Improving the Quality of Adolescent and Youth-Friendly Health Services Through Integrated Supportive Supervision in Four Nigerian States

Dorcas Akila; Akinola Oluwasegun; Krishna Bose; Olukunle Omotoso; Adewale Adefila; Lisa Mwaikambo

doi:10.9745/GHSP-D-22-00169

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FIGURE.
Family Planning Uptake by Adolescent and Youth Clients Across 130 High-Volume Facilities in Four Nigerian States

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TABLE 1.

Facilities Meeting AYFHS Minimum Standards in Four Nigerian States

		Baseline, %	Round 1, %	Round 2, %
All 4 states (N=130)	Red	35	5	0
	Yellow	53	32	12
	Green	12	63	88
Ogun (n=47)	Red	13	0	0
	Yellow	87	43	15
	Green	0	57	85
Plateau (n=25)	Red	52	0	0
	Yellow	48	24	0
	Green	0	76	100
Niger (n=28)	Red	0	0	0
	Yellow	54	0	0
	Green	46	100	100
Edo (n=30)	Red	73	20	0
	Yellow	27	57	30
	Green	0	23	70

Abbreviation: AYFHS, adolescent- and youth-friendly health services.

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TABLE 2.

Family Planning Client Volume by AY Clients at the 130 Facilities After AYFPSS Assessments and Their Percentage Change Across Four Nigerian States

	Baseline, No.	Round 1, No.	Round 2, No.	Change Between Baseline and Round 1, %	Change Between Baseline and Round 2, %
Ogun	1,456	7,355	8,967	405	516
Niger	2,319	12,024	14,748	418	536
Plateau	1,315	2,112	3,849	61	193
Edo	1,255	1,514	1,936	21	54

Abbreviations: AY, adolescents and youth; AYFPSS, adolescent and youth family planning supportive supervision.

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TABLE 3.

Clients’ Perception of Counseling and Service Provision Across Four Nigerian States

	States
Variables	Edo, %(n=105)	Niger, %(n=186)	Ogun, %(n=276)	Plateau, %(n=172)	Total, No. (%)(N=739)
Told about family planning methods during counseling before choosing a method
No	1.9	1.1	0	2.3	8 (1.1)
Yes	96.2	98.9	94.2	97.1	712 (96.3)
Refused to answer	1.9	0	5.8	0.6	19 (2.6)
Feel your choice of method was respected by the provider
No	5.7	0.5	0.7	0	9 (1.5)
Yes	93.3	99.5	94.6	98.8	714 (96.5)
Refused to answer	1.0	0.0	4.7	1.2	16 (2.0)

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TABLE 4.

Provider’s Use of Social and Behavior Change Materials During Counseling Across Four Nigerian States

	States
Variables	Edo(n=105)	Niger(n=186)	Ogun(n=276)	Plateau(n=172)	Total, No. (%)(N=739)
Clients were provided with pamphlets or brochures with information on family planning methods
No	41.0	9.7	3.6	5.2	80 (10.8)
Yes	58.1	90.3	91.3	94.8	644 (87.1)
Refused to answer	0.9	0.0	5.1	0.0	15 (2.0)
Provider counseled with counseling job aids
No	72.4	12.9	12.0	8.1	147 (19.9)
Yes	27.6	80.1	68.8	80.8	507 (68.6)
Sometimes	0.0	6.5	12.7	10.5	65 (8.8)
Refused to answer	0.0	0.5	6.5	0.6	20 (2.7)

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TABLE 5.

Client Satisfaction, Perceptions, and Feedback on Family Planning Services in Four Nigerian States

	States
	Edo, %(n=105)	Niger, %(n=186)	Ogun, %(n=276)	Plateau, %(n=172)	Total, No. (%)(N=739)
Clients have sufficient time for consultation with health care provider
No	24.8	3.2	8.7	1.2	58 (7.8)
Yes	55.2	88.7	79.0	89.0	594 (80.4)
Sometimes	20.0	8.1	7.6	9.9	74 (10.0)
Refused to answer	0.0	0.0	4.7	0.0	13 (1.8)
Preferred contraceptive method always available when clients visit
No	17.1	3.8	3.6	7.6	48 (6.5)
Yes	54.3	86.6	73.5	71.5	544 (73.6)
Sometimes	20.0	9.1	18.1	20.9	124 (16.8)
Refused to answer	8.6	0.5	4.7	0.0	23 (3.1)
Client satisfied with current contraceptive method
No	6.7	1.6	2.2	0.6	17 (2.3)
Yes	81.0	96.8	90.2	97.7	682 (92.3)
Sometimes	9.5	1.6	1.8	1.2	20 (2.7)
Refused to answer	2.9	0.0	5.8	0.6	20 (2.7)
Client knew what to do when having contraceptive related side effect
No	15.2	7.5	1.1	3.5	39 (5.3)
Yes	71.4	85.5	91.7	94.8	650 (88.0)
Sometimes	10.5	7.0	1.1	1.7	30 (4.1)
Refused to answer	2.9	0.0	6.2	0.0	20 (2.7)
Feel you are being treated respectfully and kindly by the provider
No	21.9	1.1	0.4	0.0	26 (3.5)
Yes	64.8	92.5	90.6	98.3	659 (89.2)
Sometimes	13.3	6.5	1.8	1.7	34 (4.6)
Refused to answer	0.0	0.0	7.2	0.0	20 (2.7)
Feeling judged by staff
No	62.9	90.9	90.2	98.3	653 (88.4)
Yes	14.3	6.5	2.2	0.6	34 (4.6)
Sometimes	20.9	2.2	1.1	1.2	31 (4.2)
Refused to answer	1.9	0.5	6.5	0.0	21 (2.8)
Clients would like to visit the facility again or refer a friend/family member
No	15.2	0.0	4.0	3.5	33 (4.5)
Yes	81.0	99.5	90.2	95.9	684 (92.6)
Refused to answer	3.8	0.5	5.8	0.6	22 (3.0)
Reasons why clients would visit facility/refer others
Good quality of care received	35.2	40.3	39.5	33.7	279 (37.7)
Good attitude of health personnel	16.2	43.6	21.4	29.7	208 (28.1)
Right to make FP choice(s)	14.3	8.6	5.8	15.1	73 (9.9)
FP commodity in stock	7.6	5.4	5.1	16.9	61 (8.3)
Refused to answer	26.7	2.2	28.3	4.7	118 (16.0)