Nigeria’s Experience:

FP planning, preparedness and responsiveness

from UNFPA Supplies in humanitarian settings

Dr. Joachim Chijide

WCARO UNFPA Supplies Regional Planning
Meeting
27th November 2018
 Presentation Outline

= Background
= Humanitarian Context
= Implementation Strategy
= Good Practices (Highlights)
= Challenges
= Way Forward
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 Background (Indicators)
S/N Development indices Data element

1. Population 190 million people (2017); Annual Growth

Rate 3.2% ; (15-49 constitute 23% of
population)
2. Total Fertility Rate 5.5 (2013) (TFR in North as high as 7.3)
(TFR)
3. Maternal Mortality 545/100,000 live births NDHS 2008 (Life time
Rate risk is 1:23). About 14 % of global burden
4. CPR 10% (NDHS 2013) Unmet need is 16% (NDHS
2013)
5. Teenage pregnancy 23% (29% rural, 12% urban) 2013 NDHS
rates
Background ( FP2020 Priorities)

= FP 2020 Commitment Objective by FGN:

< Achieve mCPR of 27% by 2020
= FP 2020 Nigeria Priorities
< FP Commodity and service expansion: DMPA-SC, PPFP
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 NAVISION) 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 improved Adolescent and
Youth FP information and services
Humanitarian Context

▪ Complexity
▪ Regional variation
(Diversity)
▪ Humanitarian Needs
are significant
▪ Health systems
Limitations
 Humanitarian Context (2)
= COMPLEXITY
< North-East Region: Borno, Adamawa and Yobe (IDPs)
< North-Central Humanitarian Crises: Benue (IDPs)
< South-South Humanitarian Crises: Cross River (Influx of Refugees)
= HUMANITARIAN NEEDS ARE SIGNIFICANT
< 14.5 Milllion need humanitarian assistance in the North East
(2018 HNO)
< 100,000 IDPs in the North-Central (Interagency Rapid Needs
Assessment 2018)
< 30,000 targeted in the South-South ( UNHCR 2018 Contingency
Plan)
= HEALTH SYSTEMS LIMITATIONS
< Health systems have been significantly affected : Infrastructure, supply
chain systems
< Human resources for health are particularly limited
< The humanitarian situation is an evolving one 6
 Key Interventions
= Capacity Building:
Training of front-line heath workers on MISP, CMR and ASRH
services
Training of social workers on psycho-social support and
community mental health services
Deploy staff (UNFPA and its IPs) to intervention states to provide
technical assistance and support

= Advocacy/Policy Dialogue:
Engage stakeholders at all levels (national, state, community) on
the interventions
Deploy Community mobilization and advocacy teams to create
awareness on availability of humanitarian services and also create
demand

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 Key Activities
= Knowledge Management:
Rapid Needs assessments were conducted
Collaborate with relevant state MDAs to coordinate RH and GBV
sub-sector working groups
Facilitate joint monitoring of the humanitarian response

= Service Delivery:
Deploy mobile medical outreach teams to provide SRH,CMR and
other PHC services
Procure and distribute Reproductive Health Kits to priority health
facilities
Establish permanent structure women and girls’ safe spaces within
the priority LGAs to provide psychosocial services, livelihoods
training, etc.
Deploy social workers to provide psychosocial service
Procure and distribute dignity kits to vulnerable women and girls
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 Implementation Strategy
= Act quickly to address the immediate humanitarian needs in the
areas of our comparative advantage
< Implementing partners with expertise in humanitarian and fragile
contexts
< Deploy existing and available resources promptly
= Adopt a systems strengthening approach
< Utilizing existing resources within the state (Heath facilities, medical
outreach staff, social workers, etc.)
< Mobilize Government, host communities and beneficiaries to
ensure ownership and sustainability
= Strategic partnerships with other humanitarian actors
< Complementarity of interventions
< Avoid duplication of activities
= Implement interventions mindful the importance of a paradigm shift
towards attaining a humanitarian development nexus

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 Good Practices (Highlights)
= Resource Mobilization :
< Koica : $5 Mllion (1.7 Million for RH, MNCH)
< NHF: $900,000
= Rolled out CBD model of DMPA-SC targeting
marginalized women in humanitarian settings.
46,638 women

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 CHALLENGES
= Limited resources for humanitarian response
in most locations
= Evolving humanitarian situations
= RH Kit and other humanitarian supplies
Limited government and internal capacities
for RH Kit forecast and quantification
= Limited understanding of modalities for
prepositioning of RH Kits

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 WAY FORWARD
= Resource mobilization and leveraging resources
= Enhance the visibility of UNFPA Supplies Programme
particularly on the platform of taking the lead on
humanitarian preparedness
= Strengthen capacities for forecasting and quantification of
humanitarian supplies and mainstream this process into the
existing process for other health supplies
= Scale-up access to FP in humanitarian settings

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THANK YOU