Family Planning Inreaches as an Implementation Strategy to Increase Uptake of Contraceptive Services: A Case Study of 10 Nigerian States

Oluwasegun Akinola, Center for Communication Programs at the Johns Hopkins Bloomberg School of Public Health

Contraceptive use in Nigeria has historically been low but has seen gradual improvements. Despite the FP2030 goal of a 27% mCPR, only Lagos and Osun have met this target among the ten states examined. Barriers to contraceptive use in Nigeria include limited service access, frequent stockouts, misinformation, myths, side effects, and resistance from partners or communities. The study assessed the effects of the Inreach intervention on contraceptive use across ten Nigerian states: Lagos, Nasarawa, Gombe, Edo, Osun, Borno, Adamawa, Niger, Kano, and Abia. By evaluating data from DHIS 2, the results from the Mann-Whitney U test showed a significant rise in contraceptive use across these states, indicating that the Inreach intervention effectively boosts contraceptive uptake. On the average, around 33,948 clients took contraceptive six months prior to the Inreach intervention, compared to approximately 47,856 clients recorded after its implementation across the states, the average additional 13,908 clients were due to the effect of the Inreach Intervention. Also, a significant difference in the adoption of Long-Acting Reversible Contraceptives (LARCs) after the Inreach intervention was observed. The Inreach Intervention enhances health systems by improving training, commodity security, service delivery, data management, and local funding.

Keywords: Family Planning and Contraception, Data and Methods, Comparative methods , Health and Morbidity

See extended abstract.