Midwives as drivers of Reproductive Health Commodity Security (RHCS) in Kaduna state, Nigeria
ESC Congress Library. Ghandi A. May 28, 2014; 50619; A-204 Disclosure(s): Nil
Dr. Abdulrazzaq Ghandi
Dr. Abdulrazzaq Ghandi
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Abstract
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Objectives


1.      To review and collect family planning service  utilization data from the health facilities


2.      To ensure regular resupply of modern contraceptives to Service Delivery Points (SDP)


Method


 


Nigeria reported one of the highest maternal mortality ratio in sub-Saharan Africa (545/100,000: 2008 NDHS). With a fertility rate of 5.7, this is not unconnected with the low Contraceptive Prevalence Rate (CPR) of 17.5 (MICS 2011) and a high unmet need of 19.4 (MICS 2011) for modern contraceptives. The Federal Government of Nigeria had set a target to increase the CPR to 36% by the year 2018. In order to achieve this it had continuously funded procurement of modern contraceptives to the tune of $3.1 million USD since April 2011. In order to remove the perennial stock-out syndrome and poor data quality for planning, UNFPA adopted and support the country to institute the bi-monthly REVIEW RESUPPLY(RR)  meetings.


These meetings are facilitated by the midwives at the states and Local Government Areas (LGAs)  as family planning coordinators.  They   directly convey commodities sent to the states down to the LGAs for distribution to 6974 /25,000 health facilities  across the country in line with the previous two months utilization data. They in  return will  review and collect Requisition and Resupply Form (RIRF) data of previous two months for local collation/analysis and onward transmission to the Federal Ministry of Health . The success of this best practice can be depicted with the result from Kaduna state, Nigeria.


Results


In 2013 the bimonthly data timeliness was 33% and the completeness was 100%. An improvement in data quality was also noticed over the months (80% of the RIRF forms received were original copies).


There was a steep reduction in number of SDPs reporting stock out in 2013. This range from zero for IUCD to 17% for female condom (FC), Depo provera and Excluton. Total number of commodities issued to clients increased from 31,866 in 2012 to 177, 828 in 2013.


Regular supportive supervision of  the SDPs by the state FP coordinator has also improved the  knowledge and skill of providers, their morale and impacted positively on quality of services delivered. All these increased the Couple year protection from 3,408 in 2012 to 102,207 in 2013.


Conclusion


The increasing quantity and types of commodity available to clients over the months has improved access to services and choices for women.


 


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