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. 2019 Sep 26;14(9):e0222790.
doi: 10.1371/journal.pone.0222790. eCollection 2019.

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

Ilene S Speizer  1   2 , David K Guilkey  1   3 , Veronica Escamilla  1 , Peter M Lance  1 , Lisa M Calhoun  1 , Osifo T Ojogun  4 , David Fasiku  4
Affiliations

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

Ilene S Speizer et al. PLoS One. .

Abstract

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.

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Conflict of interest statement

The authors have declared that no competing interests exist.

Figures

Fig 1
Fig 1. Conceptual framework for sustainability of family planning programming beyond the program cycle.
See this image and copyright information in PMC

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