M aking long-term Family planning Methods accessible    to rural communities to reduce Maternal Mortality Rate in Nigeria ...
Background <ul><li>Maternal mortality remains a major challenge for health systems worldwide. </li></ul><ul><li>Annually 6...
Background cont’d. <ul><li>2/3 of births in Nigeria are considered high risk births – birth to women under 18 years, over ...
Sites/LGAs <ul><li>Akure South (2 facilities were selected) </li></ul><ul><li>Odigbo (3 facilities selected in communities...
Project Aims <ul><li>The 5 year project is aimed at;  </li></ul><ul><li>Increasing the knowledge of modern child spacing m...
Strategy/Methods <ul><li>Use of consultants </li></ul><ul><li>Advocacy </li></ul><ul><li>Identification and Selection of h...
Strategy/Methods cont’d <ul><li>6 health care providers were trained on how to insert IUCD and Jadelle implant </li></ul><...
Findings/Results <ul><li>Over 1000 men and women of reproductive age were reached with tailored information on Family Plan...
Findings/Results cont’d <ul><li>55.6% of women that had IUCD were married while 1.6% were unmarried.  </li></ul><ul><li>23...
Findings/Results cont’d <ul><li>Some of the clients ( 22.2% ) were not using any form of family planning methods before th...
Recommendation <ul><li>Public enlightenment and education on family planning is key to reduction of Maternal Mortality Rat...
Recommendation cont’d <ul><li>Steps needed to be taken to improve access to family planning in low resource settings inclu...
<ul><li>Thank you for your attention </li></ul><ul><li>For further information, contact </li></ul><ul><ul><li>The Society ...
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Making long term family planning methods accessible to rural communities to reduce maternal mortality rate in nigeria

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Making long term family planning methods accessible to rural communities to reduce maternal mortality rate in nigeria

  1. 1. M aking long-term Family planning Methods accessible to rural communities to reduce Maternal Mortality Rate in Nigeria By Asanato Judy Isaac, Bako John Chukwudi Kehinde Damola Omotayo, Arogundande Bimpe Society for Family Health, Nigeria creating change….enhancing lives
  2. 2. Background <ul><li>Maternal mortality remains a major challenge for health systems worldwide. </li></ul><ul><li>Annually 600,000 women died from prevented causes and 99% of these women reside in less developed countries. </li></ul><ul><li>High fertility rate, low literacy, poverty and lack of maternity services have worsen the situation in Africa including Nigeria. </li></ul><ul><li>Nigeria accounts for 10% of the global estimate of maternal mortality (FMOH 2008) and available statistics revealed that MMR in Nigeria stands at 545/100,000 lives births (NPC & ICF Macro, 2009). </li></ul>creating change….enhancing lives
  3. 3. Background cont’d. <ul><li>2/3 of births in Nigeria are considered high risk births – birth to women under 18 years, over 35 years and birth interval of less than 24 months. </li></ul><ul><li>In order to reduce the MMR and to improve maternal care in Nigeria, SFH initiated the implementation of Women’s Health Project funded by PSI in July 2008. </li></ul><ul><li>The project commenced in Ondo state in 1 LGA in 2009. </li></ul><ul><li>2 more LGAs were added in 2010 </li></ul>creating change….enhancing lives
  4. 4. Sites/LGAs <ul><li>Akure South (2 facilities were selected) </li></ul><ul><li>Odigbo (3 facilities selected in communities in Ore) </li></ul><ul><li>Ile-oluji (1 facility selected) </li></ul>creating change….enhancing lives
  5. 5. Project Aims <ul><li>The 5 year project is aimed at; </li></ul><ul><li>Increasing the knowledge of modern child spacing methods among couples of reproductive age. </li></ul><ul><li>Increase positive attitudes and understanding of the importance of child spacing products </li></ul><ul><li>Achieve a national reduction in maternal mortality. </li></ul><ul><li>Improve inter-spousal communication among couples </li></ul><ul><li>Increasing the number of women using modern methods. </li></ul><ul><li>Improving the capacity of health care providers to offer correct child spacing information and services. </li></ul>creating change….enhancing lives
  6. 6. Strategy/Methods <ul><li>Use of consultants </li></ul><ul><li>Advocacy </li></ul><ul><li>Identification and Selection of health facilities. (6 clinics selected for the project) </li></ul><ul><li>Selection and training of community mobilizers and providers. (24 community volunteers were selected and trained on FP methods, use of SFH Child spacing flip chart, IPC and community mobilization) </li></ul>
  7. 7. Strategy/Methods cont’d <ul><li>6 health care providers were trained on how to insert IUCD and Jadelle implant </li></ul><ul><li>Clients received counseling on various Family planning methods and chose most preferred methods applicable to them. </li></ul><ul><li>Interpersonal Communication using specially designed child spacing flip charts </li></ul><ul><li>Community mobilization </li></ul><ul><li>Pre-event and event days </li></ul><ul><li>Data collection and analysis </li></ul>
  8. 8. Findings/Results <ul><li>Over 1000 men and women of reproductive age were reached with tailored information on Family Planning </li></ul><ul><li>Husbands’ consent were gotten before insertion was done (53.2%) and clients were 18 years and above. </li></ul><ul><li>57.1% of women who were mobilized accepted IUCD. (6.3% of them were between the ages of 18 – 24. 43.7% were between the age of 25 – 34 and 18.3% were above 35 years) </li></ul><ul><li>11.1% of the women took Jadelle implant and 31.8% settled for pills (Locon F). (0.8% of women that received implants were between the ages 18 and 24. 8.7% of them were between 25 and 34 and 1.6% of the women were 35 years and above). </li></ul>
  9. 9. Findings/Results cont’d <ul><li>55.6% of women that had IUCD were married while 1.6% were unmarried. </li></ul><ul><li>23.81% of the married women and 8.0% unmarried women took pills </li></ul><ul><li>11.1% of the women who were married accepted implant. </li></ul><ul><li>5.0% of the women who received IUCD or implant had no education </li></ul><ul><li>26.2% that received either IUCD or Implant had primary education. </li></ul><ul><li>More clients – 31.7% had secondary school education </li></ul><ul><li>5.6% of those that accepted IUCD had higher education. </li></ul><ul><li>Project revealed that 48.4% of the women that received Family Planning did that for child spacing while 46.8% had no intention of having more children after having 4 - 5 children. </li></ul>
  10. 10. Findings/Results cont’d <ul><li>Some of the clients ( 22.2% ) were not using any form of family planning methods before the project </li></ul><ul><li>Apart from those using injectables, condoms and emergency pills, 5.6% of the clients reached (including older women) adopts abortion as family planning method </li></ul><ul><li>This was due to misconception and lack of information about family planning including available services </li></ul><ul><li>Acceptability was very high among community women regardless of educational background. </li></ul>
  11. 11. Recommendation <ul><li>Public enlightenment and education on family planning is key to reduction of Maternal Mortality Rate in Nigeria. </li></ul><ul><li>Intervention programme targeting women in rural communities with modern family planning methods should be promoted and increased as this will bring about improvement in maternal and child health in low resource settings where access to health services is limited. </li></ul>
  12. 12. Recommendation cont’d <ul><li>Steps needed to be taken to improve access to family planning in low resource settings include; </li></ul><ul><li>- increase knowledge about the safety of family </li></ul><ul><li>planning methods </li></ul><ul><li>- Increase male involvement in family planning </li></ul><ul><li>- ensure contraceptives are genuinely affordable to </li></ul><ul><li>the poorest families </li></ul><ul><li>- ensure supply of contraceptives by making family </li></ul><ul><li>planning a permanent line item in healthcare </li></ul><ul><li>system's budgets </li></ul><ul><li>- take immediate action to remove barriers hindering </li></ul><ul><li>access to family planning methods. </li></ul>
  13. 13. <ul><li>Thank you for your attention </li></ul><ul><li>For further information, contact </li></ul><ul><ul><li>The Society for Family Health </li></ul></ul><ul><ul><li>P. O Box 5116, Wuse, Abuja </li></ul></ul><ul><ul><li>www.sfhnigeria.org </li></ul></ul>

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