WSO is targeted at improving the knowledge and awareness of all workers in a health facility on the family planning services that are available and offered within each health facility. TCI provides this WSO guide to States. Sessions 1 to 3 take about 1 to 2 hours and should be conducted over a 6-month period, and then repeated again during the last 6 months of the year. This ensures that new or rotating staff is engaged within a short period of time. The LGA RH/FP supervisors facilitate the process to ensure that the meetings take place (structured into existing meetings at the facility whenever possible), while the facility FP provider leads the sessions.

To address gaps in quality of FP service provision, TCI addresses quality improvement issues arising from the supportive supervisory and mentoring and coaching visits to plan On-Job-Training (OJT) for FP service providers (i.e., CHEWs & nurses/midwives). An on-site intervention will ensure hands-on practice and demonstration of techniques, thereby improving providers’ confidence. LGA FP supervisors conduct the OJT with oversight from TCI staff. They use the OJT guide and  On-the-Job Training Manual, as the core tools during their visits to the facilities. This helps streamline their work and promotes sustainability of OJT activities.

Infection prevention is one of the FP performance standards outlined in the Federal Ministry of Health’s “National Performance Standards for Family Planning Services for Nigerian Hospitals”. TCI-supported facilities are provided with the governments checklist and it is reviewed during supportive supervision visits. In addition, where needed, TCI supports the facility with IEC materials on the topic developed by NURHI. TCI also provide supported facilities with infection prevention materials including consumables during the 72hr facility makeover.

QIT is established to check the quality of family planning services in facility. They do that by ensuring that the provider in the facility is trained, services are provided consistently in the facility and check stockout of commodities, among other issues. They also ensure that there are proper linkages between the facility and community, especially related to family planning service provision and uptake. They play a key role in activities, such as WSO, 72-hour Clinic Makeover, In-reaches and social mobilization. The team consists of about 7-10 members from the facility and community (i.e., the catchment area served by that particular facility). The QIT members include leaders or influential people from the community in addition to the facility in-charge and FP service provider. In facilities with existing Ward Development Committee (WDC), TCI only orients them to make them understand the importance of ensuring quality to family planning services in their facilities and then ensures they incorporate this into their activities. Where no WDC exists, TCI then supports the LGA FP/RH supervisor and facility to inaugurate and orient members from the community and facility to form the QIT.

To ensure family planning commodity security, a proper understanding of the national supply chain, compliance with the national ordering and reporting process and commodity management skills at each level of the Ministry of Health system are needed. As a result, TCI supports training of health workers on completing the requisition form and daily consumption record to ensure more accurate record keeping and tracking of contraceptive stocks, which aids in projecting stock needs. In addition, in States such as Taraba, where the Logistics Management Coordination Unit (LMCU) is functional for other commodities. TCI supports strengthening the system by ensuring that every facility submits it forms in a timely manner. This aids in the State requisition review and redistribution of stock from one facility to another.