Background: Globally, the emergence of the Covid -19 pandemic comes with great cost to all sectors of human endeavors. Among its impacts in Nigeria is inadequate attention to some basic health needs, including family planning, as a result of the huge diversion of health resources, including manpower to cater for Covid-19 responses. Lock down associated with the pandemic responses gave rise to increased cases of unintended pregnancies and a rise in reported cases in many facilities in Adamawa State of Nigeria. The desire and request for abortion services among married women equally rose. This study seeks to evaluate the effectiveness of the integration of SRH services with Covid-19 responses as a means of sustaining increased access to Family Planning uptake.
Method: The MSION team collaborated with Adamawa State Primary Health Care Development Agency (ASPHCDA) across Wards and facilities in 14 LGAs. Orientation of staff and other community volunteers on the strategy of SRH integration with Covid-19 responses was done. Formation of the team at Ward levels for reaching community stakeholders also took place. A minimum of 100 community stakeholders including men and women were targeted for special awareness on SRH & Covid -19. Demand creation and direct FP service provision was deployed on daily basis.
Result: Over 100 Family planning services were rendered daily per ward, with an average of 600 women reached per week for FP service uptake. The MSION team increased performance over the team's internally set targets for the state.
Outreach Team Service Target: 9,300.8 services; Team Achieved: 11,385 services (122%)Couple Years of Protection (CYPs) Target: 36,528; Team Achieved: 38,323CYPs. (105%) (Period of May -December, 2020).
Conclusion: Integration of relevant programs is a sustainable approach to sustaining and increasing uptake of family planning services, even in crisis periods like Covid-19
Keywords: Integration; Covid-19, CYPs

Background/Objectives: About half of Nigeria's population resides in rural areas, where only 8% of women use modern family planning (FP), and gender norms restrict women's movement. This pilot aimed to increase rural access to FP and provide a sustainable model for the rural distribution of health commodities by testing two female-led health commodity distribution models in rural Kaduna, Kano, and Katsina.


Materials and Methods: Model 1 engaged 236 women as community-based distribution agents (CBDAs) to provide health information and sell approved commodities. Model 2 engaged 58 women to become Patent Proprietary Medicine Vendors (PPMVs). Both models were provided seed stock of commodities to sell (including condoms to CBDAs/PPMVs and oral contraceptives to PPMVs) and received training on FP, commodities, health promotion, referrals, and business. FP service registers, referral slips, and a business management tool, completed by participants, were used to assess the extent to which women accessed FP information and services and the financial sustainability of the models.


Results: From Dec 2019–Jul 2021, 294 CBDAs and PPMVs counseled 148,966 clients on FP: 498 mean clients per CBDA and 542 mean clients per PPMV. 40% were new users and 38% purchased an FP method. 53% were referred to a health facility for FP and 46% (36,318) of referred clients completed referrals with an FP method. At endline, PPMVs' median monthly balance (₦4,395/$11) nearly doubled CBDAs (₦2,358/$6). Median monthly FP sales (PPMV: ₦198/$.50 and CBDA: ₦200/$.50) made up only a fraction of PPMV and CBDA median monthly recorded sales revenue.


Conclusions: CBDAs and PPMVs increased tens of thousands of rural women's access to FP, including new users. PPMVs were slightly more successful at reaching women compared to CBDAs. Most participants earned a small profit by endline. However, they didn't make much money from FP, and cultural barriers hindered CBDAs' attempts to sell condoms.

Background
COVID-19 caused unquantifiable disruptions in the healthcare system, family planning information and services inclusive. WHO reported that 70 of the 102 countries surveyed in 2020, had disruptions in FP services; Nigeria inclusive. Society for Family Health through her Delivering Innovation in Self-Care (DISC) project implemented a digital ecosystem to adapt to the changes impacted by the pandemic by providing SRH information and service outlets via digital platform.
Methodology
The digital ecosystem had a WhatsApp based chatbot called Tina which adopts a client centred approach to providing information and services for FP. Tina provides information, builds skills on use of self-administered FP methods, and has a call back feature for persons who may wish to discuss personalised issues with a trained provider. Tina chatbot is also able to link users to other online solutions and warehouses a geolocator of partner facilities in the 36 states of Nigeria where users can choose to access FP services with a feedback option on quality of service. 
Results
A total of 10,713 persons accessed the Chatbot from January to December 2021. 8% of the chatbot users were 19 years and below; age 20 – 24 make up 30%; ages 25 – 34 constituted 40%; and women ages 35 and above 16%. Findings from the implementation show that 19% of the chatbot users accessed the geolocator to get information about facilities offering FP services near them; 19% of the users wanted to learn about various FP methods with 36.7% seeking information on the self-inject contraceptive and 13% requested a call back from the project's helpdesk agent to speak with a provider. 
This intervention demonstrates the need to explore innovative ways to make contraception available, improve access and ensure contraceptive equity amid other competing health challenges.