Skip to content

Publications

Improving Access to Contraception in Akwa Ibom State, Nigeria

Nigeria
Task-Sharing Provision of Injectable Contraceptives and Implants with Community Health Extension Workers

Pathfinder’s Evidence to Action (E2A) Project and Pathfinder/Nigeria worked with the Akwa Ibom State Ministry of Health, from November 2015-December 2016, to train Community Health Extension Workers (CHEWs) in two Local Government Areas (LGAs) to provide implants and injectable contraceptives (DMPA) in facilities, and increase demand for both contraceptive methods through community-based outreaches.

E2A documented the interventions in Akwa Ibom through the collection and analysis of quantitative data from the Heath Management Information System, and qualitative data from key informant interviews and focus group discussions with CHEWs and facility heads where the interventions took place. This technical brief is a product of that documentation process and demonstrates the impact of those added capacities on contraceptive availability and uptake in the two LGAs of Akwa Ibom.

The evidence in this brief is meant to support efforts to operationalize the national task-sharing policy in Nigeria by showing how the policy can be applied at the state level to meet unmet demand for contraception. This brief accompanies an operations research study conducted by E2A in Cross River and Kaduna states of Nigeria, which shows that implant provision can be task-shifted to this cadre while achieving the same levels of client satisfaction and volumes of contraceptive uptake as previously provided by nurses or midwives. The operations research study is being finalized.

Download this Publication

Featured Stories & Perspectives

Pathways – June 2024: Honoring Refugees Around the World

Pathfinder works with local, government, and humanitarian partners to design programs that respond to the unique needs of women and…

Read The Story
Featured Stories & Perspectives

During Security Crisis, Burkinabe NGOs Play Critical Role in Healthcare Delivery

Local non-governmental organizations (NGOs) in Burkina Faso’s Centre Nord, Sahel, and Est regions have been critical to sustaining healthcare delivery…

Read The Story
Featured Stories & Perspectives

Pathfinder Study to Inform Health Systems Strengthening Investments in Flood-Prone Areas of Bangladesh

Climate change has made flooding during the monsoon season in Bangladesh more severe and erratic—leaving health systems unprepared to serve…

Read The Story
Featured Stories & Perspectives

Stewarding Global & Multi-Country Projects through Youth-Led, Community-Driven Change  

Pathfinder leverages over six decades of experience with leading global and muti-country projects. As Director of Multi-Country Unit Projects, and…

Read The Story
Featured Stories & Perspectives

Kudos to Passing the Resolution on Climate Change and Health! Let’s Take Action Now!

At Pathfinder, our delegation to the 77th World Health Assembly was proud to witness the passage of the Resolution on…

Read The Story
Featured Stories & Perspectives

Launching a Project During a Natural Disaster: Local Partnerships are Critical!

When Pathfinder launched the USAID-funded Building Healthy Families (BHF) project in September 2022, Pakistan was devastated by floods. The floods…

Read The Story
Featured Stories & Perspectives

A Mother’s Day Wish: Making Access to Reliable Reproductive Healthcare a Global Reality

Mother’s Day is a time of celebration in the United States, but this year let’s also make it a time…

Read The Story
Featured Stories & Perspectives

Pathfinder Tanzania, Our Global Watchtower for Safeguarding

At Pathfinder, we are committed to safeguarding—protecting the people we serve, our partners, and each other from exploitation and abuse.…

Read The Story
Featured Stories & Perspectives

Social & Behavior Change—Fostering Sustainable Change from Within

Pathfinder is well known for increasing access to lifesaving healthcare, reaching millions with contraception, saving countless women from dying in…

Read The Story
Featured Stories & Perspectives

Why We Advocate – Part 3: Recent Wins for Pathfinder – And for Rights!

This is the third piece (see part one and part two) in a series on Pathfinder’s work advocating for sexual…

Read The Story
Featured Stories & Perspectives

Pathfinder Annual Report 2023 – Women Who Lead

Pathfinder programs champion the rights, health, and success of women and girls around the globe—for their own benefit, and for…

Read The Story
Featured Stories & Perspectives

Protect, Pay, and Promote Women Health Workers

An abbreviated version of this content appeared in Health Policy Watch during World Health Worker Week. Each woman in the…

Read The Story