Despite concerted efforts to satisfy contraceptive needs among women in Delta State, Nigeria, several challenges still prevent women and men from tapping into the huge benefits of family planning. These challenges include minimal awareness of the benefits of family planning and where one can access services, absence of functional primary health facilities, shortage of trained service providers, user fees for accessing service and misconceptions about family planning. These challenges all contribute to poor utilization of family planning services in Delta State.
According to NDHS 2018, 23.7% of women of reproductive age in Delta State desire to space their pregnancies or limit the number of pregnancies but are not using any form of contraception to do so, which reflects the high unmet need for family planning. Delta State government is committed to drastically reduce the burden of unmet need and eliminate barriers to access and utilization of family planning services, and, as a result, sought The Challenge Initiative’s (TCI’s) technical support. This document highlights how the use of facility-based in-reaches has proven to be an easy-to-implement and cost-effective approach for addressing unmet need and driving family planning uptake in Delta State.