Background/objectives:
According to Nigeria Demographic and Health Survey (NDHS 2018), Nigeria has 48% unmet need for family planning among sexually active unmarried women. Variety of issues must be addressed to bridge this gap. Values Clarification and Attitudinal Change (VCAT) is a veritable tool to achieve this Adolescents right to sexual reproductive health services. Marie Stopes International Organization Nigeria (MSION) mobile outreach team in Akwa Ibom State target the hard-to-reach communities where many youths fail to seek reproductive health services. This study is thus sets to establish that unbiased providers and enabling environment can result in greater number of adolescents accessing sexual reproductive health services.
Methodology:
Pre-service mobilization using youth focused community structures like satisfied adolescents, youth groups in churches, school-based activities, peer-peer approach. Youths are engaged as town announcers to help mobilize their peers to site. The outreach Clinical Service Providers are youth friendly and possess the skills to retain the adolescents through motivation, health education and proper counseling. In-depth interviews conducted during 2022 World Contraceptive Day celebration to elicit information about the effects of the services on the adolescent users.
Results:
From January to August 2022, Akwa Ibom State outreach team has served a total of 12,905 clients. 4336 from the total clients served are adolescents representing 33.6%. This is 4% greater than the organization High Impact Client benchmark of 29%. The resultant effects of the service provision have enabled some adolescents return to school as well as reduce unsafe abortion.
Conclusions:
To increase Family Planning uptake among youth and adolescents in Nigeria, a safe supportive environment should be provided to improve adolescent health outcomes. Providers should understand cross-cultural issues of adolescent development and health need specific to youth thereby building unbiased communication and counselling skills to esterblish a better sense of trust between client and the service provider.

Indi-Genius podcast series, implemented from May to September 2022, provided a platform for young indigenous family planning/reproductive health leaders in Nigeria and Niger Republic to share their local knowledge and best practices in Family Planning/Reproductive Health programming through creative oral storytelling. The project's goal was to improve the technical and programmatic skills of young FP and RH leaders, allowing them to manage FP/RH knowledge and become more effective advocates and program implementers. The methodology for the project included: 1) Co-design workshop with young people and relevant stakeholders, 2) Official launch of the Indi-Genius podcast, 3) Recruitment and selection of 20 family planning leaders from Nigeria and Republic of Niger, 4) Selection of African-themed podcast soundtrack through a nationwide competition, 5) Storytelling and social media capacity building workshop for selected youth leaders, 6) Recording and publication of podcast episodes, 7) Instagram live Indi-Genius exchanges between youths and global experts, 8) Radio station advocacy visits, and 9) Project close-out event. Results: 20 featured FP stories (13 from Nigeria and 7 from Niger) out of 72 applications. Website visits - 379, # of Plays -121, Instagram views - 2295, likes - 386, Followers - 159, Shares -104, comments -31. Twitter retweets - 69, likes- 113, comments - 4. Testimonial from youth participant: Aderonke Olisa - "The project has helped me in self-discovery and capacity building on storytelling. It has helped me to articulate my message to my audience. I have also realised that Nigeria and Niger have shared experiences." Conclusion: The outcome of the Indi-Genius Podcast project emphasizes the importance of recognizing the localized knowledge and expertise of young family planning leaders and incorporating these best practices into community-owned and focused FP programs to reduce the unmet need for FP services among young people, particularly those in rural and underserved communities.

The Indi-Genius podcast series, implemented from May 2022 to September 2022, was created to provide a platform for young indigenous family planning/reproductive health leaders in Nigeria and Niger Republic to share their local knowledge and best practices in Family Planning/Reproductive Health programming through creative oral storytelling. The project's main goal was to improve the technical and programmatic skills of young FP and RH leaders, allowing them to manage FP/RH knowledge and become more effective advocates and program implementers. 
The methodology for the project include: 1) Co-design workshop with young people and relevant stakeholders, 2) Official launch of the Indi-Genius podcast, 3) Recruitment and selection of 20 family planning leaders from Nigeria and the Republic of Niger, 4) Selection of African-themed podcast soundtrack through a nationwide competition, 5) Storytelling and social media capacity building workshop for selected youth leaders, 6) Recording and publication of podcast episodes, 7) Instagram live Indi-Genius exchanges between youths and global experts, 8) Radio station advocacy visits, and 9) Project close-out event. 
Results: 20 featured FP stories (13 from Nigeria and 7 from Niger) out of 72 applications. Website visits - 379, # of Plays -121, Instagram views - 2295, likes - 386, Followers - 159, Shares -104, comments -31. Twitter retweets - 69, likes- 113, comments - 4. 
Conclusion: The outcome of the Indi-Genius Podcast project emphasizes the importance of recognizing the localized knowledge and expertise of young family planning leaders and incorporating these best practices into community-owned and focused FP programs to reduce the unmet need for FP services among young people, particularly those in rural and underserved communities.

Background: 22% of Nigeria's population are adolescents between the ages of 10-19, with research suggesting 15 years as the age at sexual debut for girls. These youth populations often have multiple exploratory relationships, particularly those of a sexual nature with many unaware of the risks, including sexually transmitted infections (STIs) and unwanted pregnancy. Within ages 15-49, global adolescent birthrate is 42 births per 1000 women and 106 in Nigeria. Improvements in access to family planning (FP) for adolescents and young people, necessitates the implementation of adolescent and youth friendly health services (AYFHS) to remove service delivery barriers linked to judgment and stigmatization. 


Methodology: Clinton Health Access Initiative (CHAI) in collaboration with Kaduna, Kano, Katsina and Rivers state ministries of health (SMOHs) piloted the operationalization of AYFHS across 130 flagship health facilities (HFs). Between 2018 and 2022, the program oriented 2,443 community Youth Champions (YCs) on Reproductive Health (RH) benefits and utilization of contraception to mitigate STIs and unwanted pregnancies. Capacity was built for 736 healthcare workers (HCWs) on comprehensive RH services for adolescents and young people with a focus on common risk taking behavior, counselling, service delivery and client referrals.


Results: Supported federal and state governments in approval and adoption of national guidelines for provision of AYFHS in primary and secondary HFs, including certification criteria. CHAI also developed Standard Operating Principles (SOP) based on learnings and best practices from the flagship AYFHS facilities. In total 14,183 (80% females and 20% males) received contraceptives, 4,872 (55% females and 45% males) drug abuse counselling, and 5,932 (54% females and 36% males) STI counselling and/or treatment. 


Conclusion: Supporting improvements in HCW knowledge on appropriate provision of AYFHS and orientation of YCs on the need to access RH services is essential to achieving a sustained reduction of unintended pregnancies and unsafe abortions.