Sexual and Reproductive Health for Women and Adolescents in Northern Nigeria


Reporting Organization:Clinton Health Access Initiative
Total Budget ($CAD):$ 19,750,000
Timeframe: March 31, 2018 - March 31, 2021
Status: Implementation
Contact Information: Owens Wiwa
[email protected]

Partner & Funder Profiles


Reporting Organization


Clinton Health Access Initiative

Participating Organizations


Funders (Total Budget Contribution)


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Location


Country - Total Budget Allocation


Nigeria - $ 19,750,000.00 (100.00%)

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Areas of Focus


Health - Total Budget Allocation


Reproductive Health & Rights incl. Maternal Health (33.3 %)

Sexual Health & Rights (33.3 %)

Other - Total Budget Allocation


Gender Equality (33.4 %)

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Description


The project aims to empower women and adolescent girls in targeted northern communities of Nigeria to make informed choices about their sexual and reproductive health. Project activities include: (1) training and mentoring small drug stores and pharmacies to provide youth-friendly gender-sensitive family planning services, including counselling, provision of a minimum of five contraceptive products, including birth control injectable shots, and health care referrals; (2) recruiting, training and mentoring a rural women family planning sales force for family planning products; (3) training and mentoring health care workers on the provision of sexual and reproductive health counselling and services, including long-acting reversible contraceptives and postpartum services; (4) developing gender-sensitive demand-generation strategies for increasing awareness and adoption of family planning services among women and adolescent girls and boys in both rural and urban settings and in and out-of- school settings; (5) developing and implementing a community engagement strategy targeting religious, traditional, community opinion leaders and men to support women’s reproductive health rights and empowerment; and (6) strengthening the family planning supply chain and implementing an advocacy strategy to increase funding commitments by states towards reliable sexual and reproductive health commodity procurement and distribution. The project is expected to reach an estimated 2.6 million women of reproductive age, of which approximately 1 million are between 10 and 24 years of age.

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Target Population


Gender and age: Adult women Adult men Adolescent females Adolescent males Newborns
Descriptors: Urban Rural
Total Direct Population: 27,456
Total Indirect Population: 3,063,658
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Outputs


2 Healthcare workers’ training conducted
2 Public health facilities staff trained
2 School staff training conducted
2 Women’s empowerment programming designed and implemented
3 Adolescent-targeted training and workshops conducted
4 Community leader training and engagement conducted
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Results & Indicators


Expected Results


The expected outcome for this project includes: (1) increased proportion of private sector outlets offering a broader contraceptive method mix and youth-friendly gender-sensitive services in targeted northern states; (2) increased provision of gender-responsive and adolescent-friendly sexual and reproductive health and rights services in government health facilities in targeted rural communities; and (3) improved environment at state and community levels that encourages and supports gender-responsive sexual and reproductive health and rights services for women and adolescent girls.

This comprehensive three-year project is being implemented in partnership with the Federal and State Ministries of Health in three states to increase the contraceptive prevalence rate and utilisation of reproductive health services that will in turn lead to reduced rates of unintended pregnancies and unsafe abortions. The project will reach an estimated 3.0 million women of reproductive age, of which approximately 0.7 million are between 15 and 24 years of age as the direct beneficiaries, across 46 Local Government Areas (LGAs) in the three states. The Project will also directly support at least 1,500 front line healthcare workers including Nurses, Midwives and Community health Extension workers, 2,400 TBAs, 1,500 PPMVs and Community Pharmacists, 3,000 Community Based Health Volunteers (CBHVs) and 900 traditional/religious leaders through capacity building, community engagement and other activities. A total of 397 primary health facilities will be supported, 150 formal education schools and 200 Islamiyah schools for women and girls. The project will also support up to 300 women to set up businesses as a proof of concept, and 600 women enrolled in the rural salesforce pilot.

Achieved Results


Unspecified

Indicators


SRHR-related Indicators
  • # of health care service providers trained in SRHR services
  • # of health facilities that provide care for complications related to unsafe abortion or, where it is not against the law, that provide safe abortions
  • # of health professionals trained to provide safe abortion and post-abortion care
  • # of national laws, policies and strategies relating to SRHR implemented or strengthened
  • # of people provided with modern contraception (by method)
  • # of teachers/facilitators trained on comprehensive sexuality education
  • # of women and girls (age) provided with access to sexual and reproductive health services, including modern methods of contraception
  • # of women provided with a safe, legal abortion or post-abortion care
  • % of primary service delivery points with least 3 modern methods of contraception available on the day of assessment
  • % of women who decided to use family planning, alone or jointly with their husbands/partners
MNCH-related indicators
  • # of health facilities equipped with maternal and newborn child health, or sexual and reproductive health equipment
  • # of health facilities that provide gender-responsive family-planning services
  • %/total of health workers (male/female) trained and using their learned skills
  • %/total of women attended at least four times during pregnancy by any provider for reasons related to the pregnancy
  • Relevant data collection on vital statistics (birth, deaths, and causes of deaths) are collected
SDG Goal 3. Ensure healthy lives and promote well-being for all at all ages
  • SDG 3.1.1 Maternal mortality ratio
  • SDG 3.1.2 Proportion of births attended by skilled health personnel
  • SDG 3.2.2 Neonatal mortality rate
  • SDG 3.7.1 Proportion of women of reproductive age (aged 15–49 years) who have their need for family planning satisfied with modern methods
  • SDG 3.b.3 Proportion of health facilities that have a core set of relevant essential medicines available and affordable on a sustainable basis
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Associated Projects (If applicable)


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