PACFaH@Scale (PAS) continues to advocate for upscaled investment in child healthcare by the government of Nigeria and its partners to reduce negative health indices in Lagos, Kaduna, Kano and, Kaduna States respectively.
Through its network of grantees, a multi-pronged strategy is being implemented, to leave no one behind, as duty bearers and state actors in the health sector are being influenced to invest not only the requisite funding, but human and technical resources needed to provide essential first mile health services across Nigeria
In Kano state, the coalition on the 6th of August 2019 conducted an advocacy visit to the governor of His Excellency, D.r Umar Ganduje. During the advocacy visit, the Kano PAS coalition secured the commitment of the governor to set up the governing board for the state primary health care board which the coalition is currently following up on.
The Kano advocates also conducted an advocacy visit to the executive Secretary of the Kano State Primary Healthcare Development Agency, KSPHCMB and the director family health of the agency on the 2nd August 2019.
In Kaduna State, the PAS Coalition conducted an advocacy visit to the permanent secretary ministry of health on the 7th August 2019 and on the 23 August, 2019 conducted and advocacy visit to the deputy Governor of the state. They participated in the Kaduna state university faculty of social science 2019 international conference with the sub theme Healthcare, Service delivery and quality of life and Assessment of the 255PHCs in Kaduna state.
In Niger State, the coalition met with the Permanent Secretary of the state’s budget and planning ministry and the Executive Secretary of the state primary healthcare development agency.
In Lagos state, the Advocates visited the Permanent Secretary and the Commissioner for Health, Mrs. Dr. (Mrs) Titilayo Goncalves. And Professor Akin Abayomi respectively to advocate for an executive order to remove the barrier posted by the age of consent to young people accessing family planning services in the state.
In all these states, the advocates got commitments from the duty bearers and political leaders for improved funding, timely releases and removal of barriers militating against child and family health in their various states.
The growth and development of people is the highest calling of leadership. People management is crucial for ensuring business performance and sustainability. The PAS project aims strengthen the capacity of policy implementers to increase evidence based policy implementation at government level in October 2019.
The participants will gain the knowledge needed to bring out the best in the people they manage. The trainees will have the opportunity to assess their strengths and development areas, to make them better at communicating and giving feedback, motivating teams, and managing change.
Delegates will gain knowledge and practical skills to enable them to achieve positive results from their people and will have an opportunity to analyze and modify their approach to leading and managing people.
Middle level cadre health policy implementers with a role of overseeing other people’s performance
By the end of this course, the participants will be able to:
•Set clear performance objectives that lead to optimal results
•Develop and motivate teams
•Formulate and execute organizational performance management strategy
•Apply appropriate management style
•Demonstrate the role of emotional intelligence skills in performance management
- Overview of strategic Management
- Overview of Management and leadership styles – Team management
- Overview of communications
- Performance Management (PM Cycle, goal setting and performance planning)RBM
- Effective delegation and performance Monitoring
- Performance management and feedback
- Staff development and motivation
- Situational leadership (Leadership models, levels of development for teams, leadership styles)
- Coaching, conflict resolution, and handling difficult situations
- Overview of HR Management
- Finance Management
The coalition of health Advocates, under the Partnership for Advocacy in Child and Family Health at Scale (PACFaH@Scale) project, met for 2 days to review the 2019 Goalkeeper Report of the Bill and Melinda Gates Foundation (BMGF) and to draw lessons for Nigeria.
Mr. Turwait Michael Otu, one of the winners of the 2019 Goalkeepers award was present during the meeting.
The coalition disclosed that while recognizing the importance of the Report’s sub-themes on – climate adaption; gender inequality; digital inclusion and data exploration, they focused specifically on the implications of the healthcare delivery section of the report for Nigeria, as the challenges facing healthcare delivery is of direct focus for the PACFaH@Scale project, funded by the Bill and Melinda Gates Foundation.
‘As the Federal government of Nigeria prepares to submit the 2020 Annual Budget, it behooves us to use this medium to draw the attention of government the opportunity of strengthening healthcare delivery through the mechanism of Universal Health Coverage (UHC) within the framework of Primary Healthcare Under One Roof (PHCUOR) policy.’ They said
The coalition described Universal Health Coverage, UHC and Primary Healthcare Under One Roof, PHCUOR as complementary policies that can transform health care delivery in Nigeria if adopted in full and budgeted for in national and state-level 2020 health budgets.
The coalition, therefore, calls Ministries, Departments, and Agencies (MDAs) at national and state levels to expand universal health coverage within national and state-adopted Primary Healthcare Under One Roof policies by doing the following:
- Provide adequate and sustainable funding for universal health coverage within the framework of the PHCUOR policy within national and state-level budgets
- Strengthen UHC and PHCUOR platforms and assessment mechanisms with full civil society participation including groups representing women, youth and traditional and faith leaders
- Provide high levels of technical and management support to State Primary Health Care Boards (SPHCBs) to roll out and implement key pillars of the PHCUOR policy
- Ensure full transparency, a community of practice and shared learning around the important pilot of the Basic Health Care Provision Fund
- Domesticate, disseminate and facilitate vibrant community-led conversations around new and soon-to-be-launched government policies with implications for UHC and PHCUOR
- Increase technical compliance and efficient processes within national and state government MDAs to ensure results based allocation and timely releases of appropriated funds to support UHC service delivery within a strengthen PHC system
They also expressed their belief that these recommendations are cost-effective, implementable and well within the capacity of Nigeria’s health decision-makers. This is a vision held by youth such as Mr. Micheal Turwait Out, a Nigerian BMGF as 2019 Goalkeeper and the health advocates of the PACFaH@Scale project.
Sub-grantees of the Partnership for Advocacy in child and family Health At Scale (PACFaH@Scale) across the country are partnering with the National Primary Healthcare Development Agency (NPHCDA) and the Nigerian Governors’ Forum (NGF) and other partners to conduct assessment of Primary Healthcare Centers (PHCs) in the 36 states of the Federation and the Federal Capital Territory (FCT), and to develop a national Primary Healthcare Under One Roof Policy (PHCUOR) scorecard 5 for Nigeria.
According to the Deputy Director in the NPHCDA, Mr. Adeniyi Ekesola, the level of implementation of the PHCUOR policy is monitored through a national scorecard assessment exercise covering all thirty-six states and the FCT.
‘’The Scorecard assessment is an annual exercise to continuously review the progress made in the implementation of PHCUOR policy, a key component of the National Health Act 2014, in every State and the FCT. The annual assessment measures the progress made on the nine pillars towards achieving the full implementation of PHCUOR policy.’’ He said
He added that the scorecard 5 followed successful conduct of the scorecard 4 In May/June 2018. The analysis and results of the Scorecard 4 Assessment, according to him have been shared with all 36 States Primary Healthcare Development Agencies (SPHCBs) and the federal capital territory healthcare development agency ( FCTPHCB), as well as other major stakeholders at different forums to enable them make informed decisions to improve the level of implementation of PHCUOR and PHC services in general.
‘’Arising from the above, NPHCDA and partners will conduct the Scorecard 5 Assessment in the second, third and fourth weeks of September 2019 in three consecutive phases and with the following expected outcomes.’’ He added
The expected outcomes of the assessment exercise are:
- To identify areas of strengths, best practices, gaps and challenges in each state
- To make recommendations to guide States and partners in targeting support for improvement
- To produce a scorecard as an advocacy tool for engaging policymakers including State Governors as well as other PHCUOR actors in all States to improve political commitment and funding for effective Primary Health Care (PHC) implementation to enhance the rapid achievement of Universal Health Coverage (UHC)
- To develop, print and disseminate a report that provides a guide for States and the FCT to request technical support from NPHCDA and partners to improve their performanceThe Scorecard 5 Assessment in every State will be carried out by a team of officers led by a Lead Assessor from Abuja, one NPHCDA State Coordinator and officer(s) from our partners. The assessment will cover the State Ministry of Health, the State PHC Board, three selected LG Health Authorities (LGHAs) and one PHC Centre in each of the three selected LGHAs in the State.
PAS sub-grantees are part of the assessors that are currently working in the 8 states where the project is being implemented.
A 2-day training supported by the PAS project was earlier carried out at the PAS training center for all the assessors from the 36 states and the FCT prior to the commencement of the national exercise on the 23rd of September 2019.
The Society of Obstetrics and Gynaecology, SOGON, under the Partnership for Advocacy in child and family Health at Scale, PACFaH@Scale is partnering with the Federal Ministry of Health, FMoH, and other relevant stakeholders to review the existing Family Planning, FP blueprint to include accountability framework and CSO engagement as a component in the blueprint.
SOGON-PACFaH@Scale project Director, Dr Habib Saduaki told The Health Advocate that partnership is meant to ensure the actualization of the modern contraceptive prevalence (mCPR) target of 27% for all Nigerian women of reproductive age.
‘One of the gaps we identified was the absence of the accountability framework and CSOs engagement component of the FP Blue Print. Thus, the Federal Ministry of Health through the Reproductive Health Division (under the Child and Family Health Department) sort to consult with experts, key stakeholders and development partners in the FP landscape to review the existing FP Blueprint. The outputs from this strategic meeting will snowball into the publication of the revised FP Blueprint. The outputs from these strategic meeting will snowball into the publication of the revised FP Blueprint.’ He said.
It was as part of this strategic collaboration that SOGON-PACFaH@Scale team attended series of meetings from 15th August, 2018 to 28th of August 2019 at the Federal Ministry of Health to commence the review the Nigeria FP Blueprint.
Subsequently, the stakeholders continue to meet to review the National FP situation and deliberate on lessons learned, quantitatively project National mCPR annual targets for the next five years, developed broad approaches from lessons learned and other innovations to achieve the projected mCPR targets, and to identify available resources partnerships to implement these approaches.
It was at that meeting that SOGON -PACFAH@SCALE@SCALE Project team highlighted the non-existence of accountability clause in the current Blueprint and formulated objectives and strategies on how to introduce a robust accountability mechanism in the revised FP Blueprint; which will involve the inclusion of Civil Society Organizations (CSOs) in the implementation, monitoring and evaluation processes of the Blueprint.
The SOGON -PAS team in conjunction with other Advocacy focused organizations, also reviewed the final draft of advocacy, accountability framework and CSOs engagement thematic area of the revised Blueprint submitted by the consultant. At the end of this meeting the RH TWG schedule the next meeting for end of September this year. It is important to note that all meetings were chaired by the Director Reproductive Health – Dr Kayode Afolabi and were held in plenary.
Meanwhile, following the validation meeting of the FP Blue print, SOGON-PAS project team will continue to follow -up with the Director of Reproductive Health, FMOH for the launch of the revised document. Already, SOGON -PAS project team have offered to support the FMOH in printing and launching of the FP blue print. In the meantime, SOGON-PACFAH@SCALE has begun the discussion to revisit the issue of AA/RM which was not captured in the final draft document.
•As PAS subs RI platforms in Kano, Kaduna, Niger, and the Lagos States
In Kano State, Medical Women Association of Nigeria (MWAN) and the Women in Media Communication Initiative (WIM), two subgrantees of the development Research and Projects Centre’s Partnership for Advocacy in child and family Health At Scale, PACFaH@Scale have been selected to serve as SERICC’s Desk Officer for the 6 zonal offices in the state and as social mobilization TWG member respectively.
These sub-grantees also attended 3 SERICC meetings in September 2019 (9th, 11th, and 13th) where they were assigned the responsibility of supportive supervision at zone level, local government and health facilities. The sub-grantees also contributed to the review of third-quarter Reach Every Ward (REW) micro plan submitted by LGAs and the compilation of the LGA REW micro plan into state micro plan
The sub-grantees have also conducted an advocacy visit to the Executive Secretary SPHCMB to intimate him about their activities at the Kano SERICC team.
The sub-grantees play significant roles across the RI platforms through holding the government to accounts to account at local, state and federal levels, policy documentation and technical inputs. Their participation was aimed at contributing to the reduction of negative health indices affecting PAS states of intervention on routine immunization.
The 2018 NDHS revealed the percentages of children who received all basic childhood vaccinations across the 4 states of PAS as Lagos (62.4%), Kaduna (21.8%), Niger (23.3%) and Kano (34.3%). Such figures leave a lot to be desired and depict the need to upscale investment in child health by the GoN and its partners.
All the sub-grantees are involved in the different coalition and accountability platforms as vital stakeholders in the advocacy for improved RI coverage across all levels of government. These platforms include; National and States’ Emergency Routine Immunization Coordination Centre (NERICC/ SERICC) at national, states and local government levels.
Through these platforms, our sub-grantees continue to hold governments, at various states, to account for their commitments to funding routine immunization and policy implementation and advocacy through the media and community gatekeepers.
Apart from Kano state, other sub-grantees continue to participate in SERICC, LERICC and NERICC activities.
In Kaduna state, Maintaining Family Care and Empowerment Initiative Group (MAFAHSU), secured membership of the Local government Emergency Routine Immunization Coordination Centre, LERICC in Zaria local government Council, while the National Association of Nigerian Nurses and Midwives (NANNM), as well as MAFAHSU, attended the first SERICC meeting at state level following directives by the Deputy Governor for CSOs to be included in SERICC after an advocacy visit to Her Excellency.
MAFAHSU and NANNM advocated for cash releases to support RI activities in the state in recent of low RI coverage indices. They also lamented about the unavailability of RI data to inform decision making processes, coupled with improper and untimely disbursement of funds and RI consumables. The groups continue to engage other stakeholders to participate fully in RI through community mobilization, public enlightenment, and demand creation.
In Lagos State, the Child Health Advocacy Initiative (CHAI) was initiated into the Lagos SERICC team on 2nd September 2019.
In Niger State, the Centre for Communication and Reproductive Health Services (CCRHS), Federation of Muslim Women’s Association in Health (FOMWAN) and National Association of Nigerian Nurses and Midwives (NANNM) CCRHS attended 2 SERICC meetings, while FOMWAN and SERDEC attended 7 and 2 meetings each respectively. All the meetings were held on September 2019. The Advocates also engaged in community mobilization and media advocacy engagements during the period.
The various sub-grantees have functional roles to play in the SERICC teams. The inclusion of the sub-grantees across the RI state platforms will help improve the capacities of Nigerian CSOs in building and maintaining cordial working relationships with government bodies and other stakeholders on public accountability, advocacy for more funding by GoN in RI to reduced childhood morbidity and mortality. The active involvement and contribution of the CSOs on the various RI platforms also align with the PAS project’s intermediate outcome of increasing accountability for utilization of RI funds across the states.