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.
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: