Training helps improve abortion and contraceptive care in marginalized and humanitarian settings in Nigeria

In the aftermath of humanitarian crises, many communities are forced out of their settlements, increasing their vulnerability. In such challenging environments, transactional sex for food is the norm, and consequently, increased instances of rape and forced marriages. The need for access to abortion and contraception services is critical in these settings. It’s also important that within healthcare facilities, healthcare workers are equipped to provide these services.

The Ipas Nigeria project, “Improving Reproductive Autonomy for Women and Girls in Nigeria”, addresses this need. It provides training to humanitarian and health care workers to offer responsive care to women and girls who have experienced sexual violence in humanitarian settings.

A woman wearing glasses and a patterned shirt stands in front of white tents in an outdoor camp area, with people sitting on the ground in the background under a tree.

Pictured above: Deborah at one of the Internally Displaced Camps in Makurdi, Benue State. © Ipas Nigeria

In Benue State, north central Nigeria, Deborah, a humanitarian worker trained by Ipas Nigeria, is raising awareness about sexual violence within displaced community groups.

I learnt about sexual violence and forced marriage, as these are prevalent in the camps. I got to understand the different types of violence during the training— physical, sexual and emotional. We always had the report of rape cases in the camp but based on what I learnt from the training, I did some sensitization in the camp,” she explains.

Debora also educates parents about the rights of their children, as some of the parents use their power to push their children to have sex with men for food.

I also learnt referral pathways when these issues come up. There are times young women in camps have no access to sanitary pads, but I learnt how to educate them to protect their menstrual hygiene. Also, I didn’t know the first thing to do when a person has been raped is to take the survivor to the hospital or nearest clinic, but I know this now and I would do this when there is any case of rape.

A woman in a navy blue nurse uniform stands in a small, simple clinic room with a single bed, IV stand, and medical posters on the wall. Light filters in through a blue-curtained window.

Pictured above: Suzan, one of the Ipas trained healthcare workers in Gboko South, Benue State.© Ipas Nigeria

Suzan, a healthcare worker in Gboko South, Benue State, feels better equipped to deliver safe abortion services and post abortion care.

I learned the techniques for manual vacuum aspiration (MVA) and medical abortion for safely ending a pregnancy within our facilities,” Suzan says. “Recently, I was able to efficiently attend to a patient that had an incomplete abortion. Before, I would refer the case to the general hospital but now I can attend to this type of case. I was also able to provide safe abortion services in the facility with the training I had on using MVA and offer post-abortion family planning to the patient.”

A woman wearing a black headscarf and a pastel-patterned top stands in front of a beige wall, looking at the camera with a neutral expression. Sunlight casts soft shadows on the wall behind her.

Pictured above: Ronke, a community health extension worker who was trained by Ipas in Ibadan, Oyo State. © Ipas Nigeria

In Ibadan, Oyo State, southwestern Nigeria, Ronke, a community health extension worker recognizes the need to offer support when sexual and reproductive health services are needed.

From the training, I learned that girls could make their own decision about an unintended pregnancy so they can progress in their lives,” Ronke shares. “I didn’t know this before. After the training, I learnt that I could advise girls to take up contraception too. Before the training, I would blame or judge them when they came to me for help but now, I give her options that can help her not to have unintended pregnancies.”