Assessing the Current States of Logistics Management and Training on Family Planning Services in Nigerian Healthcare Facilities

Abstract

Background: Management of Family planning (FP) commodities is a significant problem that is not limited to compromising the quality of FP services but also results in economic burden especially in developing countries. Some facilities may have ample FP commodities while others have a shortage if FP logistics are managed poorly. Hence, assessing the FP commodities logistic management is relevant to inform decision-makers.
 Methods: This survey was a cross-section study of 763 public primary and secondary healthcare facilities in Nigeria. The study involved facility assessment and quantitative interview of key personnel in each facility, using a structured questionnaire. The study was conducted from May to July 2019. The data collected were analysed with IBM-SPSS version 25.0. Descriptive statistics were performed, Chi-Square and linear logistics regression were used to establish significant associations; p<0.05 was considered significant.
 Results: About half (51.4%) of primary and 33.5% of secondary healthcare facilities were not using forms for reporting FP supplies. Also, 23.8% of primary and 18.8% of secondary facilities waited for more than two months before receiving orders. The facilities have an average of 2-3 trained personnel on FP services. FP staff who were trained had their last training over a year ago (primary-31.9%); secondary-37.4%). Secondary facilities were 2.102(95% CI:1.567–2.820) times more likely to use log forms, 1.845(95% CI: 1.076–3.165) times more likely to have cold chains, and 4.785(95% CI: 3.207–7.139) more likely to have trained staff on insertion and removal of implants than primary facilities (p<0.05).
 Conclusion: We advocate that the government and donor agencies carry out urgent interventions such as regular supply of contraceptives, regular training of FP service providers, provide sufficient manpower, carry out regular monitoring and evaluation of FP services and create awareness on the need to use FP services among grassroots citizens.

Choices and availability of family planning services: evidence from census-based health facility assessment data in Bauchi state, Nigeria

“…FP practices can improve maternal and child health by avoiding sexually transmitted illnesses (STIs) and unplanned and early pregnancies. 18,19 FP practices have improved people's lives through increased national security and community financial resources. 20 The United Nations has highlighted increasing and maintaining the usage of FP services as one of its critical strategic agenda emphasis areas to achieve sustainable development goals (SDGs).…”

“…Considering the number of secondary healthcare facilities in this study, we cannot out rightly say that they are more concerned with FP services than primary healthcare facilities despite having a higher percentage (87.5%). However, Onoja, et al, 18 noted that the availability of FP services in healthcare facilities is subject to the availability of trained human resources for health (HRH) personnel for those services. HRH personnel are found more in secondary healthcare facilities, which may sway more clients to seek FP services.…”

“…HRH personnel are found more in secondary healthcare facilities, which may sway more clients to seek FP services. 18 Facilities offering FP services in Bauchi State are not evenly distributed across the local government area, as shown in Table 3. Findings revealed that all the studied facilities in Dass local government offer FP services, followed by Bogoro (95.7%).…”