Project overview presentation

1. Overview of UNFPA FP/RHCS
Interventions and Lafiya
Portfolio
Dr. Joachim Chijide
December 18th , 2020

2. Outline
• Background
– National Indicators and trends
– Programme Priorities
• Key Interventions
• Programmes
– Resources and focus
– The National Basket Fund
– The National Supply Plan
• Challenges
• Recommendations

3. S/N Development indices Data element
1. Population 214 million people (NPoPC June 2019);
Annual Growth Rate 3.2% ; (15-49
constitute 23% of population)
2. Total Fertility Rate
(TFR)
5.3 (2018)
3. Maternal Mortality
Rate
512/100,000 live births NDHS 2018 (Life time
risk is 1:23). About 14 % of global burden
4. CPR 17% (mCPR is 12%) NDHS 2018
5. Unmet Need for FP 19% (NDHS 2018)
6. Teenage pregnancy
rates
19% (2018 NDHS)
National Indicators

4. Fertility Trends
[VALUE].0
5.7 5.7 5.5
5.3
6.3
6.1
6.3 6.2
5.9
5 4.9
4.7 4.7
4.5
1990 NDHS 2003 NDHS 2008 NDHS 2013 NDHS 2018 NDHS
Births per woman for the 3-year period before the survey
Rural
Total
Urban

5. Trends in Use of Contraceptives
4
8
10 10
12
2
3
4
5 5
1990 NFHS 2003 NDHS 2008 NDHS 2013 NDHS 2018 NDHS
Modern method
Traditional method
Percent of currently married women age 15-49

6. Trends in Unmet Need for Family Planning
22
18 20
16
19
1990 NFHS 2003 NDHS 2008 NDHS 2013 NDHS 2018 NDHS
Percent of currently married women age 15-49

7. Background / Context (National Priorities)
• FP 2020 Commitment Objective by FGN:
– Achieve mCPR of 27% by 2024 (previous target was 2020)
• FP 2020 Nigeria Priorities
– FP Commodity and service expansion: DMPA-SC, PPFP,
Hormonal IUS and Progesterone vaginal ring
– Financing for FP including innovative approaches and resource
tracking through basket funds expansion to include states, BHCPF
(Basic Healthcare Provision fund) and Health Insurance
– Integrated Supply chain management and use of appropriate
technology (including the NHLMIS) for strengthening LMIS and
end to end visibility of commodity data
– National FP Blueprint revision and state CIPs development
(embedded with right based approaches and including FP in
humanitarian)
– Review of enabling policies for improves Adolescent and Youth FP
information and services

8. Background / Context (CP Priorities)
• UNFPA Strategic Plan 2018-2021 (Transformative Results)
– Zero unmet need for FP, Zero preventable maternal deaths, Zero
GBV and HTPs
• Nigeria 8th CP (2018 -2022) Deliverables:
– Percentage of facilities with no stock out or modern contraceptives
in pat 3 months Baseline: 77% Target: 80%
– Number of new users of Family Planning services Baseline:
8,600,000 Target: 13,600,000

9. Strategic approach/Innovation
• Consolidate on UNFPA’s convening power for FP on existing/familiar
platforms and leverage on strategic partnerships from recent engagements:
– Annual FP Stakeholders’ Consultative Meetings
– National FP Conference
– Facilitate Parliamentarians’ Platform to facilitate budget allocation for FP
– FP Technical Review Meetings
– National FP Conference
• Emphasize the economic benefits of FP in engaging with key stakeholders:
– Push the DD agenda in collaboration with the PD Unit
– Follow through with engagements on Governors’ Forum platform
– Facilitate engagements with parliamentarians
• Advocate for and facilitate a translation of an enabled environment (i.e.
policies, guidelines), national and global commitments to implementation
• Enhance synergy and integration with other programme units to deliver on
FP/RHCS commitments and transformative results:
– Adolescents and young people
– Rights-based approaches
– Male involvement
• Generate evidence for FP/RHCS programming, breaking new grounds and
scaling for impact (i.e. research, surveys, etc)
• Ensure that Supply chain management includes more procurement in line
with preparedness for humanitarian action and consolidation of role in the
national implementation of the LMIS

10. Priority Interventions 2020
Mode Of Engagement Key Interventions
Advocacy/Policy Dialogue • Subnational Costed Implementation Plans (FCT
and Imo)
• Guidelines for state-funded procurement of
contraceptives
• Technical Support to development of National
FP private sector engagement strategy
• 6th Nigeria FP Conference
Capacity Building • National FP Technical Review Meeting
• Capacity building of supply chain managers
• Capacity building of FP providers
Knowledge Management • Last Mile Assurance
• NIDI Survey
• NHLMIS
• RO initiative to support countries on the use of
LMA tools and supply chain maturity model
Service Delivery • Procurement of contraceptives and delivery to
28 state warehouses
• Last Mile Delivery of contraceptives to 17 states
using the IMPACT Model and 3PL (3 states)

11. Key Resources and Focus
• UNFPA Supplies Programme (Flagship)
– Procurement of contraceptives
– Capacity building
– Surveys
• DFID – LAFIYA Project
– Procurement of contraceptives
– Last Mile distribution
• Norwegian SRH for Girls Project (FP Component)
– Capacity building of health workers
– Service delivery

12. LAFIYA PROJECT (OVERVIEW)
• The 5-year DFID-Funded LAFIYA Project (2019-2020) proposes to
provide financial and technical resources towards the procurement of
contraceptives and strengthening of the supply chain through Last Mile
Distribution of Contraceptives.
• The expected outcome of the project is to reduce unmet need for family
planning whilst the expected outputs are:
1. Adequate quantities of appropriate mix of quality contraceptives
procured and distributed.
2. Efficiently managed national contraceptive supplies and logistical
management system.

13. LAFIYA PROJECT (OVERVIEW) CONTD.
• Resources were received for the 1st year and
have been applied
1. Procurement of contraceptives via the National
Basket Fund to meet the Family Planning needs
of at least 1,900,000 couples
2. To strengthen the supply chain in 7 states
(Kaduna, Kano, Katsina, Jigawa, Taraba,
Zamfara, Borno) .

14. 2020 Supply plan
2020 Proposed Supply Plan by
Donors
Table 1: DFID 2020
Product Propose
d Order
Date
Receive
Date
Quanti
ty
CYP Product
Cost
Procureme
nt, Freight
and
Clearing
cost
Total Costs
IUCD Dec-19 Jun-20
165,550
761,530 $
51,320.50
$
11,290.51
$ 62,611.01
Exluton Dec-19 Jun-20
808,088
53,873 $
282,830.80
$
62,222.78
$ 345,053.58
Implanon Dec-19 Jul-20
205,520
513,800 $
1,746,920.00
$
384,322.40
$ 2,131,242.40
Jadelle Dec-19 Jul-20
161,680
614,384 $
1,374,280.00
$
302,341.60
$ 1,676,621.60
Total 1,943,587 $
3,455,351.3
$
760,177.29
$ 4,215,528.59

15. 2020 Supply plan
Product Propos
ed
Order
Date
Receive
Date
Quantit
y
CYP Product
Cost
Procurement,
Freight and
Clearing cost
Total Costs
Noristerat Dec-19 Jun-20
700,000 116,667
$ 868,000.00 $ 190,960.00 $ 1,058,960.00
Male
Condom
Dec-19 Jun-20
27,111,695 225,931
$ 813,350.85 $ 178,937.19 $ 992,288.04
Microgyno
n
Dec-19 Jun-20
393,120 26,208
$ 106,142.40 $ 23,351.33 $ 129,493.73
Levoplant Dec-19 Jun-20
100,000 250,000
$ 690,000.00 $ 151,800.00 $ 841,800.00
Implanon Dec-19 Jul-20
379,720 949,300
$ 3,227,620.00 $ 710,076.40 $ 3,937,696.40
Jadelle Dec-19 Jul-20
270,000 1,026,000
$ 2,295,000.00 $ 504,900.00 $ 2,799,900.00
Total
2,594,105
$ 8,000,113.3 $ 1,760,024.92 $ 9,760,138.17
Table 2: UNFPA 2020

16. 2020 Supply Plan
Product Propose
d Order
Date
Receive
Date
Quantity CYP Product
Cost
Procuremen
t, Freight
and Clearing
cost
Total Costs
Noristerat Dec-19 Jun-20 300,000 50,000 $ 372,000.00 $ 81,840.00 $ 453,840.00
Levoplant Dec-19 Jun-20 138,732 346,830 $ 957,250.80 $ 210,595.18 $ 1,167,845.98
Implanon Dec-19 Jul-20 85,000 212,500 $ 722,500.00 $ 158,950.00 $ 881,450.00
Microgynon Dec-19 Sep-20 257,040 17,136 $ 69,400.80 $ 15,268.18 $ 84,668.98
Female
Condom
Dec-19 Dec-20 373,000 3,108 $ 193,960.00 $ 42,671.20 $ 236,631.20
IUCD Dec-19 Dec-20 102,100 469,660 $ 31,651.00 $ 6,963.22 $ 38,614.22
Male Condom Dec-19 Dec-20 24,188,465 201,571 $ 725,653.95 $ 159,643.87 $ 885,297.82
Exluton Dec-19 Dec-20 383,100 25,540 $ 134,085.00 $ 29,498.70 $ 163,583.70
Microgynon Dec-19 Dec-20 262,800 17,520 $ 70,956.00 $ 15,610.32 $ 86,566.32
Total 1,343,865 $ 3,277,457.6 $ 721,040.66 $ 3,998,498.21
Table 3: FGON 2020

17. 2020 Supply Plan
Product Propose
d Order
Date
Receive
Date
Quantity CYP Product Cost Procuremen
t, Freight
and
Clearing
cost
Total Costs
Noristerat Dec-19 Jun-20 570,300 95,050 $ 707,172.00 $ 155,577.84 $ 862,749.84
Implanon Dec-19 Jul-20 222,048 555,120 $ 1,887,408.00 $ 415,229.76 $ 2,302,637.76
Jadelle Dec-19 Jul-20 30,000 114,000 $ 255,000.00 $ 56,100.00 $ 311,100.00
Levoplant Dec-19 Dec-20 186,507 466,267.50 $ 1,286,898.30 $ 283,117.63 $ 1,570,015.93
Noristerat Dec-19 Dec-20 827,500 137,916.67 $ 1,026,100.00 $ 225,742.00 $ 1,251,842.00
Jadelle Dec-19 Dec-20 399,850 1,519,430 $ 3,398,725.0 $ 747,719.50 $ 4,146,444.50
Total 2,887,784 $ 8,561,303.3 $ 1,883,486.73 $ 10,444,790.03
Table 4: Unfunded FP
commodities

18. Last Mile Distribution

19. Challenges (Systems)
• Finance—Increased investments and funding for procurement
, distribution and storage of contraceptive commodities
– Current gap for 2020 is estimated as US$5.3 million
– States require financial and technical support for distribution of
contraceptives following removal of user fees
– Funding for increasing warehouse storage space and for
renovation/rehabilitation required
• Health Systems—
– Weak Supply Chain and limited downstream HR capacities
– Workforce capacity development especially for Long Acting Methods
– Task Shifting (focus on rural areas)
– Electronic LMIS
• Demand—
– Demand creation and increased advocacy for FP to address social
issues limiting access

20. Challenges (Operational)
• Inability of manufacturers to meet global demand for some
contraceptives
• Limited resources for the implementation of the NHLMIS
(National Health Logistics Management System)
• Late release and incomplete release of Government
Counterpart Cash Contribution

21. Thank You