ArticleThe European journal of contraception & reproductive health care : the official journal of the European Society of Contraception2016
Midwives as drivers of reproductive health commodity security in Kaduna State, Nigeria.
Article in The European journal of contraception & reproductive health care : the official journal of the European Society of Contraception, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
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Who cites it
6 citing papers in PubMed, 12 citations in OpenAlex.
- Factors affecting utilization of male sexual and reproductive health services: a qualitative description of males in Anambra State, Southeast Nigeria.BMC public health · 2025Article
- Contraceptive stockouts in Western Kenya: a mixed-methods mystery client study.BMC health services research · 2023Article
- A critical interpretive synthesis of the roles of midwives in health systems.Health research policy and systems · 2020Article
- Weighted log-linear models for service delivery points in Ethiopia: a case of modern contraceptive users at health facilities.Reproductive health · 2018Article
- Article
- Association between Measures of Women's Empowerment and Use of Modern Contraceptives: An Analysis of Nigeria's Demographic and Health Surveys.Frontiers in public health · 2016Article
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Authors and funding
4 authors at 1 institution in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesThe significant improvement in the contraceptive prevalence rate in Kaduna State, Nigeria, from 8.4% in 2008 to 18.5% in 2013 is a notable achievement. This article analyses the role of midwives as drivers of reproductive health commodity security (RHCS) and their impact on contraceptive use in Kaduna State.
methodsThe United Nations Population Fund (UNFPA) supported the bimonthly review resupply meetings facilitated by midwives at State and local government area (LGA) levels. The midwives deliver contraception to the LGAs for onward distribution to 6974 of the 25,000 health facilities across the country according to usage data from the previous 2 months. They also collect requisition, issue and resupply form data from the previous 2 months.
resultsThe active participation of midwives at the bimonthly meetings improved data timeliness by 23% and data completeness by 50% in 1 year. Only one health facility ran out of intrauterine devices and only 17% reported running out of female condoms. The total number of contraceptives issued increased from 31,866 in 2012 to 177,828 in 2013, resulting in a couple-year protection increase from 3408 in 2012 to 102,207 in 2013.
conclusionsCreation of increased demand and engagement of midwives in providing family planning services, especially long-acting contraceptive methods, coupled with the removal of cost to the user and the strengthening of the supply chain have been major factors in more than doubling the contraceptive prevalence rate.
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