The ExpandNet/WHO framework for strategy development used to scale up family planning access in Cross River State, Nigeria

Nigeria Famil Planning Conference logo

ExpandNet member Femi Quaitey presented experience from Cross River State (CRS) as part of the proceedings of the Nigeria Family Planning Conference. ExpandNet and Pathfinder collaborated with state government leaders and other stakeholders to develop a scale up strategy to help operationalize the Task Sharing/Task Shifting Policy. Implementation of the 2014 policy has been uneven across the country’s 36 states, so the Evidence to Action Project and Pathfinder International conducted operations research (OR) to determine the feasibility and effectiveness of teaching community health extension workers to insert and remove contraceptive implants. Once results of the OR confirmed the efficacy of the intervention, CRS stakeholders learned about and then applied the ExpandNet/WHO framework and nine-step approach to develop a scaling up strategy. The resulting strategy recommended an increased number of master trainers who could build capacity to implement the intervention among other critical actions. Additional recommendations were made based on the OR project findings, including the importance of adopting a decentralized stepdown training approach, of mobilizing state, national and private sector funding streams to support the scale up process, and of the strengthening quality control plans. Mr Quaitey concluded his 12-minute presentation remarking that using ExpandNet/WHO guidance tools with a resource team of local stakeholders is an approach that can and should be replicated for scale up planning in other parts of Nigeria.

 

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Advancing scale up

ExpandNet is an informal network of global health and development professionals who seek to advance the science and practice of scale up.

 
 

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