, they found a family planning service delivery system in collapse.   Government health facilities were poorly staffed, equipped, and riddled with contraceptive stock outs.   Many couples were getting family planning services from patent medicine vendors (PMV) or pharmacists, who offered only condoms, pills and emergency contraception.  Implants and IUDs were only available in some hospitals.  NURHI adopted three approaches to address this situation:

  1. Improving the quality and accessibility of services through improved contraceptive logistics, training health providers in family planning counseling and provision of IUDs and implants, and improving health facility management systems;
  2. Integrating family planning with existing maternal, neonatal and child health (MNCH) and HIV services; and
  3. Strengthening relationships and referrals between public and private sector providers of family planning services.

These approaches have proven successful; according to the MLE Endline Survey and service delivery data collected from service delivery sites strengthened through NURHI, stock-outs of contraceptives were rare, clients of MNCH and HIV services were substantially more likely to receive family planning information, and contraceptive prevalence had increased for all modern methods, most notably in the use of implants, IUDs, injectables and lactational amenorrhea method (LAM). 

This page of the NURHI toolkit shares the process and tools NURHI used to strengthen family planning services in the four Nigerian cities of Abuja, Kaduna, Ilorin and Ibadan between 2010 and 2014.  Following the midterm evaluation in 2012, NURHI began implementing these interventions in Benin City and Zaria as well.  For detailed descriptions of NURHI’s key service delivery interventions and copies of the materials, tools and strategies, click on the links below: