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Why Investing in Nigerians’ Reproductive Health Fuels Rights, Choice, and Progress

Precious Ajayi and Sheriff Gbadamosi (Lead writers)

Nigeria is the most populous country in Africa and the sixth most populous country globally, with an estimated population of 236.7 million people. With an annual growth rate of 2.52%, the population is projected to double by 2050.

According to the 2025 United Nations Population Fund (UNFPA) report, 32% of respondents identified two children as the ideal family size. However, more than one in ten Nigerians report having more children than they desired. This gap between aspiration and reality reflects what UNFPA described as a “real fertility crisis”, not an issue of overpopulation or underpopulation, but the inability of individuals to achieve their reproductive goals.

This year’s World Population Day highlighted population dynamics and their implications for development, equality, and wellbeing. The theme “Empowering young people to create the families they want in a fair and hopeful world,” urged a shift in how fertility crises are understood, emphasising the need to focus on individual’s ability to exercise reproductive choice.

It was also a call to promote reproductive agency, which is more than just freedom from coercion or improved access to services; but the broader conditions that enable individuals to exercise their reproductive rights. These include gender equality, economic stability, quality healthcare, and confidence in a secure future.

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Nigeria’s fertility crisis

The recent State of World Population report highlighted several concerning findings, noting that globally, nearly half of all pregnancies are unintended. 
In Nigeria, approximately, one in five pregnancies each year is unplanned, and more than half these end in abortion.

The consequences of unintended pregnancies are profound, placing financial strain on family, affecting overall health and well-being, and frequently causing school dropout among girls. They also significantly contribute to unsafe abortions and are a major driver of high maternal deaths
The real fertility crisis in Nigeria is rooted in significant barriers to reproductive agency, including:

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How Nigeria can do better

1. Increase Domestic Funding and Strengthen Political Commitment for SRHR:

Despite Nigeria’s stated commitments to sexual and reproductive health, including it FP2030 agenda, public funding for family planning and SRHR continues to fall short. The recent National SRHR Policy Dialogue in Abuja highlighted the gap between political rhetoric and sustained investment. With donor support declining, domestic resource mobilisation remains critical. Alarmingly, the proposed allocation for family planning in the 2025 national health budget has been cut to ₦66.39 million, a 97% reduction from the ₦2.225 billion allocated in 2024.

Without urgent reinvestment, Nigeria risks reversing decades of progress in family planning and SRHR. Increased funding must be accompanied by strong accountability mechanisms to ensure resources reach last-mile communities, where unmet needs remain highest.

2. Strengthen Comprehensive SRHR Services: 

Nigeria should ensure that, regardless of age, gender, location, or ability, has access to high-quality, affordable sexual and reproductive healthcare. This requires removing outdated restrictions, such as age limits or spousal consent requirements, and addressing provider bias to guarantee that choices are informed and voluntary. We must shore up our supply chains by investing in local contraceptive production and price regulation. Lessons can be drawn from Kenya and Rwanda, where drones now deliver commodities to remote communities. Nigeria should adopt international best practices such as the Minimum Initial Service Package for SRH in Emergencies, to protect lives are preserve and dignity even during crisis,

3. Prioritise Education and Information Dissemination:

Nigeria should introduce and sustain age-appropriate, rights-based, comprehensive sex education in schools. This includes non-stigmatising information on fertility awareness and reinforcing the importance of keeping girls in school. Combating widespread misinformation on sexual and reproductive health requires reliable digital resources and active community engagement. Innovative solutions like the Text4Life service, which enables individuals to confidentially report unplanned pregnancies and gender-based violence, can provide vital information and support.

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