Open AccessOn the sustainability of a family planning program in Nigeria when funding ends
Author(s) -
Ilene S. Speizer,
David K. Guilkey,
Verónica Escamilla,
Peter Lance,
Lisa M. Calhoun,
Osifo Telison Ojogun,
David Fasiku
Publication year - 2019
Publication title -
plos one
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.99
H-Index - 332
ISSN - 1932-6203
DOI - 10.1371/journal.pone.0222790
Subject(s) - family planning , cites , sustainability , program evaluation , demography , economic growth , socioeconomics , gerontology , medicine , environmental health , political science , sociology , population , biology , public administration , economics , research methodology , ecology , fishery
Few studies have examined the sustainability of family planning program outcomes in the post-program period. This article presents the results of a natural experiment where the Nigerian Urban Reproductive Health Initiative Phase I programming ended in early 2015 and Phase II activities continued in a subset of cities. Using data collected in 2015 and 2017, we compare contraceptive ideation and modern family planning use in two cities: Ilorin where program activities concluded in 2015 and Kaduna where program activities continued. The results demonstrate that exposure to program activities decreased in Ilorin but for those individuals reporting continuing exposure, the effect size of exposure on modern family planning use remained the same and was not significantly different from Kaduna. Modern family planning use continued to increase in both cites but at a lower rate than during Phase I. The results are useful for designing family planning programs that sustain beyond the life of the program.