Previous Programme Estimates:
- Start Up Programme Estimate (SUPE): 15 May 2013 – 14 November 2013 (6 Months)
- First Operational Programme Estimate (OPE1): January 3, 2014 – July 2, 2015 (18 months)
- Proposed Operational Programme Estimate (OPE2): July 3, 2015 – October 2, 2016 (5 months)
Context of OPE2
- National Health Bill Passed
- Supporting SPHCDAs function is paramount – related the EU-SIGN’s role to increase eligibility of States to benefit
- GAVI Transition
- Bill and Melinda Gates Foundation
- Other Partners CHAI, McKinsey, Dangote, DFID, USAID, UN
- NPHCDA and NPC huge commitment and support
- Built on gains made in PHC and RI in support of PHCUOR and the National Routine Immunisation Strategic Plan (NRISP) by NPHCDA – improvement of cold chain capacity and vaccine supply (PUSH)
- Integrated supportive supervision has been scaled up nation-wide; partner coordination is strong
- Nigeria has successfully introduced pentavalent vaccine nation-wide and is phasing in pneumococcal vaccine (PCV) and Inactivated Polio Vaccine (IPV)
- The number of States having State Primary Health Care Development Agency (SPHCDA) is increasing
- The TAT has been integrated into all RI Technical Working Groups at national and 23 States and FCT.
Coverage and Scale Up of Interventions in OPE2
- The technical activities planned for implementation in OPE2 tailored in majority of instances for full coverage of the 23 focal States and FCT, all the LGAs and in 30-50% political wards targeted based on EU equipment sites (1,048 sites where the project is supplying direct solar drive refrigerators, other cold chain equipment and transport).
Key Activities under OPE2 include:
- Support the establishment of SPHCDAs in states where they are none existent (Anambra, Ebonyi, Edo, Akwa Ibom, Cross River, Plateau and Osun States). The STAs, with technical guidance from the TAT, will be supporting the states technical team in the development of Bills that will be sent to the States’ Houses of Assembly for this purpose. The STAs will advocate and follow-up with relevant bodies and officers to ensure that this bill is passed by the State House of Assembly (SHA) and assented to by the State Government for implementation.
- Identify and strengthen the weak areas of PHCUOR 9 pillars for sustainability, efficiency and effectiveness. This will be the main activities for the SPHCDAs since 18 EU-SIGN States (75% administrative data) have established SPHCDA. It is therefore important to note that the greatest challenge or workload for OPE2, unlike OPE1, is not that of establishment but strengthening the SPHCDA and sustaining its functionality.
- Build management capacity of PHC Managers at the SPHCDA to strengthen planning, organisational, quality of care, budgeting skills and social accountability
- Support national and states to hold biannual or quarterly health (PHC/RI) reviews on the performance and functionality of the Zonal Health Boards shall be carried out and funded by the States
- Improve management practices through mentoring and on-the-job training
- Improve data quality, decision making, prioritisation, performance monitoring and accountability
- Providing IT infrastructure as an enabler for a scale up of DHIS (District Health Information System) within the National Health Information System
- Ensuring reliable and sufficient funding for immunisation operational funds.