A six-day event was organized from the 27th November – 4th December 2017 by the National Primary Healthcare Development Agency (NPHCDA) for the mid-term review of the Nigeria State Health Investment Project (NSHIP). The event was a joint effort of the Federal Ministry of Health (FMOH), NPHCDA, World Bank and HSDF and included field visits to the 3 NSHIP implementation States (Adamawa, Ondo and Nasarawa States). Participants in the review activities included the Honourable Minister of Health; the Executive Director, NPHCDA; Honourable Commissioners of Health; and other development partners.
NSHIP is a World Bank assisted project implemented by the National Primary Health Care Development Agency (NPHCDA). The NSHIP framework provides results based incentives especially at service delivery points to increase the delivery, use, and quality of high impact maternal and child health interventions. Since its commencement in November 2011 in 3 pilot LGA across the participating states, the NSHIP project is now being implemented across 1392 facilities in all local governments of the States. With approval of additional financing by the World Bank, the project proposes to scale up to five states in the North East (NE) of Nigeria (Bauchi, Borno, Gombe, Taraba, and Yobe).
Project midterm implementation data indicates some improvement in key output indicators such as number of fully immunized children, skilled birth attendance, an increase in the quality improvement scores of facilities, and an improvement in community engagement and ownership. Consequently, a midterm review was essential to validate and present systematic evidence on the successes, challenges, opportunities and lessons learnt over the three years of implementation. Results of the review will facilitate the development of new implementation, sustainability and scale up strategies and corrective actions going forward.
HSDF developed a framework for the review process which articulates issues on design, processes, tools, execution, roles of all stakeholders, and impact of results on the health system including policy and sustainability. It also developed a four domain (financial, institutional, programmatic and political) sustainability roadmap to be adopted by States to ensure that gains so far are sustained.