On the sustainability of a family planning program in Nigeria when funding ends

Autoři: Ilene S. Speizer aff001;  David K. Guilkey aff001;  Veronica Escamilla aff001;  Peter M. Lance aff001;  Lisa M. Calhoun aff001;  Osifo T. Ojogun aff004;  David Fasiku aff004
Působiště autorů: Carolina Population Center, University of North Carolina at Chapel Hill, Chapel Hill, NC, United States of America aff001;  Department of Maternal and Child Health, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, NC, United States of America aff002;  Department of Economics, University of North Carolina at Chapel Hill, Chapel Hill, NC, United States of America aff003;  Data Research and Mapping Corporation, Abuja, Nigeria aff004
Vyšlo v časopise: PLoS ONE 14(9)
Kategorie: Research Article
doi: 10.1371/journal.pone.0222790


Few studies have examined the sustainability of family planning program outcomes in the post-program period. This article presents the results of a natural experiment where the Nigerian Urban Reproductive Health Initiative Phase I programming ended in early 2015 and Phase II activities continued in a subset of cities. Using data collected in 2015 and 2017, we compare contraceptive ideation and modern family planning use in two cities: Ilorin where program activities concluded in 2015 and Kaduna where program activities continued. The results demonstrate that exposure to program activities decreased in Ilorin but for those individuals reporting continuing exposure, the effect size of exposure on modern family planning use remained the same and was not significantly different from Kaduna. Modern family planning use continued to increase in both cites but at a lower rate than during Phase I. The results are useful for designing family planning programs that sustain beyond the life of the program.

Klíčová slova:

Census – Language – Mass media – Nigeria – principal component analysis – Religion – Contraceptives – Female contraception


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Článek vyšel v časopise


2019 Číslo 9