Photo credit: Simi Vijay/Marie Stopes International

Improving health outcomes for the poorest and most vulnerable in Nigeria

Nigeria has a high disease burden driven by poverty and inequality as well as a weak health system, characterised by chronic under-funding. Compared to countries of similar level of development its progress towards universal health coverage is poor. The Government of Nigeria has set out a vision for human capital development which includes significant investments in health alongside education, nutrition and labour force participation.  Currently, Nigeria ranks among the worst performing countries on the human capital index.

The UK Support to Health in Nigeria - Lafiya programme is the UK’s flagship health programme in Nigeria. The objective of the Lafiya programme is to improve health outcomes for the poorest and most vulnerable in Nigeria by working with the Government of Nigeria to increase resources invested in health; improve the effectiveness and efficiency of public and private basic health services and increase the modern contraceptive prevalence rate. The programme works at Federal and State levels (Borno, Jigawa, Kaduna, Kano and Yobe).

As a core member of the Lafiya consortium, we are responsible for increasing the demand for affordable basic health services and enabling civil society to advocate for the government to prioritise health as a key component of human capital development.

We are doing this by:

  • Supporting targeted, data-driven and clearer communications to support political advocacy on human capital with a focus on health.
  • Identifying and cultivating change agents who can advocate for increased investment in health as part of human capital development.
  • Tracking state-level government human capital commitments to hold decision makers to account.
  • Strengthening existing mechanisms for health entitlement communication, facilitating inclusive community participation and strengthening community accountability.
  • Strengthening civil society engagement with the implementation of the Government of Nigeria’s Human Capital Development vision

The programme is led by Palladium, and alongside Options, consortium partners include the Society for Family Health, Chatham House, Solina, CHECOD and PharmAccess. The programme is funded by UK aid from the UK government. 

Our experts

  • Sarah Fox
    Sarah Fox is a health economist with over ten years’ experience in health systems strengthening and health financing across more than 20 low and middle income countries. Sarah’s expertise includes support to health financing reforms, strategic planning and policy development, social franchising, results-based financing, costing and expenditure tracking. Much of Sarah’s work has been in the context of sexual and reproductive health and family planning programmes. Sarah has worked for Ministries of Health, both directly as an embedded technical assistant in Sierra Leone, and as a consultant in countries including Cameroun, Kenya, Liberia, Republic of Congo, South Africa, South Sudan and Tanzania.

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