Transformer les soins de santé à travers l'Afrique.

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National Health Financing Policy Dialogue

Location

Nigéria

Project Overview

Sustainable improvements in health outcomes depend on strong financing systems that ensure healthcare services are adequately funded, accessible, and responsive to population needs. As Nigeria continues its journey towards Universal Health Coverage (UHC), effective policy dialogue is essential for aligning stakeholders around shared priorities and building consensus on health financing reforms.

With support from the Global Fund, the Health Strategy and Delivery Foundation (HSDF) facilitated the National Health Financing Policy Dialogue, providing a platform for policymakers, technical experts, development partners, and health sector leaders to engage in discussions on the future of health financing in Nigeria.

The initiative sought to strengthen collaboration across the health sector, promote evidence-informed decision-making, and support the development of policies and strategies that would improve the efficiency, sustainability, and equity of healthcare financing.

By fostering constructive dialogue and stakeholder engagement, the project contributed to national efforts to build a more resilient and better-funded health system.

Nigeria’s health financing landscape is characterised by multiple funding sources, competing priorities, and significant resource constraints. While progress has been made in expanding healthcare access, challenges remain in ensuring sustainable financing, reducing out-of-pocket spending, and improving the efficiency of health expenditures.

Addressing these challenges requires coordinated action among government institutions, development partners, private sector actors, and other stakeholders. However, achieving alignment across diverse interests and perspectives can be complex without structured platforms for engagement and dialogue.

Weak health information systems often limit governments’ ability to monitor programme performance, identify service delivery gaps, and allocate resources effectively. Inconsistent data quality and limited use of routine health information reduced the ability of health managers to make timely, evidence-informed decisions.

There was a need for stronger systems that could improve data quality, institutionalise performance monitoring, and promote accountability across the health sector.

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Our Partners

Collaborating with trusted institutions to drive lasting impact across Africa.

Reducing maternal deaths through strengthened emergency obstetric care. Postpartum hemorrhage remains one of the leading causes of maternal mortality in Nigeria. HSDF’s PPH Bundle Project focuses on improving the quality of maternal health services by equipping frontline health workers, enhancing data-driven decision-making, and strengthening systems that support rapid, life-saving care.

Notre approche

A comprehensive approach to assessing implementation effectiveness, beneficiary outcomes, and opportunities for programme improvement.

The project begins with extensive engagement of key stakeholders, including government agencies, implementing partners, healthcare providers, community representatives, and beneficiaries. This phase examines how the health insurance expansion was designed and implemented, assesses coordination mechanisms, and identifies factors influencing programme delivery. The assessment provides a comprehensive understanding of the operational environment and implementation processes across the five target states.

The process evaluation focuses on determining how effectively Global Fund support has facilitated the expansion of national health insurance coverage for vulnerable populations living with HIV and TB. It assesses programme implementation fidelity, enrolment processes, awareness and knowledge of available healthcare services, accessibility of benefits, and challenges encountered during rollout. Findings will highlight strengths, gaps, and opportunities for improving programme delivery.

The impact evaluation measures the outcomes of expanded insurance coverage on beneficiaries. It examines insurance utilization patterns, access to healthcare services, financial protection against healthcare costs, and changes in health outcomes among enrolled individuals. By comparing key indicators before and after programme implementation, the evaluation will determine the extent to which the intervention has achieved its intended objectives.

The final phase synthesizes findings from both the process and impact evaluations to generate actionable evidence for policymakers, donors, and programme implementers. Lessons learned, best practices, and strategic recommendations will be developed to strengthen future health insurance expansion efforts, improve service delivery, and support sustainable health financing solutions for vulnerable populations across Nigeria.

Project Activities

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