Abstract:

Efforts to expand access to contraception for healthy timing and spacing of pregnancies (HTSP) includes the engagement and capacity building for service providers. The quality of services being provided by SPs during integrated supportive supervision (ISS) visits has not been assessed. This study assessed the quality improvement of FP service delivery during ISS visits to secondary health facilities in 2 states of Nigeria. Twenty program managers competent on FP service delivery were drawn from each of the two states; and trained for 4 days on the use of ISS checklist to monitor quality of FP services. A 13-page ISS checklist developed by the FMoH, and field tested by Jhpiego in collaboration with other stakeholders was used to elicit data from 20 health facilities. Two Rounds of ISS were conducted between October 2014 and March 2015. Data was entered and analyzed using SPSS 17.0 version. FP new acceptors increased from 48.7% at 95% CI, 0.272-0.728 in Round-1 to 50.3% at 95%CI, and 0.272-0.728 in Round-2. Only 2.5% at 95% CI, 0.001-0.249 of the SDPs reported stock-out of FP commodities in Round-1 while none in Round-2. Stock-out of consumables reduced in-between rounds notably sterile gloves from 40.0% to 26.3% in Round-2; Examination gloves from 50.0% to 23.7%; Gauze swabs from 50.0% to 28.9%; Gaps still exist in number of SHFs reporting poor availability of infection prevention equipment. ISS is a key strategy that can help to reduce programming barriers and achieve desired objectives. Feedback in-between rounds was used by the SPs to plan for performance improvement.

Keywords: Family planning, quality improvement, integrated supportive supervision, secondary health facilities

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