Parallel 3 - Abstract presentations (Oral-031 - Oral-033)

Background
The London summit on FP produced a global commitment to open access to 120m women for FP services. Nigeria's response is represented by the development of a national FP blueprint, projecting a 3% annual increase in the mCPR and aiming at achieving 27% by 2024. This translated into a massive injection of funds into FP commodity procurement starting with a Federal Government $3m annual commitment, followed by an increment to $4m annual commitment and also the over $8m supplementary funding, thus matching commitment with action. Following this momentum, almost all the States of the federation developed a costed implementation plan towards translating the London summit commitment into actionable plans(FP2020 website). But only a negligible number of states could back up this commitment with corresponding funding, as most states do not have a definitive budget line for procurement of family planning commodities (FMOH, 2021). Kaduna, like other States receives bimonthly contraceptive supplies from the national. The analyzed economic and health benefits and calculated value for money of the investments were used as potent advocacy tools to unleash the needed political commitment from the Government of Kaduna State
Methodology 
A 10-year data of Federal Government contraceptive supplies to Kaduna State were retrieved from the LMCU of the State Ministry of Health and UNFPA and analyzed. The benefits derived were deployed as evidenced-based advocacy tools
Results 
Over 1.6m quantity and N3b of contraceptive commodities were supplied. This investment yielded N30b cost savings and averted 569,000, 414,000, 3000, 59,000 unintended pregnancies, unintended births, maternal deaths and unsafe abortions respectively. Applying this data in advocacy engagement with the State resulted in the commitment of N250m 
Conclusion
Strategic advocacy with State using the economic and health benefits of previous Federal investment is key to getting States buy-in and sustainable financing of FP in Nigeria 

Background/Objectives
Over the years, the acceptance and practice of family planning within the reproductive age group of 15-45 in Nigeria has been slow with only 17% of women taking it up and 15.1% not having access to family planning. The aim of this research is to point out and analyze sustainable financing for family planning with focus on internal financing.
Methods/Materials
The method used was by collating pre-existing materials on public, private and individual financing of family planning available from Vanguard and Statistica on Google.
Results.
The results show that while there has been improvement in financing family planning, no breakthrough has been made which could be sustainable enough to reach the grass roots and solve the problem of access to family planning among females. The government has pledged to increase family planning to 27% by 2024 from the present 15% (according to vanguard newspaper) through financing but sadly, this is merely a projection and even with the assistance of donations will not solve the problem by 2030.Family planning has to be viewed from another angle which is as being the responsibility of every Nigerian, This would entail finding and using a singular story which convinces every Nigerian to actively contribute to the cause and collaborating with the government to remove a tiny fraction (0.5%) from the income of the upper and middle class. A way to finance family planning sustainably will be by increasing awareness and acceptance of family planning, then encouraging the upper and middle class to contribute to the cause by educating them on why they should contribute,the effects of family planning and how it indirectly affects them.
Conclusion.
As Nigerians, sustainable financing can only be achieved with the contribution of all available resources and the active participation between government and people.

Background: Contraceptive funding in Nigeria is heavily donor dependent (87%) with government contributing about 13% over the last ten years. Annual contraceptive funding requirement increased from ~$15M (2013) to ~$28.5M (2021) resulting in a 500% funding gap increase ($2m to $12.1m). Without diversified funding options like domestic resource mobilization, the funding gap is likely to increase as donors transition towards country self-sufficiency.
Methodology:  Clinton Health Access Initiative (CHAI) supported the Federal Ministry of Health (FMOH) identify fiscal bottlenecks and determine requisite interventions towards long-term domestic financial sustainability for contraceptive procurement. The fiscal space analysis (FSA) was conducted in 2021 at the federal level and two states of Kaduna and Lagos using quantitative and qualitative approaches as well as predictive financial modelling to understand the FP commodities financing landscape in Nigeria.
Results: Inadequate federal government health allocation of ̃4% over the last five years which is below the recommended 15% of annual budget, unfavorable macro-fiscal environment, low revenue mobilization and high levels of debt servicing. FSA recommendations towards domestic resource mobilization include: Mainstreaming demographic dividend and human capital development as essential components of the economic and sustainable development agenda; Advocating for reprioritization of FP funding at national and state levels through adoption of 1% of current health budgets as the benchmark for government FP investment; Strategic engagement of the private sector; Strategic catalytic investment on FP by donors; and Generating increased political support for FP. 

Conclusion: Earmarked funds available for health do not currently prioritize FP commodities financing and will require a multi-sectoral reprioritization. Although efficiency savings may not offer significant levels of additional fiscal space, ensuring an efficient system is very crucial to safeguarding the limited resources and enhancing the results produced. It also ensures that when additional funding is accrued, the full impact will be realized.