Advocacy Kits and Policy Briefs

The NURHI 2 advocacy approach creates an enabling environment for family planning through improved policy actions and favourable dialogue from the community, religious leaders and media. This approach complements service delivery and demand generation efforts by ensuring increased uptake of high-quality family planning services.

To implement the advocacy approach, state-specific plans in Kaduna, Lagos and Oyo States are essential for effective programming. In each state, advocacy stakeholders were trained using the Advance Family Planning SMART advocacy approach to plan, implement and evaluate an effective family planning advocacy strategy . The SMART approach is a stepwise guide used to program for advocacy.

NURHI 2 Advocacy Plans in Kaduna State

The landscape in Kaduna State is promising, with the State Ministry of Health fully leading the development of the partner and interventions coordination dashboard (map). Kaduna’s ‘Primary Health Care Under One Roof’ strategy where all the RMNCH continuum of care are integrated is gradually gaining momentum in structure and outlook, and the state’s Costed Implementation Plan for Family Planning (Blueprint) is almost ready for adoption. These two developments place the Saving One Million Lives initiative which is aimed at increasing the utilization and quality of high impact reproductive, child health, and nutrition interventions in a strategic place for repositioning family planning funding matters in Kaduna State. Click here to view the advocacy brief for Kaduna State.


The Kaduna advocacy efforts will intensify efforts to achieve and sustain full political commitment and policy actions for family planning. These efforts will involve working closely with the Saving One Million Lives Initiative, the Primary Health Care Under One Roof strategy, partner agencies and domestic collaborating partners to leverage opportunities. These key stakeholders will be targeted to collaborate with NURHI to strategically enhance dialogues on family planning and improve policy actions to support budgetary expenditures on family planning. They will also ensure adequate availability, deployment and retention of skilled providers for a minimum of three years in each facility. Further efforts will be geared towards improving and elevating the social construct, understanding and accepting family planning in Kaduna State and institutionalising the role of media champions in family planning policy dialogues and advocacy.

Read more on NURHI 2 advocacy plans in Kaduna State.

NURHI 2 Advocacy Plans in Lagos State

Lagos State is the commercial centre of Nigeria, although it is the smallest state in Nigeria in terms of land mass. It has the most dynamic population, representing practically all of the country’s ethnic groups. Lagos State has a population of about 23 million, with an annual growth rate of 3.5%. Almost all (92%) of its population resides in urban locations, and the state experiences a high level of rural–urban migration and a large influx of people from other states in search of economic opportunities. The city of Lagos is one of the most densely populated and fastest growing cities in the world, with more than 100 slum communities. Click here to view the advocacy brief for Lagos State.

Though the government funds family planning activities in Lagos State, there is need for improvement in areas such as infrastructure development and staffing and availability of consumables. Lagos State recently ordered that consumables must be provided for free, in contrast to the past practice of payment being required before services are rendered. However, most local government areas do not fund family planning services, so intenders still have to pay for the necessary services to get the free consumables. Another barrier to high-quality family planning services is the transfer of trained family planning staff from high-volume facilities to low-volume facilities where their skills cannot be fully leveraged. Demand generation activities are limited in general, and few leaders speak publicly in support of family planning, especially among the religious and traditional leadership communities. Child spacing and family planning are well accepted within the context of reducing maternal mortality, and stakeholders know and recognise the importance. The recent development of a costed implementation plan by Lagos State would go a long way once it is adopted. The plan should improve funding for family planning and help meet the goal of a 72% contraceptive prevalence rate by 2020.

Read more on NURHI 2 advocacy plans in Lagos State.

NURHI 2 Advocacy Plans in Oyo

The NURHI 1 advocacy strategy was premised on several critical issues and challenges to family planning in Oyo State. These issues include a lack of clear policy and strategic plan (document) for family planning, inadequate political will at the state and local government levels, insufficient infrastructure and equipment to facilitate the delivery of family planning, lack of family planning service providers, inadequate financial resources due to poor funding of family planning, lack of a budget line for family planning, recurring commodity stock-outs and lack of funding to support family planning commodity procurement and supplies. Click here to view the advocacy brief for Oyo State.

At the community level, issues include prejudices, biases, myths and misconceptions that are fuelled by religious and traditional beliefs, mostly championed by both religious and traditional leaders. Specific key achievements and results of the NURHI 1 advocacy strategy included the following: five local government areas in the project cities integrated family planning into their annual budgets; funding for family planning increased from zero to over 13 million Naira, with a family planning budget line established at both the state and local government levels; and resistance to family planning significantly decreased at the community level, with many religious and community leaders making public pronouncements in favour of it.

Read more on NURHI 2 advocacy plans in Oyo State.

Introduction

The advocacy thematic area of the Nigerian Urban Reproductive Health Initiative (NURHI) complements service delivery and demand generation efforts to ensure an environment where policy makers, religious and traditional leaders and the media are very supportive of family planning.

Strategic Stakeholder Engagements

The NURHI 2 advocacy strategy and efforts are geared towards achieving increased support for family planning from key stakeholders at the federal, state and local government levels, as well as in the community. To achieve this, a plan was developed to continue engaging and educating stakeholders (including political, traditional and religious leaders) and encouraging them to use their influence in support of family planning. NURHI 2 focuses on practical, results-oriented advocacy at the national, state and local government levels to facilitate a positive policy environment in Lagos, Kaduna and Oyo States, as well as at the national level of discourse.

Media-based Advocacy

The NURHI 2 advocacy approach creates an enabling environment for family planning through improved policy actions and favourable dialogue from the community, religious leaders and media. This approach complements service delivery and demand generation efforts by ensuring increased uptake of high-quality family planning services.

Faith-based Advocacy

The NURHI 2 advocacy approach creates an enabling environment for family planning through improved policy actions and favourable dialogue from the community, religious leaders and media. This approach complements service delivery and demand generation efforts by ensuring increased uptake of high-quality family planning services.

Advocacy Core Groups

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