Dissemination of the findings of the study on the Strongest Motivators for Acting on Routine Health Information in Family Planning in Lagos state.
The study was funded by the USAID MEASURE Evaluation Small Grants, administered by the University of North Carolina and implemented by Equitable Health Access Initiative (EHAI).
The dissemination meeting held at the Conference Room of the Lagos State Ministry of Health on the 1st of June 2018. In attendance were representations from the Lagos State Ministry of Health with the remarkable presence of the Director of Planning, Research and Statistics, the Head of Planning and the Chairman of the EHAI board of Trustees Prof Aba Sagoe. Other participants include representatives of the Civil Society and NGOs working in reproductive health in the state. The meeting was chaired by the Director of Family Health and Nutrition, LSMOH, Dr F.F. Oludara.
Principal Investigator: Dr Abayomi J. Afe, Head Community Medicine and Prevention Services, EHAI
Study Design: Prospective, cross-sectional study, using mixed methods (qualitative and quantitative).
Study Location: Three Local Government Areas (LGA) in Lagos state – Ikeja, Shomolu and Mainland. These LGAs were drawn from the three senatorial districts of the state (the area with the highest use of family planning in the country)
Study Period: 12 months (May 2016–May 2017).
Study Tools: Standardized, structured questionnaires and semi-structured interview guides for Key Informant Interviews (KIIs)
Study Outputs and Outcomes
- Demographic characteristics of the respondents
- Experience in Family Planning (FP) services in Lagos state
- Experience in RHI in FP services in Lagos state
- Factors enhancing the use of RHI in FP in Lagos state (facilitators)
- Factors preventing the use of RHI in FP in Lagos state (barriers)
- Current state of collecting and using RHI in FP in Lagos state
- Possible strategies to improve the use of RHI in FP in Lagos state
- Inability to generalize the findings to the entire country since the study was confined to Lagos state. We recommend replicating the study in Nigeria’s five other geopolitical zones.
- Data collection relied primarily on self-reporting, which can raise questions about validity and reliability of information that could be biased by personal behaviors and feelings. We thoroughly trained the interviewers to ensure the elicited responses were as close as possible to the truth.
- Awareness of FP Indicators
- 90 percent of respondents are aware of RHI indicators in FP.
- Commonest indicator (91.7%) is the number of injectables given.
- The most unfamiliar indicator (2.7%) is the number of referrals for FP services from prevention of mother-to-child transmission of HIV (PMTCT).
- Biggest facilitators to using RHI in FP are:
- Availability of staff skilled in M&E (92.9%)
- Availability of staff skilled in record keeping (94.8%)
- Management or supervisors interested in data quality and use (92.7%)
- Regular feedback from higher levels on reports sent with collected FP data (93.9%)
- Regular meetings where data collection and/or service statistics are discussed (90.8%)
- Availability of a complete and up-to-date FP M&E plan at all facilities where routine FP data are collected (92.0%)
- Integration of FP into other health interventions, such as HIV, immunizations, deliveries, and post-abortion care (91.3%)
- Inclusion of RHI for FP in the national HMIS database (88.9%)
- Current state of RHI in FP in Lagos state
- Incomplete availability of data-capturing tools (84%).
- Most documentation is done using paper-based collection tools, especially at public health facilities;
- Some private health facilities use electronic medical records.
- Data storage, especially at the state agencies, is done using both paper-based and computer systems.
- None of the organizations have computer software for data analysis.
- Continuous in-service training for people involved in RHI and data use at all levels
- Adequate provision of data-capturing tools/electronic medical records technology
- Timely feedback from higher levels on how data generated has been put to use
- Adequate funding for data generation, transmission, and utilization activities
- Including FP data from the private sector
The final report of this study was compiled by the principal investigator, Dr Dr Abayomi Joseph Afe and the co-investigators: Dr Olatoun Adeola, Dr Timothy Akinmurele, Mrs Abimbola Oduola, Mr Ganiyu Agboola, Mr Maduakolam Onyema.