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REPRODUCTIVE HEALTH/FAMILY PLANNING SERVICES

REPRODUCTIVE HEALTH/FAMILY PLANNING SERVICES
FAMILY PLANNING SERVICES
INTRODUCTION:
Family Planning is one of the components of Reproductive Health and its one of the Units under the Reproductive Health Division in the Directorate of Family Health & Nutrition.
FP GOALS
Nigeria’s health care indicators remain one of the poorest in Africa. Despite several health interventions, maternal and child health outcomes remain very poor. At the current pace, Nigeria is unlikely to meet MDG goals, hence the need to intensify efforts on reducing unmet need among women of child bearing age in Lagos State. There was thus a need for an effective logistics system that ensures availability of family planning commodities to accomplish reproductive health commodity security by ensuring that individuals and couples have voluntary access to family planning services when needed.
Family planning remains one of the cost effective strategies for reducing the maternal mortality indices in the State. To this effect, the Unit is saddled with the responsibility of ensuring uninterrupted provision of qualitative family planning services to the citizens in the state though the following:
1. Capacity building of family planning providers on the following:
• Family Planning Technology.
• Long Acting Reversible Contraceptive Services
• Contraceptive Logistics Management System
1. Provision of job aids and material on family planning.
2. Quarterly monitoring and supervision of family planning services in the state.
3. Demand-creation activities such as Medical Missions and Family planning services outreaches.
4. Conduct of quarterly review and resupply meetings for distribution of family planning commodities in the state to ensure commodity security.
5. Involvement of the Private sector.
ACTIVITES IMPLEMENTED TILL DATE:
1. CAPACITY BUILDING:
FAMILY PLANNING TRAINING UPDATES FROM 2011 TILL DATE
S/N TRAININGS BATCH VENUE DATE NO. TRAINED SPONSOR
1 5 day training of Family Planning Service providers on Jadelle insertion and removal 1 Lagos Island Maternity Hospital 4th – 9th October, 2011 26 Health Workers LSMOH
2 Training on implants insertion and removal, with focus on Jadelle and Implanon 1 Orile Agege General Hospital 13th – 17th August, 2012 20 Family Planning Managers UNFPA
3 Training of trainers on Family Planning Technology 1 Excellence Hotel, Ogba 9th-13th Dec., 2012 20 Health Workers PATHS2
4 Training of Preceptors on family planning 1 Hello Lagos Building, LASUTH 14th-16th Jan. 2013 12 Health Workers PATHS2
5 4 week training of family planning providers on family planning technology 1 Hello Lagos Building, LASUTH 21st Jan.-15thFeb., 2013 20 Health Workers PATHS2
6 4 week training of family planning providers on Family Planning Technology 2ndBatch Hello Lagos Building, LASUTH 24th Feb. – 22ndMarch, 2013. 23 Health Workers PATHS2
7 4 week training of family planning providers on Family Planning Technology 3rdBatch Hello Lagos Building, LASUTH 2nd– 26thApril 2013. 22 Health Personnel PATHS2
8 5 day Training of Community Volunteers on family planning. Three Batches i. Ikorodu Local Govt. Secretariat
1. Lagos Island Maternity Hospital
2. Ori-Ade Local Govt. Secretariat 8th-12th April, 2013 60 Personnel PATHS2
9 2 day training of FP Managers on Contraceptive Logistics Management System (CLMS) One batch Hello Lagos Building, LASUTH 15th-17th, April, 2013 20 Health Personnel PATHS2
10 2 day cascade training on Contraceptive Logistics Management System (CLMS) 1stBatch Hello Lagos Building, LASUTH 18th-19th, April, 2013 22 Health Personnel PATHS2
11 2-day cascade training on Contraceptive Logistics Management System (CLMS) 2ndBatch Lagos Island Maternity, Lagos. 18th-19th, April, 2013 23 Health Personnel PATHS2
12 2 day training of Family Planning Service Providers on Contraceptive Logistics Management System (CLMS) 1stBatch Hello Lagos Building, LASUTH 15th-16th, July, 2013 22 Health Personnel PATHS2
13 2 day training on Contraceptive Logistics Management System (CLMS) 2ndBatch Hello Lagos Building, LASUTH 17th-18th, July, 2013 23 Health Personnel
PATHS2
14 5 day residential training of Family Planning service providers on long acting reversible contraceptives 1stbatch Home Inn, Hotel and Suites with clinical sessions at Orile-Agege GH and Sango PHC 2nd – 7thDecember, 2013 25 Health Personnel UNFPA thru MSION
15 2 day CLMS Training for Private Health Facilities
One batch SHOPS Secretariat, Alausa (12th-13thMarch, 2014)
38 FP Providers from participating Private Health Facilities in 5 LGAs (Alimosho, Agege, Kosofe, Ikorodu and Oshodi/Isolo) were trained
• 5 FP Managers from the 5 LGAs SHOPS
16 4 day training of FP Managers and State and Federal Officials Training on CHANNEL Software One batch Airport Hotel, Ikeja 23rd -25th July, 2014. • 20 FP Managers
• M & E Officer from LSMOH
• M & E Officer from PHC Board
• 4 Officials from Federal Medical Store.
• 2 Officials from State Medical Store.
• State FP Logistics Officer
• State FP Coordinator UNFPA
17 5 day Training on long acting reversible contraceptives (LARC) PPFN Office, Aswani, Isolo 12th – 16thJanuary, 2015 25 Health Personnel LSMOH
18 2 day training on Contraceptive Logistics Management System (CLMS) One batch PSSDC, Magodo 15th – 16th April, 2015 40 Health Personnel UNFPA
19 2 day training on Family Planning Dashboard One batch LCCI, Alausa 11th – 12th June, 2015 • 2 M & E Officer from LSMOH
• RH Officer from PHC Board
• State FP Logistics Officer
• State FP Coordinator
• Representatives of Partners/ FP Stakeholders FMOH/CHAI
20 5 day Training on long acting reversible contraceptives (LARC) One batch LCCI, Alausa/ LASUTH, Ikeja 25th – 29th June, 2015 46 Health Personnel CHAI
B. REVIEW & RE-SUPPLY MODEL OF DISTRIBUTION
This is a form of distribution where family planning commodities are distributed to the family planning service providers on a quarterly basis. This is to reduce the logistics of distribution of commodities by the providers and thus prevent stock out in Public Health Faculties in the State. For distribution, the Local Government Areas are divided into 8 clusters:

S/N Cluster of LGAs No of LGAs in Cluster No of facilities Providing FP in Cluster
1. Kosofe, Ikeja, Somolu, Mushin 4 47
2. Surulere, Lagos Mainland, Lagos Island 3 32
3. Ifako-Ijaiye, Agege, Oshodi-Isolo 3 39
4. Ojo, Amuwo-Odofin, Badagry 3 35
5. Ikorodu 1 28
6. Alimosho 1 31
7. Apapa, Ajeromi/Ifelodun 2 20
8. Eti-Osa, Ibeju-Lekki, Epe 3 38
TOTAL 20 270
Since 2012, the State has conducted the review meetings on a quarterly basis, as highlighted in the table below:
2012 2013 2014 2015
31st July– 9th August, 2012 12th – 22nd Feb., 2013 17th -26th March, 2014 16th–26th Feb., 2015
30th Oct. – 12th Nov., 2012 28th May – 7th June, 2013 23rd June – 2nd July, 2014
2nd – 11th Dec., 2013 9th Sep. – 13th Oct., 2014
Quantities of Commodities Dispensed at All Rounds of Review and Re-supply Meetings
S/N Commodities July 2012 Oct. 2012 Feb. 2013 June 2013 Oct. 2013 March 2014 June 2014 Sep. 2014 Feb. 2015
1 Male Condom 34,750 65,279 107,988 108,000 144,000 158,835 264,929 173,192 331,200
2 Depo Provera 2,999 7,988 9,956 7,642 11,000 11,698 12,412 9,000 15,805
3 Microlut 1,089 1,240 420 0 0 0 0 0 –
4 Microgynon 2,261 5,924 6,366 5,308 7,200 8,996 8,091 5,040 –
5 Noristerat 4,803 8,431 10,374 10,137 13,200 12,392 13,707 9,900 18,600
6 Implanon 11 1,000 1,032 1,040 1,280 1,781 1,668 1,536 2,467
7 Jadelle 47 950 1,185 1,200 1,500 1,882 1,882 1,300 1,600
8 Female Condom 500 5,000 11,073 10,000 11,000 13,965 20,114 13,000 18,225
9 IUCD 817 2,678 2,436 1,879 2,971 2,820 2,043 1,500 7,142
10 Excluton 1,998 3,936 7,876 7,423 7,680 8,550 5,808 7,680 7,799
11 Cycle Beads 0 0 0 0 0 0 1,390 560 800

EFFECTS OF REVIEW & RE-SUPPLY MODEL OF DISTRIBUTION ON FP SERVICES:
Following the adoption of the Review and Re-supply model of distribution, the State has recorded some level of achievements in the following areas:
• Increased uptake of FP commodities
• Eradication of commodity stock out in the Public health facilities and Family Planning Local Government stores
• Improved skills of the Providers in commodity logistics management.
• Distribution of data tools at the meetings to strengthen day to day reporting.
TREND OF FAMILY PLANNING UPTAKE IN THE STATE
2011 2012 2013 2014 Jan. – June 2015
New Acceptors 28,681 68,138 151,980 303,570 62,498
Revisit 43,239 83,914 141,892 181,787 65,164
Total 71,920 152,052 293,872 485,357 127,662

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