Postpartum Family Planning (PPFP) offers a critical yet often overlooked window to address women's unmet need for contraception and improve maternal-child health outcomes. The Challenge Initiative (TCI) introduced an integrated PPFP model across ten Nigerian states to reposition routine maternal health touchpoints – such as antenatal care (ANC), labour & delivery (L&D), postnatal care (PNC), and immunization clinics as channels for social and behaviour change communication (SBCC). The model strengthens the health system by converting health-system interactions into opportunities for informed dialogue, counselling, and service uptake
TCI trained 1,767 providers and 20 master trainers, introduced national job aids, and deployed referral innovations such as a universal PPFP card and client-tracking stamp to ensure continuity of care. Using an Interrupted Time Series (ITS) design, data from 251,499 clients (April 2022 - October 2025) demonstrated a monthly increase in PPFP uptake from 1,521 to 3,515 clients (p < 0.01). Extended PPFP (> 48 hours postpartum) accounted for 93 percent of all uptake, dominated by injectables (49 percent) and implants (34 percent).
By aligning communication, data, and service delivery, this model transformed fragmented maternal-health interactions into a cohesive behavioural pathway. The results affirm that PPFP integration is not only a service-delivery innovation but also an SBCC success - strengthening provider confidence, system responsiveness, and community trust toward equitable reproductive choice, thereby transforming Nigeria's maternal health system into a more integrated, responsive, and sustainable model for reproductive health.
Postpartum Family Planning (PPFP) offers a critical yet often overlooked window to address women's unmet need for contraception and improve maternal-child health outcomes. The Challenge Initiative (TCI) introduced an integrated PPFP model across ten Nigerian states to reposition routine maternal health touchpoints – such as antenatal care (ANC), labour & delivery (L&D), postnatal care (PNC), and immunization clinics as channels for social and behaviour change communication (SBCC). The model strengthens the health system by converting health-system interactions into opportunities for informed dialogue, counselling, and service uptake
TCI trained 1,767 providers and 20 master trainers, introduced national job aids, and deployed referral innovations such as a universal PPFP card and client-tracking stamp to ensure continuity of care. Using an Interrupted Time Series (ITS) design, data from 251,499 clients (April 2022 - October 2025) demonstrated a monthly increase in PPFP uptake from 1,521 to 3,515 clients (p < 0.01). Extended PPFP (> 48 hours postpartum) accounted for 93 percent of all uptake, dominated by injectables (49 percent) and implants (34 percent).
By aligning communication, data, and service delivery, this model transformed fragmented maternal-health interactions into a cohesive behavioural pathway. The results affirm that PPFP integration is not only a service-delivery innovation but also an SBCC success - strengthening provider confidence, system responsiveness, and community trust toward equitable reproductive choice, thereby transforming Nigeria's maternal health system into a more integrated, responsive, and sustainable model for reproductive health.
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