Browse POLICY Project (1995-2006) Materials
Skip to Results List Skip to Keyword List Skip to Series List Skip to Country List
- Adolescent Reproductive Health
- Capacity Building
- Family Planning/Reproductive Health
- Human Rights
- Planning and Finance
- Safe Motherhood
- Core Packages-TOO Final Reports
- Core Packages-Progress and Synthesis
- Country Reports
- Manuals, Guidelines
- Maternal and Neonatal Program Effort Index
- Political Commitment Series
- POLICY Issues in Planning and Finance
- Occasional Papers
- Policy, Plan
- Research Briefs
- General Reports
- Working Papers
- Asia and the Near East
- Burkina Faso
- Cote D'Ivoire
- Costa Rica
- Dominican Republic
- El Salvador
- Latin America and the Caribbean
- Southern Africa
- South Africa
- Sri Lanka
- West Africa Regional Program
Country and regional assignments reflect those made at the time of production and may not correspond to current USAID designations.
List entries are alphabetical by title and contain the title, abstract, language, and then the filename which is hyperlinked and will open in a new browser window. Many files are PDFs but some of the older ones are Word documents.
NigeriaMore recent Nigeria publications are available.
A status report on the sociopolitical, economic, and policy climate on drug availability for People Living with HIV/AIDS (PLWHA) and recommendations for future access.
This is a compilation of significant information and data on the current situation of child survival in Nigeria. Facts have been drawn from a wide range of sources including the Nigeria Demographic and Health Survey (1999), Population Bureau, Federal Office of Statistics, National Planning Commission, UNICEF’s Children’s and Women’s Rights in Nigeria: A Wake-up Call—Situation Assessment and Analysis (2001), survey reports, academic articles, policy and programme documents, budget documents, and publications from development partners. This document is intended to serve as a concise public source of data on the major child survival issues in Nigeria and to assist policymakers to “put children first” in national priorities and in the design of public policies.
This report documents the significance and impact of the first three core packages implemented in Romania, Ukraine, and Nigeria. It also presents key highlights of results achieved through the packages.
The HIV/AIDS epidemic is having a wide impact on Nigeria. One of the more alarming is the emerging cohort of AIDS orphans and other vulnerable children (OVCs)—children who have lost either or both of their parents to AIDS. Experiences from other countries, such as Ethiopia, Uganda, and South Africa, where the epidemic is more advanced, tell us that AIDS orphans face serious threats to their well-being, and these threats can have far-reaching and long-term effects on society, public health, and the economy. Nigeria, like many sub-Saharan African countries, has a young population. Current estimates indicate that about 44 percent of the country’s population is under age 15. Unfortunately, a sizable proportion of these children have lost either one or both their parents. This report provides an estimate of orphans (under age 15) that have lost their parents to AIDS-related and non-AIDS-related causes for the 36 states of Nigeria and the Federal Capital Territory (FCT) between 2000 and 2015. The paper also briefly describes the methodology and data used to develop the estimates.
This is a brief introduction to the “HIV/AIDS National Emergency Action Plan” (HEAP) for HIV/AIDS in Nigeria. For an effective and coordinated response to the AIDS epidemic there is a need for the development of an overall National Strategic Plan. The process of doing this encompasses several elements of which the situation and response analyses have already been completed. The HEAP is the next step.
The first behavioural survey conducted in the Nigerian Armed Forces to elicit behavioural information that would contribute to a better understanding of the dynamics and underlying factors of the spread of sexually transmitted diseases (STDs) and HIV/AIDS in the military was carried out between May and August 2001. The nationally representative survey was conducted amongst nearly 1,600 military personnel randomly selected from the three service arms of the Nigerian Armed Forces. Detailed information on the knowledge and attitudes regarding STDs and HIV/AIDS and on risky behaviour patterns was elicited. Also, information on some socio-demographic factors that could have possible explanatory value or confounding effects was obtained. The survey reveals that Nigerian military personnel are very educated and dedicated, with long-term career investments in the military that imply personal and professional hardships and risks. Of concern is that Nigerian military personnel find themselves in professional and personal situations that lead to engaging in high-risk behaviours that could put them at risk of contracting STDs, including HIV. Furthermore, in view of the fact that military personnel live with and interact freely with the civilian population, they could serve as a potential core transmission group for these infections to the larger population. This is of great concern and calls for prompt interventions. Whilst military personnel are more aware of HIV/AIDS than the general population, more could be done by the Nigerian military to protect their dedicated officers and men to the extent possible from the risks to which they are exposed.
Worldwide, over 500,000 women and girls die of complications related to pregnancy and childbirth each year. The tragedy - and opportunity - is that most of these deaths can be prevented with cost-effective health care services. POLICY's MNPI series provides country-specific data on maternal and neonatal health programs in more than 30 developing countries. Based on a study conducted by the Futures Group and funded through the MEASURE Evaluation Project, the MNPI is a tool that can be used to: Assess current health care services; Identify program strengths and weaknesses; Plan strategies to address deficiencies; Encourage political and popular support for appropriate action; and Track progress over time.
A major outcome of the International Conference on Population and Development held in Cairo in 1994 is that many countries including Nigeria shifted the focus of their population and development programmes to reproductive health. In this regard, the Reproductive Health Division of the Federal Ministry of Health, with assistance from POLICY Project, developed a 5-year RH strategic plan for the period 2002 – 2006. This strategic framework and plan is fashioned to translate the reproductive health policy into actionable plans. The goal of the strategic framework is to improve the quality of life of all Nigerians, men,, women and children through enhanced reproductive health. Thus the key objectives are to reduce the maternal mortality rate by 90% and perinatal mortality rate by 30% of the 1999 figures. Other objectives to reduce the prevalence of STIs and HIV infections, limit all forms of gender-based violence and other harmful practices, reduce the incidence of reproductive cancers and infertility, and increase contraceptive prevalence rate. In providing a comprehensive right based and gender sensitive reproductive health services, linkages between that make services comprehensive should be established such that health care staff, made polyvalent in their skills offer services in a wide range of RH care needs within each care centre. The strategic framework and plan also promotes community participation and encourages private sector support. Since health is under the concurrent list in Nigeria, the three tiers of government, shall spearhead the funding and implementation of the Plan with support from Developmental Agencies, International organizations and NGOs The following priority areas have been given focused attention: • Safe Motherhood • Family Planning • Adolescent Reproductive Health • STIs, HIV/AIDS • Harmful Practices, Reproductive rights and Gender Issues • Tumours of Reproductive Organs • Infertility and Sexual Dysfunction’ • Menopause and Andropause The contemporary issues under each of these component areas are to be addressed through five strategies of advocacy and social mobilization, promotion of healthy reproductive behaviour, equitable access to quality services, capacity building and research promotion. It is expected that this strategic framework and plan may be reviewed as necessary. With an estimated budget of N21,000,000.000 (Twenty one billion Naira), successful implementation of this strategic framework and plan should substantially contribute to achievement of the goals of the RH policy, the National Health Policy and the National Policy on Population for sustainable Development.
This paper documents the achievements of the Edo State YAARH core package, which was implemented over the period from August 2001 through March 2004. Section II presents the context, policy issues, and stakeholders affecting the successful implementation of YAARH policies and programs in Edo State. Sections III and IV focus on the interventions and results achieved under the package, and Section V discusses the legacy of the project. In summary, this paper documents a pilot effort to facilitate a participatory networking, strategic planning, capacity building and advocacy process, resulting in a strengthened role for civil society in policy processes; the development, adoption, and funding of an evidence-based state-level YAARH strategy; and an improved enabling environment for the implementation of national YAARH policies and strategies at the state level.
Nigeria is in the early stages of carrying out its new national policy on sexuality and reproductive health education. Worldwide, school-based programs are an important element of efforts to improve the reproductive health of young people. This paper reviews the international experience and its implications for Nigeria.
This four-page policy brief describes advocacy efforts that led to formulation of a state-level strategic plan for youth RH issues in Edo State, Nigeria.
Despite some attempts to integrate family planning with sexually transmitted infection (STI) and HIV/AIDS services, policies and programs continue to treat them as unrelated areas of intervention. Furthermore, international attention to the HIV/AIDS pandemic has overshadowed attention to family planning, particularly in Africa where the HIV/AIDS epidemic is most acute. Yet family planning is closely related to two components of HIV/AIDS services: prevention of mother-to-child transmission (PMTCT) and voluntary counseling and testing (VCT). Is there a role for family planning in the context of HIV/AIDS programs? This paper analyzes how international guidelines, national HIV/AIDS policies and PMTCT and VCT policies have addressed family planning in 16 high-HIV prevalence countries. It also describes major gaps in the various countries’ policy environment.
After the return to civilian rule and “re-certification” for USAID programs, the POLICY Project was among the first of USAID’s implementing partners to establish a program in Nigeria. The POLICY Project’s purpose was to strengthen the policy process in population, reproductive health, and HIV/AIDS as a basis for improved services. The project began working in Nigeria in late 1999, and set up an office with local staff by mid-2000. In 2002, the scope of the project was expanded from HIV/AIDS, population, and reproductive health to include child survival. POLICY’s principal partners in government were federal line ministries, two national commissions (planning and population), and the National Action Committee on AIDS(NACA), a multisectoral committee that develops and coordinates the national response to HIV/AIDS. Outside government, POLICY engaged in policy development, advocacy, and targeted public information activities with several national and regional Christian and Islamic bodies and numerous non-governmental organizations (NGOs) and community-based organizations(CBOs), including six NGO networks and one network of HIV/AIDS researchers. The project also worked at the state level by advocating for national policies in several states, developing an adolescent reproductive health policy and strategic plan in Edo State, and focusing on the northern states through activities with both federal ministry and NGO partners. Collaboration with donor agencies included communication and attendance at each other’s meetings on shared concerns, and technical or financial input on specific tasks such as assessments for donor program planning and co-sponsorship of conferences and events. POLICY and some donors also participated as stakeholders in NACA and in activities such as advocacy visits to states.
Concerns about ensuring an uninterrupted supply of contraceptives around the world has lead to a multi-agency effort called The Strategic Pathway to Reproductive Health Commodity Security (SPARHCS.) In August of 2002 the SPARHCS approach was field tested in Nigeria. A technical advisory group was established to use the FAMPLAN model to determine the country’s contraceptive commodity needs for five years (2003 – 2007). This document includes the results of the FAMPLAN application.
Several published information indicates that Edo State has high rates of international sex trafficking, unplanned and unsafe abortion, female genital cutting and sexually transmitted diseases including HIV/AIDS among youth. These problems have been widely discussed in the popular press, and there is a growing body of public opinion indicating that Edo State has critical reproductive health problems among young people that need to be urgently addressed. Consequently, it was considered necessary to develop a strategic plan for improving the sexual and reproductive health of young adults and adolescents in Edo State and to address the peculiar YAARH problems in the state. We believe that such a plan would engender common understanding of the real needs of adolescents and young adults by relevant stakeholders in Edo State, thereby generating considerable impetus and resources for addressing the problems.
The Policy Environment Score (PES) has been designed to measure the overall status of the policy environment in a particular country, evaluating changes in the policy environment over time, and identifying those areas most in need of improvement with particular focus on access to high quality reproductive health services including family planning, adolescent reproductive health and HIV/AIDS, safe motherhood and post-abortion care. The PES is designed to provide a quick assessment of the policy environment at low cost. It necessarily contains a number of items that depend on the judgment of experts. It is not designed to provide a comprehensive assessment of the policy environment, but to be part of a system for measuring the impact of policy activities. The policy environment score was first undertaken in Nigeria in 2000 by the POLICY Project. Though the report was not officially published the results were used to inform the review of the National Population Policy. This 2002 assessment of the policy environment in Nigeria in the year 2002 is being carried out by the Department of Community Development and Population Activities with the technical assistance of the POLICY Project, Nigeria. The knowledge gained will be used in informing future planning for reproductive health activities in the areas of family planning (FP), STI/HIV/AIDS and Adolescent Reproductive Health (ARH). It will also reveal areas of the policy environment that will also need improvement through advocacy and planning.