Interventions and Approaches

Service Delivery

Antenatal care

Help women and their partners develop a plan for contraceptive use after delivery

Delivery

Counsel and provide immediate post-partum family planning options

PNC/Immunization

Provide FP information, counselling and services during clinic visit

Women of reproductive age visit healthcare facilities for Maternal New-born and Child Health (MCH) services and other reasons. Most of these women however, do not want to get pregnant, but lack access to the information and services required. The project eliminate these missed opportunities by promoting the integration of family planning services across the MNCH continuum of care, so that counselling and referrals are provided at the various health service delivery units. Every facility visit is therefore an opportunity to provide comprehensive family planning information and services.

The service delivery approach is focused on improving the quality of family planning services by holistically addressing three key areas:

Environment

Training

Tools

Commences with a performance improvement assessment to access the FP  needs of each facility

Modified 72-hour Clinic Makeover


To create an enabling environment for the provision of quality family planning services within the private sector, the project adapted the proven-to- work 72-hour clinic makeover approach of the Nigerian Urban Reproductive Health Initiative (NURHI) 2 project . The approach is geared towards upgrading the physical environment of the health facility to improve the provider-client interaction, client experience and satisfaction. The concept of the makeover was modified to suit the peculiarities of the private sector.

Capacity Building


The cadres of health providers and clinic staff in the supported facilities require different training and supervision packages. As part of the project’s entry into the private sector, the private facilities were engaged in a needs assessment process with interventions tailored to meet their needs as follows:

Expanding private sector access to affordable commodities.

One of the barriers to provision of family planning services in the private sector is the high cost of the commodities. Private providers do not have access to the source of low-cost commodities as they are unable to buy in bulk given the low family planning client volume. The project addressed this by connecting the facilities with two social marketing organization to service the contraceptive commodity needs of the facilities. With access to reasonably priced commodities, the private health sector can can transform family planning services into a sustainable business model.

In addition, the project linked supported facilities to the State Government for the collection of free commodities, and developed a how-to guide that detailed a step by step instruction for obtaining the commodities and providing it at an affordable cost. The guideline are also being used for step down trainings and onboarding training for new employees. These interventions has contributed to addressing commodity stock-outs across the supported facilities.

Family Planning Provider Network

Considering the huge participation of the private sector in health service delivery in Lagos state, the family planning providers network (FPPN) was set up to foster effective communication and collaboration amongst the various private healthcare professional associations; Association of General and Private Medical Practitioners of Nigeria (AGPMPN), Association of General Private Nursing Practitioners (AGPNP), National Association of Patent and Proprietary Medicines (NAPPMED), Lagos State Medicine Dealer Association (LSMDA), and Association of Community Pharmacists of Nigeria (ACPN) to ensure the delivery of quality and safe client care.

The Sustainable Family Planning Providers Association (SFPPA) also known as the Family Planning Providers Network (FPPN), is an innovation of the NURHI2 Project, which was successfully established during NURHI 1 in supported states. It is a model of a public-private partnership comprising family planning providers from both sectors. The clinical providers were drawn from the projects’ supported facilities as well as non-clinical providers working within the environment near the facilities. The network currently has over 300 members.

Elected FPPN Executives and other project Stakeholders

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