Service Delivery

SERVICE DELIVERY

Quality Improvement

The NURHI 2 quality improvement strategy employed an evidence-based, process-improvement approach aimed at identifying and bridging gaps by comparing current realities with standards. This strategy fosters client satisfaction and expands access to high-quality family planning services. The NURHI 2 quality improvement strategy comprised five phases: define, measure, analyse, improve and control.


This approach influenced changes in six elemental areas, as outlined by the Bruce-Jain framework; namely, the choice of methods, information given to clients, technical competence, interpersonal relations, follow-up and continuity mechanisms, and appropriate constellation of services. These six elemental areas together constitute the foundation for defining goals and evaluating outcomes of the NURHI 2 quality improvement interventions. NURHI 2 used three types of interventions to improve the quality of family planning service delivery:

  • Service Delivery Environment Enhancement

  • Capacity Building Sessions

  • Tools Provision

Quality Improvement

Service Delivery Environment Enhancement

  • Performance Improvement Assessment and Plans
  • Whole Site Orientation
  • Clinic Makeovers
  • Stock-out Prevention
  • Supportive Supervision
  • Quality Improvement Teams

Capacity Building Sessions

  • Clinical: Intrauterine Device (IUD), Implant
  • Non-clinical: Interpersonal Communication and Counselling, Referral
  • Contraceptive Technology Update
  • Contraceptive Logistics Management System
  • Service Delivery of Social and Behavioural Change Communication Interventions (e.g. client-provider dialogue)
  • On-the-Job Training

Tools Provision

  • My Family Planning Guide (Distance Learning Education App)
  • Counselling Guides

See the NURHI 2 Service Delivery Strategy for more information.


NURHI Phase 1 (2009 – 2015)

Phase 1 of NURHI was implemented in six cities (Federal Capital Territory, Ibadan, Ilorin, Kaduna, Benin and Zaria). According to the 2013 Nigeria Demographic and Health Survey, it contributed to significant increases in contraceptive prevalence in these cities.

NURHI Phase 1 (2009 – 2015)

Phase 1 of NURHI was implemented in six cities (Federal Capital Territory, Ibadan, Ilorin, Kaduna, Benin and Zaria).According to the 2013 Nigeria Demographic and Health Survey, it contributed to significant increases in contraceptive prevalence in these cities.