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Nigeria has one of the world’s fastest growing populations. Based on current trends, it will have become the world’s third most populous country by 2050, with around 100 million women of reproductive age.
At the end of 2015, only one in eight women of reproductive age was using any form of modern contraception. Not only is contraceptive use low in the country, choice of contraceptives is limited. In a survey from 2013, condoms were the method chosen by 40% of contraceptive users, with pills and injectables together accounting for another 40%. Long-acting and permanent methods made up only 12% of all modern methods used in Nigeria at the time.
Marie Stopes Nigeria opened its first clinic in 2009, becoming one of the few providers of long-acting and permanent contraception in the country. We estimate that more than 10% of women now using contraception in Nigeria were provided with their method by us.
In 2010 there was an estimated 12,000 women in Nigeria using a form of contraception that was provided by Marie Stopes - by the end of 2018, that number had increased to more three million, the majority of which opted for the long-acting and reversible implant method. This indicates that we are changing patterns of contraceptive use across Nigeria
We estimate that more than 10% of women now using contraception in Nigeria were provided with their method of choice by us.
Expanding the scope and capacity of our service channels is vital for our programme to have a significant impact on the uptake of sexual and reproductive health services in Nigeria.
Our centre in Abuja offers a range of reproductive health services to urban communities, including family planning services, emergency contraception, pre and post-natal care, diagnosis and treatment of STIs, pregnancy testing, voluntary counselling and testing for HIV, ultrasound and laboratory services.
In addition to our centre, the programme uses mobile outreach teams – composed of doctors, nurses and drivers, who travel to hard-to-reach areas of Nigeria – to offer a range of contraceptive services to those who need them the most. We also provide services through social franchise networks, allowing communities across the country to access contraception from quality assured private pharmacies, and all at affordable prices.
Working together with the government of Nigeria, as well as existing private health care providers, we have trained over 200 franchisees to deliver high quality family planning services to women across Nigeria.
Marie Stopes Nigeria trained local health workers to provide sexual and reproductive health services to internally displaced people (IDPs) in Adamawa state. These health workers go the extra mile to provide and deliver services in one of the most volatile regions of the country.
Violence in Adamawa state forced thousands to flee their homes, and the state is now home to more than 135,000 internally displaced people. IDPs are generally a vulnerable group of people, and women in these circumstances are particularly at risk as they are often left with limited means to prevent unplanned pregnancies.
In 2014, Marie Stopes Nigeria was asked by UNFPA to train health staff to provide sexual and reproductive health services in Adamawa state, with a focus on long acting and reversible contraception, such as the implant and IUD. We trained 50 nurses and midwifes in the state – where an astonishing one in five women has an unmet need for family planning – through our Training and Supportive Supervision model of service delivery. The model involves training public sector health workers to provide comprehensive family planning, including a range of modern methods and counselling.