This community innovation has been accepted at the 2025 DHIS2 Annual Conference
Impact of a contraception campaign in Nigeria
In Nigeria, unmet need for contraception results in more than 3 million unintended pregnancies annually. Despite free contraception at health facilities, nearly half of reproductive aged women in Nigeria do not use effective contraception. In 2021, the non profit Family Empowerment Media (FEM) launched a radio based contraception education campaign in Kano State, Nigeria. Using monthly, facility level data from Nigeria’s District Health Information System (DHIS2), we evaluated the impact of the campaign on the number of family planning clients counselled and new family planning acceptors. We examined 20 months pre intervention (Jan 2019 Sept 2021) and 39 months post intervention (Nov 2021 Dec 2024). We derived facility catchment population estimates using Geo referenced Infrastructure and Demographic Data for Development (GRID3). We used controlled interrupted time series analyses to estimate longitudinal changes in contraception service use in Kano facilities relative to the neighboring control state of Jigawa, where the campaign was not aired. We analyzed data from 571 health facilities in Kano and 351 facilities from Jigawa. We found a small increase of 4.2 (95% CI 0.74–7.64) family planning clients counselled per 1,000 persons in the Kano catchment population immediately post intervention compared to Jigawa facilities, followed by a monthly decline of 0.27 ( 0.04– 0.10) per 1,000 persons. Relative to control facilities, we found a small initial increase of 1.6 (0.12–3.12) new family planning acceptors per 1,000 persons followed by a decline of 0.29 ( 0.36– 0.22) per 1,000 persons per month. The introduction of a radio based campaign in Kano, Nigeria had little effect on contraception service use. Alternative strategies may be needed to improve contraception service use in Nigeria.
Primary Author: Arnold Okpani
Keywords:
routine health information system data, contraception service use, mass media campaign, interrupted time series, health intervention evaluation
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