The programme aimed to improve the planning, financing and delivery of sustainable and replicable primary health care services in Nigeria.
Better use of Nigeria’s resources has been critical to reduce poverty and accelerate progress towards attaining improved health goals. When the programme started, state and local governments were managing as much as 50% of national revenue and were responsible for most health services. The Partnerships for Transforming Health Systems (PATHS) was a UKAid-funded programme which strengthened state and local government health sector systems. The programme ran for two phases and aimed to improve the planning, financing and delivery of sustainable and replicable primary health care services in the states of Enugu, Jigawa, Kaduna, Kano and Lagos.
Options supported citizens and civil society to hold service providers and governments to account for better services, and fostered a health system that responded to the communities’ needs. We used both ‘long-route’ and ‘short-route’ approaches to strengthening accountability through the programme:
We used community scorecards to assess community participation in health, training and mentoring Facility Health Committees, supporting NGOs to track progress in improving health service delivery.
Facility/Ward Health Committees established, trained and mentored
We were awarded a Leadership Excellence Award for health systems reform in Nigeria.
"The primary health care facility used to have less than 15 people in attendance but now in a month they record attendance of over 150 people."
Options worked with PSI in Rwanda to gain a more in-depth understanding of rural sex workers and rural youth.
Strengthening CSOs to implement advocacy and behaviour change activities to improve neonatal health, family planning, safe abortion, STIs and HIV/AIDS