In Northern Nigeria, A360’s Matasa Matan Arewa (MMA) engages married girls and their husbands, using maternal and child health to engage in contraceptive counseling. As MMA proves: A360 delivers a practical guide for replication, tailored to the contextual needs unique to the girls we serve.
MMA is implemented in Nigeria by PSI independent network member SFH/Nigeria.
Girls served with modern contraception
hub and spoke facilities across 2 states
% of girls voluntarily adopting a method after engaging with A360
% of girls voluntarily taking up a long-acting method
Data from Jan. 2018 through Nov. 2019. Data pending validation.
In Northern Nigeria, the national median age for first marriage is 16.9. 17 percent of girls will married by age 15; 18 percent will be married by age 18.
Within this context, 1 in 5 girls aged 15-19 across Northern Nigeria wants but does not have access to modern contraception. Through Matasa Matan Arewa (MMA)—the first replication of A360’s blueprint—we’re driving toward filling that gap.
A360 flips traditional family planning messaging on its head— building from what girls say they want to deliver reproductive health services when and how they need.
Click the below breakouts to explore the insights that shaped how A360 is changing the conversation around contraception.
Insight: Married girls wanted their husbands to be counseled, but separately. Husbands are a major influencer in married girl’s lives.
In the evenings, men like to sit out and relax in groups. Leveraging these gathering, a male IPC agent educates men (husbands/male partners, fathers-in-law) on the health benefits of child spacing and the importance of male support in women’s reproductive health decisions.
Insight: Providers’ attitude are very important to adolescents.
Youth-friendly providers serve girls on site through an opt-out moment with a provider. These interactive sessions speak to girls immediate needs by addressing fears, dispelling myths and exploring the benefits of contraception.
Insight: Married girls want to discuss reproductive health topics and learn new skills, but do not feel comfortable doing so in the same space as their husbands.
Girls feel that in-person interactions encourage bonding with peers and providers, and ultimately influences behavior change. Girls express that meeting at public facilities during open hours legitimizes contraceptive use and builds community support. Husbands will support their wives only if the classes happen at the health facility.
Addressing the needs of married girls in Northern Nigeria and using the health of the baby and mother as an entry point, MMA uses a near-peer mentorship model to increase social support for and access to contraceptive services and vocational training among married adolescent girls. In MMA, women aged 25-30-years-old mentor small groups of married 15–19-year-olds. Meeting twice weekly for a two week period in health facilities, the mentor engages girls in discussions about health, contraception, motherhood, communication, and financial management. The final session concludes with a vocational training.
Click the below breakouts to explore our approach.
What We're Doing
Through a peer mentorship model, young women lead adolescent girls through classes focused on health, nutrition and interpersonal skills, like negotiation. The sessions lead to opt-out contraceptive services with youth-selected health providers.
Seperately, reach out events merge mobilization to create an enabling environments followed by public health center-led service delivery hosted within communities. Communities are identified based on existing unmet need and areas with support from community gatekeepers, including men and religious leaders. Providers receive an abridged youth-friendly health service delivery training.
What We're Measuring
In June 2019 alone, some 8 in 10 girls aged 15-19 who interacted with MMA adopted a modern contraception. 32% of girls opted for a long-acting method—outperforming Nigeria’s 0.1% national average for LARC uptake among the same age group.
What We're Learning
In Southern Nigeria, IDEO equipped local NGO, Society for Family Health Nigeria (SFH) to develop prototypes rooted in girls’ insights—laying the foundation for SFH to venture into Northern Nigeria, without an international partner. MMA is recording higher LARC uptake than the national average (0.1%)—proving the power in building capacity with before passing the reigns to local partners who understand the contextual challenges specific to the environments in which we operate.
Voices From The Field
When I look at my children, they are growing strong, not sickly, and she is not pregnant yet. I’m so thankful for [MMA].