The Nigeria Countdown country collaboration focuses on data analysis to inform:

• The 2021 annual review report of the GFF investment case for the Ministry of Health and development partners. Using administrative health data (DHIS2), this report will assess if the 2021 health targets and indicators of the investment case were met, identify progress in RMNCAH+N indicators and highlight the gaps in implementation.
• The Ministry of Health’s annual health and nutrition performance reviews. Using a variety of data sources - such as national and subnational surveys, household surveys, health management information systems, including DHIS2, and service availability surveys – assessments could provide inputs to the state-level primary healthcare scorecards. These analyses will be conducted in 2021 and 2022.
• Additional topics to be determined.

Nigeria’s current health strategic framework is the National Strategic Health Development Plan II (NSHDP II) 2018-2022, which aims to reduce maternal, neonatal, child and adolescent morbidity and mortality, and to promote universal access to comprehensive maternal and child health services and sexual and reproductive health services for adolescents and adults throughout their life cycle. This health strategy employs a proactive, ‘leap-frog’ approach in which existing structures and delivery networks are disrupted to transform and scale improvement in RMNCAH+N outcomes throughout the country. From 2018-2022, the NSHDP II will be anchored on 5 strategic pillars with 15 priority areas, 15 goals, and 48 strategic objectives.

Monitoring and evaluation of Nigeria’s progress will be assessed annually with a set criterion of indicators and targets, such as vaccination coverage among young children, skilled birth attendance, HIV counselling and testing among women, and improved quality of care index at the health center level.

GFF Investment Case Approach

The GFF Investment Case has been integrated as a strategic pillar within the NSHDP II. It is a pro-poor strategy that focuses on priority investments in RMNCAH+N based on a multi-stakeholder development plan that includes costing. The investment case will be rolled out in five phases:

1. the immediate deployment of the minimum package of   RMNCAH+N activities in the North East,
2. the delivery of the National Basic Minimum Package of   Health Services (BMPHS; 9 services which comprise 51   interventions) among the rural-poor in 3 states,
3. the nationwide scale-up of BMPHS,
4. scale-up of health sector-specific nutrition and   adolescent health services, and
5. expansion of services in the BMPHS.

The investment case aims to improve access to care for the most vulnerable through deployment of services in rural and hard-to-reach areas; ensuring that maternity services are free at the point of care; and utilizing a results-focused framework and fee-for-services to improve efficiency in service delivery.