| Issue/Objective |
National averages masking stark regional disparities in family planning (FP) outcomes in Northern Nigeria. Sociocultural norms heavily influence family planning practices, with the region's patriarchal and conservative structure granting men primary decision-making authority over FP uptake. In Northern Nigeria, grassroots religious and traditional leaders (RTLs) wield influence and maintain close, trust-based interactions with their communities. Their deep-rooted presence and authority position them as powerful agents of social change. Guided by the program's theory of change and gender analysis, CHAI through funding from Global Affairs Canada, implemented a strategy to improve religious and traditional leaders' knowledge and attitudes in Kaduna, Kano, and Katsina States. This paper explores the methods used, as well as result and impact of this intervention. |
| Methodology/Approach |
The intervention utilized a mixed-method design, structured questionnaires measured pre- and post-changes in RTLs' knowledge, attitudes, and practices on FP. A responsive feedback mechanism was implemented for continuous improvement. A mix of gender, technical and masculinity experts, RTLs and the government were engaged to develop gender-sensitive tools and foster local ownership. A cohort of 2,376 RTLs were oriented on gender justice on SRH, with the application of participatory learning. Review meetings were conducted to foster collective reflection, experience sharing, with averagely 4,509 incorporating other community agents including adolescents, TBAs, caregivers and private retail outlets. |
| Results |
From 2019 to 2022, there was a 49% increase in the proportion of RTLs who demonstrated a positive attitude to gender-responsive and adolescent-friendly SRH services, with a 200% and 101% increase in the knowledge of family planning and positive attitude toward child spacing, respectively. 92% of RTLs demonstrated willingness to promote FP and led sensitization session in 1264 communities. The intervention contributed to the 46% increase in the percentage of married women whose male partners support contraceptives, while unmet needs reduced from 18% to 10%. |
| Discussion/Conclusion |
Engaging RTLs is a vital strategy for addressing gender-based barriers that restrict access to FP) services. However, its successful implementation requires carefully tailored approaches that acknowledge and address existing gender inequities. This includes strategies that promote women's agency, challenge restrictive norms, and foster inclusive decision-making while ensuring RTLs become champions of change. |
| Presenters and affiliations |
Hadiza Salele Clintoon Health Access Initiative |
