The Challenge Initiative, TCI, is doing business in an
unusual way. It’s really nothing new but a practical way of ensuring that the
owners of the land take it back for themselves with us just providing the light
technical assistance. In reality, what this means is that the State and Local
Government Areas are taking ownership in scaling up a home grown model that has
worked for Nigeria in increasing modern use of contraceptives for family
planning in our bid to reduce maternal mortality.
Evidence has shown that if we embrace and scale up family planning, we would reduce deaths of mothers by 30 percent and promote child survival by 25 percent. So really, it is a quick win if we really must ensure that maternal and child survival which we have all signed to as a community of practice in the State and National levels but actually put in action rather than lip service. We have found it is cost effective rather than tackling emergencies and other secondary issues that emanate from lack of spacing your family, or limiting it when you are satisfied with the number that you want.
This initiative called TCI is led by the government, which
means for the first time, government will show expression of interest that they
are interested in scaling up this model that we have rolled out in some other
parts of the country. Evidence has shown that TCI is working and so, they want
to use it, integrate it into their existing plans and make that action a
reality in the community especially among the poor who really need it and are
the voiceless, who really do not have funds when it comes to out-of pocket
expenses.
Ogun State is doing so much in that area in reaching out
through many of the medical outreaches. The State is at the forefront of taking
this challenge initiative and integrate and make things more effective in the
machinery that has already been set up. The journey actually started last year
when this idea came on board and different states were showing interest. But
then taking the whole hog need the buy-in of everyone led by the Chief
Executive of the State and the Commissioners and those who make things work for
the policy to be on board...
Read more from Dr Mojisola Odeku here