E4A Mamaye – Health Financing case-study in 3 states in Nigeria

Nigeria

The Project

Client: Options

Dates: March – April 2021

Project Description: Since starting in 2012, the Evidence for Action (E4A) programme has used a combination of evidence to drive accountability for maternal and new-born health outcomes. In 2021, across the three states supported by E4A, reports indicated that funding for healthcare interventions and programmes, including Reproductive, Maternal, Newborn, and Child Health (RMNCH), were affected by the COVID-19 pandemic. However, the extent to which funding was affected, and whether funds remained within the health sector or had been diverted to other sectors, was not clear. Structured information-gathering on what facilitated or hindered funding for RMNCH during the pandemic was therefore required to better inform decision-making by government, civil society and other relevant stakeholders.  

Our Role: E4Acommissioned LAMP to conduct a case study to identify how allocation and release of funding for RMNCH changed between 2019 to 2021 in Bauchi, Niger, and Lagos States.It aimed to identify how allocation and release of funding for RMNCH changed in the year preceding the COVID-19 pandemic and during the pandemic and to assess the extent to which the COVID-19 pandemic contributed to these changes. Specifically, it aimed to pinpoint the decision-making process that informed funding choices, including how they were influenced by advocacy/accountability efforts of the State-Led Accountability Mechanisms (SLAMs), and to understand the impact these adjustments had on the delivery and take-up of RMNSHC services.  

LAMP utilised a mixed methods approach. Both quantitative and qualitative data collection tools were developed, and data collection was carried out using cost templates and key informant interview guides. The data was cleaned and analysed, and key findings were summarised in a report which was reviewed with the E4A team before the final case study report was produced.  

Team Members: Adesoji Ologun, Nura Musa, Temitope Oke, Jennifer Armitage  

Impact

  • LAMP’s case-study enabled E4A and relevant stakeholders to understand how the COVID-19 pandemic affected RMNCH funding. E4A is now using this to inform programming for the coming year and will be implementing LAMP’s recommendations  with their partners and government stakeholders. 
  • LAMP’s team used its in-depth experience of health financing in Nigeria to overcome challenges such as tight deadlines and having to undertake data collection with limited access to stakeholders. LAMP adapted its approach during implementation to ensure sufficient high-quality data was collected and used regular feedback to E4A to ensure the development of relevant and informative analysis. 

Client Testimonial

  • The framework was very well received by the team. The engagement was carried out in a planned, consultative and thorough manner.  LAMP’s communication style, interaction with partners, response timeliness are all excellent.

    - Solar Nigeria Programme (SNP)
  • LAMP’s project objectives were achieved, and we received positive feedback from DFID on the final output. The report led to some interesting discussions with DFID and between partners. The number-crunching and the organization of data was excellent. I think we worked very well together. Jennifer and Susie were always prompt and responsive.

    - Senior manager – M&E, KEEP
  • We worked with LAMP for an evaluation of an adolescent suicide prevention project in Kazakhstan. LAMP were very professional in defining the scope of the cost-effectiveness stream of work, in dealing with the client, and in delivering within a quick time-frame when the data did arrive! We would work with them again. 

    - Health Team Leader, Itad
  • Lamp Development provided expertise to help shape our VFM Approach. They worked in a collaborative style, built a strong working relationship with staff and produced practical outputs which is exactly what we asked for. The outputs have already been used by our Project Managers to improve how we report VfM within on-going projects and words have also been included to increase our VfM scoring within bids. Thanks for all the help!

    - Practice Lead, Governance and State Building, Crown Agents
  • The analysis LAMP made on the case study was very useful for the implementing partners and for users of the report to see the impact of the interventions in monetary and statistical terms. The benefits of both interventions were clearly seen. LAMP were very proactive in data collection and were flexible with regards to challenges in obtaining required data; they were quick to come up with alternative methods to capture data and were able to make use of the limited data available.

    - Crown Agents

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