Understanding Public-Private Sector Stakeholders' Perspectives on Family Planning Total Market Landscape in Osun, Nigeria: Evidence for Action.

Anne Adah-Ogoh, Private Sector Health Alliance of Nigeria
Offiong Moore, Private Sector Health Alliance of Nigeria
Tinuola Akinbolagbe, Private Sector Health Alliance of Nigeria
Okechukwu Nnamani, Private Sector Health Alliance of Nigeria
Taiwo Okanlawan, Private Sector Health Alliance of Nigeria

A descriptive qualitative study explored stakeholders' perspectives in identifying drivers, challenges, and opportunities to shape a stronger, more equitable reproductive health market in Osun state, Nigeria. Study design comprised desk reviews and key informant interviews of 117 stakeholders from supply chain, private sector providers, and implementing partners. Study results show that family planning (FP) market is driven by policy/regulatory infrastructure, funding, commodity availability, and accessibility. Challenges include poor availability and accessibility to commodities, poor funding, HRH availability and capacity, poor evidence-based demand forecasting, fragmented service delivery by the public and private sectors, and regulatory bottlenecks. Recommendations include inclusion of FP in minimum package of care for Health Insurance scheme, complementary procurement of commodities through Basic Health Care Provision fund, free/subsidized commodities, and improved data use for supply chain. Conclusion: Addressing and optimizing the barriers across the value chain will shape the market dynamics to provide equitable service delivery for FP.