The Community-Oriented DMPA-SC Self-Injection Acceleration in Nigeria (CODSAiN) Project illustrates how participatory evidence generation and the leadership of health educators strengthened decision-making and expanded access to family planning. Weak data systems in Nigeria often result in stockouts, poor forecasting, and inequitable service delivery. CODSAiN addressed this by triangulating data from the Logistics Management Information System (LMIS) and the National Health Management Information System (NHMIS) with insights from communities, ensuring data was trusted, actionable, and inclusive.
Local government and state health educators played a pivotal role in translating evidence into integrated outreach plans and demand generation strategies. Between January 2024 and July 2025, monthly self-injection clients increased by 177% (24,858 to 68,926), while the share of women opting for self-injection rose from 19% to 38%. A health educator reflected: "Before, data stayed on paper. Now, we use it to plan outreaches that reach the right people at the right time."
Through CODSAiN, evidence became a co-owned resource that improved stock management, reduced service gaps, and influenced government adoption of more inclusive family planning policies. By connecting systems, communities, and outreach, the project shows how evidence-driven SBCC strengthens accountability and action.
The Community-Oriented DMPA-SC Self-Injection Acceleration in Nigeria (CODSAiN) Project illustrates how participatory evidence generation and the leadership of health educators strengthened decision-making and expanded access to family planning. Weak data systems in Nigeria often result in stockouts, poor forecasting, and inequitable service delivery. CODSAiN addressed this by triangulating data from the Logistics Management Information System (LMIS) and the National Health Management Information System (NHMIS) with insights from communities, ensuring data was trusted, actionable, and inclusive.
Local government and state health educators played a pivotal role in translating evidence into integrated outreach plans and demand generation strategies. Between January 2024 and July 2025, monthly self-injection clients increased by 177% (24,858 to 68,926), while the share of women opting for self-injection rose from 19% to 38%. A health educator reflected: "Before, data stayed on paper. Now, we use it to plan outreaches that reach the right people at the right time."
Through CODSAiN, evidence became a co-owned resource that improved stock management, reduced service gaps, and influenced government adoption of more inclusive family planning policies. By connecting systems, communities, and outreach, the project shows how evidence-driven SBCC strengthens accountability and action.
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