Increasing access to quality family planning services

Of the 931 providers trained by SHOPS Plus, 546 are community health extension workers (CHEWs). Nigeria’s Task Shifting and Task Sharing Policy change in 2014 made it possible for community health extension workers to provide long-acting reversible contraceptives (LARCs). The policy change was a major step in increasing access to family planning services because CHEWs are the main service providers in hard to reach areas, where the unmet need for family planning services is highest. However, the CHEWs had low capacity, if any, in providing LARCs and as a result, the implementation of the policy was low. The SHOPS Plus project, in its quest to increase access to services, focused its efforts on training them in the public and private sectors on LARC provision. Consequently, the full method mix is now available in remote areas in the four implementation states giving women more options for family planning. The figure below shows that demand for LARCs doubled in just one year.

Graphic showing percentage of commodities dispenses in facilities trained by SHOPS Plus in September '19 and August '18. The graphic shows that injections were the highest, with more than 60 percent, while  IUDs were the lowest with less than 4 percent.


Learn more about family planning, provider quality, and total market approach

See all Nigeria program components.



Sustaining Health Outcomes through the Private Sector (SHOPS) Plus is a five-year cooperative agreement (AID-OAA-A-15-00067) funded by the United States Agency for International Development (USAID). This website is made possible by the generous support of the American people through USAID. The information provided on this website is not official U.S. government information and does not represent the views or positions of USAID or the U.S. government.

Sign-up for our newsletter to get the latest updates from SHOPS Plus