Costing Analysis of an Adolescent Contraceptive Uptake Program: Evaluating Financial Efficiency Across Implementation Geographies in Ethiopia and Northern Nigeria

Alexis Coppola, Population Services International (PSI)

Achieving population-level impacts in adolescent and youth sexual and reproductive health (AYSRH) requires scalable interventions. The Adolescents 360 (A360) program, in its second phase (2020-2025), has partnered with governments in Ethiopia, Nigeria, and Kenya to institutionalize and scale interventions, aiming to reach over 1 million new contraceptive users. These adolescent-responsive interventions are designed around girls' self-defined priorities and integrated into public health systems to transform service delivery. This study analyzes the financial efficiencies achieved through this scaling and integration. Costing analysis included direct implementation costs, allocated global team costs, and government in-kind contributions. Key findings reveal that in Ethiopia, the cost per new user dropped from $130.68 in 2021 to $25.36 in 2023 as the number of health posts expanded from under 500 to 4,621. In northern Nigeria, the cost per new user decreased from $31.31 to $18.48, with public health centers scaling from under 100 to 1,282. Additionally, the cost per contraceptive visit in Ethiopia decreased from $25.35 to $13.00, and in northern Nigeria, from $18.48 to $13.66 in 2023. The study underscores the importance of standardized costing methods for benchmarking and provides a model for scalable SRH programs.

Keywords: Data visualisation , Family Planning and Contraception

See extended abstract.