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Our Work

We make sure contraceptives are available in Nigerian public health facilities by advocating for increased government investment, building data systems to improve allocation, and directly providing contraceptives ourselves to fill immediate gaps.

The Problem​​ 

Almost 30% of all maternal deaths worldwide occur in Nigeria, despite the country representing less than 3% of the global population. Simultaneously, about 30% of pregnancies in Nigeria are unintended, and 36% of these unintended pregnancies end in unsafe abortions.

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This means that 1 in 12 global maternal deaths are women in Nigeria who did not even want to be pregnant in the first place.

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For millions of women, the barrier to family planning isn't cultural—it's logistical. Contraceptives simply aren't available when women need them. Public health facilities routinely run out of stock, forcing women to either accept unsuitable methods or go without contraception entirely

80%

of facilities in our pilot lacked at least two contraceptive methods

70%

of facilities in Sokoto State had zero contraceptives in stock

6 in 10

women wanting to avoid pregnancy cannot access contraception

3M

unplanned preganancies occur annually in Nigeria

1 in 12 global maternal deaths
are women in Nigeria who didn't intend to be pregnant

Our Program

We address supply chain failures through evidence-based interventions that work within existing government systems. We digitize existing consumption records to create real-time visibility across the supply chain, analyze contraceptive demand patterns to optimize allocation decisions across health facilities, and collaborate with state governments to increase procurement. <could say more about supply chain challenges>

Data Digitization & Analysis

We digitize existing paper-based consumption records from health facilities, analyze patterns of demand and supply, and provide real-time insights to optimize allocation decisions across the supply chain.

Government Partnerhip

We work directly with state and local governments to integrate contraceptive procurement into state budgets, support relevant legislation, and build capacity for sustainable, domestically-funded supply chains.

Strategic Procurement

We procure and distribute highly cost-effective contraceptive methods to fill critical gaps while governments scale their own procurement, ensuring continuous access during transitions.

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Our Pilot Results

From September 2024 to May 2025, we conducted a rigorous pilot of our program across 137 primary and secondary health facilities in Katsina and Sokoto states in Northern Nigeria. We sought to measure how contraceptive use changes with improved supply, diagnose supply chain breakdowns, and refine practical solutions. 
How we measure our impact 
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Consumption increases when contraceptives are made available
80% increase in injectable use 
80% increase in pill consumption 
90% increase in implant use 
240% increase in condom distribution 
Estimated Impact on Lives Saved and Economic Outcomes
1,100+
couple of years of protection
450 unintended pregnancies prevented 
3 lives saved
$17K economic benefits generated

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Contact Us

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Access to Medicines Initiative is a registered nonprofit organization (EIN: 99-2821046) with federal tax-exempt status as a public charity under section 501(c)(3).

Access to Medicines Initiative also has a fiscal sponsorship agreement with with Players Philanthropy Fund (Federal Tax ID: 27-6601178, ppf.org/pp), a Maryland charitable trust with federal tax-exempt status as a public charity under Section 501(c)(3).

Donations are tax-deductible as allowed by law.
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