Nigeria Family Planning Blueprint

Nigeria has a rapidly growing population, with current population estimates at over 180 million, out of which about 46 million are women of reproductive age (WRA). With a total fertility rate (TFR) of 5., Nigeria’s population is likely to hit 379 million by 2050, becoming the fourth most populous country on earth.  (NDHS 2018) It would take only about 30 years for population of Nigeria to double itself. Fertility and mortality patterns have resulted in a young population structure, where more than 40% of the current population are children under the age of 15 years. Low level of FP is a major factor in the fertility pattern and population growth rate.

The current family planning method mix shows condoms and injectable contraceptive as the most popular method. The modern method mix predominantly comprises condoms, pills, and injectables . Factors associated with the low contraceptive prevalence level include; cultures that are highly supportive of large family size, myths and misconceptions about contraception, gender inequity, inadequate access to FP services, poor quality of services and inadequate demand creation efforts.

The previous FP Blueprint (2014-2018) is a well-articulated CIP that holistically addresses these existing gaps in the provision of high-quality FP services to Nigerians of reproductive age and was developed in view of Nigeria’s commitments at the London FP summit. The overarching goal of the previous Blueprint was increasing CPR from 15% to 36% by 2018. The goal set for the revised National Family Planning Blueprint (2020-2024) is 27% mCPR by the year 2024 which represents a projected 3% annual growth from the present national mCPR.

The NDHS (2018) report showed a national CPR of 18% and mCPR of 13% for all women and CPR and mCPR of 17% and 12% among married women respectively. On average, this is a 2%-point increase in CPR and mCPR among both married and all women since the NDHS 2013. As of 2018, more than 6.2 million women are using a modern method of contraception, out of which over 1.7 million are additional women since 2012, when FP2020 commitments were made. In 2017, over 2 million unintended pregnancies, 735,000 unsafe abortions, and 12,000 maternal deaths were averted. In the light of the advances made in the National FP indices since 2012, the FGON in collaboration with its partners, updated its commitment at the 2017 FP Summit; to achieve a mCPR of 27% among all women by 2020 and increase its annual allocation for contraceptives to US$4M

A landscape analysis of the current national FP situation, using the Blueprint as a reference point was conducted to identify enabling factors and challenges around the recent advancement, and propose recommendations to achieving the revised National mCPR target of 27% by 2024. The landscape report analysed key thematic areas from the Blueprint. These areas include; policy and governance, service delivery, supply and commodity logistics, demand generation, finances, and monitoring and evaluation.