Project Summary Page

Status: Past Project

Nigerian Urban Reproductive Health Initiative (NURHI)

As a core partner on the Nigerian Urban Reproductive Health Initiative, ARFH is collaborating with other partners to strengthen family planning services from both the supply side and the demand side in selected urban areas in Nigeria (Ibadan, FCT, Kaduna and Ilorin). The ultimate goal of the project is to eliminate the supply and demand barriers to contraceptive use in order to increase the contraceptive prevalence rate (CPR) by 20% in project sites.

ARFH HSS component of the project was quality improvement through training (Contraceptive Update, Post-Partum IUD, long Acting Methods, Counselling and Interpersonal skills, Infection prevention), provision of job aids and supportive supervision to FP providers at service delivery points. A total of 117 high volume family planning clinics across the states were regularly provided with on the job technical assistance focusing on achieving quality improvement in family planning service delivery for increased clientele. 

ARFH played a critical role in strengthening providers’ competencies in quality and sustainable family planning service provision across NURHI project sites by building the capacity of clinical and non-clinical service providers to update their knowledge and skills in family planning services. ARFH’s key objectives and achievements under the NURHI project include:

  • Developed cost-effective interventions for integrating quality family planning with maternal and newborn health, HIV and AIDS, postpartum and post abortion care programs,
  • Completion of training of 1124 clinical FP providers; inclusive of LARC for nurse/midwives and physicians, and IPCC and injectables for CHEWs
  • Supported the development of national On the Job training manual and its nationwide dissemination for state and LGA FP coordinators
  • Developed a road map for establishing quality improvement teams/committees in high-volume sites;
  • Instituted youth-friendly FP services for sustained integrated supportive supervision (ISS) at all project cities;
  • Improved quality of services and interventions for continuous quality improvement informed by triangulation from the ISS and routine data monitoring.
  • Development of a training plan and FP refresher especially for FP/IPCC, resulting in training of 99 (60.7%) nurses, midwives and CHEWs; and
  • Proper use of Job aids/guidelines also improved from 23.9% to 93.0%, with a significant improved zero stock out for FP commodities from 37.0% to 93.2%
  • Reached a total of 140,712 new FP acceptors, including 22,799 new acceptors of LARC on an annual basis.

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