PUBH3021 Family Planning and Contraceptive Use in Nigeria

Narrative summary

Performance Indicators/

Indicators of achievements

Means of verification/ sources of monitoring information

Risks and Assumptions

GOAL

Improve health and welfare of women in Nigeria

Risk: HIV/STI transmission

Risk: COVID-19 outbreak

Assumption: Women using contraception after giving birth for pregnancy spacing

Risk: women not exclusively breastfeeding their babies and therefore not having a natural form of contraception

PURPOSE/OBJECTIVE

Increase rates of contraceptive use among all women of reproductive age

Decrease the fertility rate in Nigeria

Increase contraception use by 15% 6 months after launch of the project

A reduction in the total fertility rate in Nigeria by 0.5-1.0 5 years after launch of the project

Data collection of contraceptive uptake among selected pharmacies, hospitals/clinics, shops and NGOs.

Self-reported surveys

Reduction in pregnancy and birth rates

Using national databases for data collection to monitor a reduction in pregnancy and birth rates

Data collection and thematic analysis using focus groups to assess knowledge and acceptability of contraception.

Measured using the Male Engagement in Family Planning Framework

An increase in peer support advocates

Data collection and thematic analysis using focus groups to assess acceptability of contraception among men

Assumption: Women using contraception after giving birth for pregnancy spacing

OUTPUTS

Output 1:

All health professionals in the North-West will have up to date information on contraception, the benefits and possible side effects of various methods of contraception and how to manage side effects

Activities:

1) Training of hospital staff (maternity, obstetrics, midwives), staff at sexual health/family planning clinics, and pharmacists by health promotion specialists, sexual and reproductive health specialists and public health professionals

Output 2:

Community level awareness of the benefits of contraception and encourage uptake

Activities:

2.1 Baseline focus groups to assess knowledge, acceptability, and intention to use contraception among married and unmarried women of reproductive age

2.2 Development of education programmes based on target audience insight

2.3 Implementation of education programme

2.4 Follow up focus groups to assess changes in knowledge, acceptability, and intention to use contraception among married and unmarried women of

Output 3:

Spousal involvement in open communication/decision-making regarding family planning and contraception raised.

Increased number of male advocates for family planning and gender equality in their families and communities

Activities:

3.1 Baseline focus groups to assess knowledge, acceptability, and intention to use contraception among married and unmarried men

3.2 Development of education programmes based on target audience insight

3.3 Implementation of education programme

3.4 Follow up focus groups to assess changes in knowledge, acceptability, and intention to use contraception among married and unmarried men

Output 4:

All women and men in the North-West of Nigeria will have access to affordable/free contraception

Activities:

4.1 Baseline information on accessibility to contraceptives and contraception services

4.2 Development of a project to create novel contraception collection points

4.3 Implementation of a project to create novel contraception collection points (e.g., in the bathrooms of bars, restaurants, schools, cinemas etc.)

A 15% increase in male support 6 months after launch of the project

A 10% increase in the number of male advocates 6 months after launch of the project

Increase knowledge and acceptability of contraception by 20% 6 months after launch of the project