Country Focus: Nigeria
Breakthrough ACTION Nigeria is a United States Agency for International Development (USAID) funded social and behavior change (SBC) project designed to increase the practice of priority health behaviors in the areas of malaria; maternal, newborn, and child health, including nutrition (MNCH+N); family planning/reproductive health; and tuberculosis. The project works closely with Federal and State Ministries of Health and other USAID implementing partners.
In 2020, BA Nigeria's COVID-19 project worked to support the Nigerian Government and RCCE country-level pillar leadership (currently the Health promotion division of the FMoH, NCDC, WHO and UNICEF) with technical assistance to adapt and contextualize plans, tools, templates, and materials to support the preparedness and/or response activities required by Nigeria.
Phase II of the NURHI Project, which commenced in October 2015, is being implemented in three States: five years (2015-2020) in Lagos and Kaduna States, and three years (2015-2018) in Oyo State. The NURHI II Project is built on the premise that demand for family planning is a requirement for increased contraceptive use therefore increasing demand, which will cause improvement in contraceptive service provision. All of the materials, reports, and other information about NURHI 2 can be found in the NURHI toolkit website.
The Challenge Initiative (TCI) is a project led by the Bill & Melinda Gates Institute for Population and Reproductive Health, Johns Hopkins Bloomberg School of Public Health. The Initiative represents a new approach to providing life-saving reproductive health and family planning information and services to individuals, families, and communities, building on the demonstrated success of the Gates Foundation’s Urban Reproductive Health Initiative (NURHI). Project materials can be found here.
The Post Pregnancy Family Planning is a four-year Project (2017-2021) funded by the Bill and Melinda Gates Foundation and Merck for Mothers aimed at providing post-pregnancy clients with the information and services they require to commence the use of family planning services. The Project is implemented in the private sector which provides services to 65% of its citizens.
The post pregnancy period is the period of pregnancy through one-year post-pregnancy, it includes miscarriages and any pregnancy that does not result in a live birth. Project interventions are integrated along the Maternal and Child Health (MCH) continuum of care services; antenatal, delivery, immunization, postnatal and any interaction the post-pregnancy client has with the health system.
In-clinic mobilization is the focus of demand generation activities targeting a high number of women during antenatal and immunization clinics with social mobilization materials specifically developed to address the needs of the post-pregnancy woman and her partner.
The demand generation approaches
- Increase demand for family planning services among post-pregnant women both in the clinic when they are attending MNCH services and in the communities
- Reduce ideational barriers linked to knowledge, reduce misperception, spousal communication, self-efficacy, risk perception for post-pregnancy women and families
- Address the low perception of quality family planning services in the private sector.
Voices for Change, V4C (Nigeria, 2013-2017) was a program which worked to strengthen the enabling environment for gender equality in Nigeria. The program targeted young women and men aged 16–25 years old and oeprated in four states in Nigeria: Enugu, Kaduna, Kano and Lagos. For some activities it operated at the federal level.
In Phase I (2009-2014) NURHI operated in six cities (FCT, Ibadan, Ilorin, Kaduna, Benin and Zaria) and significantly contributed to the increase in family planning contraceptive prevalence rate (CPR) in these cities, which can be seen in the 2013 National Demographic Health Survey (NDHS). To read more about Phase I of the NURHI Project, Click here All of the information and materials about NURHI can be found on the NURHI Toolkit site.
HC3 (2004-2018) in Nigeria focused on:
- Social Mobilization & Public Enlightenment
- Training & Capacity Building
- Materials Production & Distribution
- Research, Monitoring & Evaluation
The health focus was on: Malaria, HIV/AIDS, Immunization, and Reproductive Health
Adolescents 360 (A360) is a program of FHI360 which aims to increase voluntary, modern contraceptive use and reduce unintended pregnancy among adolescent girls between the ages of 15 and 19 in Ethiopia, Nigeria and Tanzania.
- Creating Mobile Health Solutions for Behaviour Change: A Study of Eight Services in the mNutrition Initiative Portfolio
- The ECHO Study Report
- “Because my Husband and I Have Never Had a Baby Before…” Results and Lessons from Interventions with First-Time Parents in Madagascar, Mozambique, and Nigeria
- Entertainment-Education Curriculum
- Factors Impacting Use of Health Services by First-time/Young parents: A Formative Research Toolkit
- Guide de Formation Conseil Dépistage du VIH au niveau Communautaire: manuel à l'intention du personnel non médical
- HTSP Project Briefs: Niger, Togo
- Community Communication MNCH e-Manual: Participatory Health Promotion Sessions
- Lever les Tabous: La sexualité et les approches promouvant l’égalité des genres pour mettre fin aux unions et aux mariages d’enfants, précoces et forcés
- Birth Spacing and Family Welfare Sermons