2009 - 2014
Funded by the Bill and Melinda Gates Foundation, the Nigerian Urban Reproductive Health Initiative (NURHI) brings together the expertise of international and Nigerian partners the Nigerian Association for Reproductive and Family Health and the Center for Communication Programs Nigeria to reduce supply and demand barriers to the use of family planning services in urban Nigeria. Tasked with increasing the contraceptive prevalance rate by 20 percentage points, NUHRI aims to harness the potential of Nigeria’s dynamic environment to improve services and healthful lifestyles now, before pressures on the urban health infrastructure lead to systems overload. The program is bringing together private and public sector resources to strengthen the delivery of family health services while gradually increasing demand for such services across project sites. Focused in six urban centers (Abuja FCT, Benin City, Ibadan, Ilorin, Kaduna and Zaria), NURHI is developing workable approaches that will provide rapid scale-up models for other urban areas in Nigeria and the African continent.
Joint advocacy efforts resulted in Federal Ministry of Health's national policy announcement on availability of free contraceptive commodities in all States. Commodities continue to be available free of charge at all public health facilities, including primary healthcare centers.
NURHI engages prominent religious and traditional leaders who in turn have publically endorsed family planning/child spacing, encouraging Nigerian men and women to find a method that will help them care for their desired family size and protect each mother's health.
'Know, Talk, Go' mass media campaign encourages Nigerians to 'Know" about family planning, 'Talk' to their partner about family planning, and 'Go' for services. This multi-channel campaign includes a radio drama for youth, television and radio spots, and posters, billboards, and promotional items for community members.
A novel public-private partnership, the Family Planning Providers Network (FPPN), was developed as an innovative approach to connect all family planning providers in Nigeria - clinical and non-clinical as well as public and private. A service referral system amongst providers ensures that clients receive the contraceptive method that best fits their needs and lifestyle. Youth urban social mobilizers also provide community-level referrals, assessing women's unmet need for quality family planning services and referring them to an FPPN provider.
Service delivery activities, including intensive provider trainings and 72-hour clinic makeovers, are conducted to improve the quality of family planning service provision and address barriers to continued use of modern family planning methods. Integration efforts are also underway to offer family planning services with the provision of maternal and newborn health, HIV and AIDS counseling and post-partum care programs.