Parallel 1 - Abstract presentations (Oral-001 - Oral-003)

An abstract is a short summary of your (published or unpublished) research paper, usually about a paragraph (c. 6-7 sentences, 150-250 words) long. A well-written abstract serves multiple purposesAn abstract is a short summary of your (published or unpublished) research paper, usually about a paragraph (c. 6-7 sentences, 150-250 words) long. A well-written abstract serves multiple purposes
An abstract is a short summary of your (published or unpublished) research paper, usually about a paragraph (c. 6-7 sentences, 150-250 words) long. A well-written abstract serves multiple purposes
An abstract is a short summary of your (published or unpublished) research paper, usually about a paragraph (c. 6-7 sentences, 150-250 words) long. A well-written abstract serves multiple purposes
An abstract is a short summary of your (published or unpublished) research paper, usually about a paragraph (c. 6-7 sentences, 150-250 words) long. A well-written abstract serves multiple purposes
An abstract is a short summary of your (published or unpublished) research paper, usually about a paragraph (c. 6-7 sentences, 150-250 words) long. A well-written abstract serves multiple purposes
An abstract is a short summary of your (published or unpublished) research paper, usually about a paragraph (c. 6-7 sentences, 150-250 words) long. A well-written abstract serves multiple purposes
An abstract is a short summary of your (published or unpublished) research paper, usually about a paragraph (c. 6-7 sentences, 150-250 words) long. A well-written abstract serves multiple purposes
An abstract is a short summary of your (published or unpublished) research paper, usually about a paragraph (c. 6-7 sentences, 150-250 words) long. A well-written abstract serves multiple purposes
An abstract is a short summary of your (published or unpublished) research paper, usually about a paragraph (c. 6-7 ths

Background/Objectives: The utilization of hormonal IUD as modern contraceptive method in Nigeria is very low (6%, NDHS2018); recent studies have revealed that insufficient counselling and absence of trained health personnel among other are key determination of IUDs service underutilization. It is very important that family planning providers are adequately trained around all aspects of service provision for the Hormonal IUD (including high-quality counselling, insertion, and removal) in the context of volunteerism and full method choice. Utilizing the Objective structured Clinical Examination (OSCE) provides an unbiased approach to assessment of healthcare workers post training.
Materials/Methods: A total of 62 healthcare providers were recruited, didactically trained, and subjected to the Objective structured Clinical examination as an unbiased approach to assess their competencies. We ensured that these healthcare providers were those who are already competent in LARC method. After the practicum training, participants were assessed across 3 stations, namely Counselling, Insertion, and removal. A standardized client was used at the Counselling station while Pelvic models and instruments were utilized at the Insertion and removal stations. An already trained OSCE study evaluator assessed the trainees across the 3 stations.
Result: The result showed that among the trainees, for the Counselling station there was an average score of 95%(Median score 97%, lowest score 81%) Insertion station average score 95% (Median score 97% lowest score 76%) Removal station average score 94% (Median score 95% lowest score 82%). In the Counselling, Insertion and Removal stations, results revealed that most trainees passed the station by successfully completing the steps.
Conclusion: The Objective structured Clinical examination can be deployed as an assessment strategy for training of Family Planning providers in Nigeria. Making use of a standard and approved checklist for the assessment has proven that the strategy when applied appropriately can provider quality Family planning providers for service provision.

Background: Family Planning demand generation activities has the potency to increase clients' desire to use family planning by changing their attitudes or perceptions about FP or increasing their awareness or knowledge about FP methods. The Society for Family Health in partnership with the Federal Ministry of Health, piloted the hybrid Hormonal IUD training, using providers to initiate demand, counsel and administer the Hormonal IUD method.
Materials/Method: A total of 62 healthcare providers from Enugu, Oyo and Kano were recruited and trained on administration of Hormonal IUD. The providers were already competent in LARC method, especially in Cu-IUD. At inception, providers were given access to 2-3week online training on Hormonal IUD. Upon completion of course, providers were clustered for the hand-on practicum on model before subjected to 5-week competency assessment using a standard checklist. A provider was expected to complete a minimum of 3 insertions before adjudged competent. Providers were expected to mobilize clients to their facilities before reaching out to the state trained Hormonal IUD master trainer to supervise the insertion.
Results: At the end of the clinical supervision, all the trained providers were adjudged competent, with average score of 100% on all the critical steps. A total of 270 provider initiated hormonal IUD insertions were conducted within the 5weeks of competency supervision, averting 119 unintended pregnancies and 285 disability adjusted life years (DALYs). The program also provided a total 891 couple years protection.
Conclusion: Provider initiated demand generation is an untapped opportunity that can be further explored to increase access and uptake of modern contraceptives. Seeing the need for cost efficiency amidst dwindling donor funding, this strategy can be adopted to complement the already existing demand generation activities for Family Planning in country.

Background/Objectives 
National data mask regional disparities with higher burden of maternal mortality seen in northern Nigeria. Restrictive social norms and widespread gender-based inequalities are critical determinants of family planning uptake in the region. The Sexual and Reproductive Health Program implemented in Kaduna, Kano, and Katsina States, collaborated with key stakeholders to implement a culturally acceptable male engagement strategy. Its main objective is to equip RTLs with awareness, commitment, and capacities to engage actively as change agents in the promotion of gender responsive SRMNH services
Materials and Methods 
In 2019, 2376 religious and traditional leaders were oriented using innovative participatory facilitation methodologies and employed the responsive feedback mechanism to refine the project design. These community leaders cascaded their learnings and executed activities to influence joint decision making and uptake of SRMNH services in communities. From 2020 to 2022, three review meetings with averagely 4509 community stakeholders including youth champions, traditional birth attendants, Ward Development Committees etc., were conducted to facilitate collaboration, experience sharing and progress tracking. Regular monitoring and evaluation activities were conducted including focus group discussions, surveys, monitoring visits etc.
Results
From 2019 to 2022, there was 49% increase in proportion of community leaders who demonstrated positive attitude to gender responsive SRH services, with 200% increase in the knowledge of family planning. Self-practice of health timing and spacing of pregnancy improved amongst community leaders who demonstrated commitment to SRH promotion. In the project communities, this intervention contributed in 46% increase in the percent of married women whose male partners support the use of modern contraceptives, while unmet need reduced from 18% to 10%, based on endline evaluation data collected in 2022.
Conclusion
Working with RTLs as a male engagement strategy has great potential for increasing demand and access to family planning services. However, its implementation requires specially designed approaches to address gender inequities.