Despite tremendous progress over the past decades in family planning and fertility reduction, more than 220 million women have unmet need for contraception globally. The government of Nigeria pledged over $11 million to procure contraceptive commodities for distribution in the public sector from 2011–2015, to increase the contraceptive prevalence rate (CPR) that had stalled at 10 percent for almost two decades. The Population Council is facilitating the registration, introduction, and scale-up of the Progesterone Contraceptive Vaginal Ring (PCVR), designed particularly for breastfeeding women, in the sub-Saharan African countries of Kenya, Nigeria, and Senegal. In Nigeria, restrictive policies regarding matching health care cadres with maternal and child health interventions have previously hindered widespread availability of essential commodities to rural areas where providers’ skills were deemed marginal. With the adoption of the national task-sharing policy, which enables lower cadre and community-level providers to deliver essential reproductive health services in hard-to-reach terrains, this report weighs the feasibility of the PCVR to leverage the existing task-sharing platform to achieve large-scale rural uptake, expand the methods mix for postpartum contraception, and contribute to increasing the CPR in this country.
Unumeri, Godwin and Salisu Mohammed Ishaku. 2015. "Delivering contraceptive vaginal rings—Task sharing policies and practices in the delivery of family planning services: Experiences from Nigeria." Abuja: Population Council.
Delivering Contraceptive Vaginal Rings; The Progesterone Contraceptive Vaginal Ring: Expanding Contraceptive Options in Africa