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 number-crunching and the organization of data was excellent.

- Senior manager - M&E, KEEP

LAMP Projects

Location: Nigeria

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

LAMP was commissioned by E4A to produce a case study identifying how allocation and release of funding for Reproductive, Maternal, Newborn, and Child Health changed between 2019 to 2021 in Bauchi, Niger, and Lagos States, and assess the extent to which the COVID-19 pandemic contributed to these changes.

View Project
Location: Multi-country

ARISE NTD Coverage Evaluation – Cost Analysis

Neglected Tropical Diseases (NTD) can be prevented, controlled, and eliminated by an appropriate combination of interventions, if appropriate tools and commodities are available. A fundamental step for monitoring the success of NTD programmes is to know the coverage of preventive chemotherapy distribution. The Children’s Investment Fund Foundation (CIFF) has commissioned Kantar to conduct a coverage evaluation survey to its […]

View Project
Location: Nigeria

Hard To Reach Maternal Newborn & Child Health VFM analysis

LAMP was commissioned by WHO to undertake a cost outcome assessment of the hard to reach (HTR) maternal newborn and child health (MNCH) programme in six States in Northern Nigeria. The $28m programme was funded by Bill and Melinda Gates Foundation (BMGF) and was implemented by WHO and UNICEF in Kaduna, Kano, Katsina, Bauchi, Yobe […]

View Project
Location: Multi-country

Women’s Integrated Sexual Health Programme (WISH2ACTION)

LAMP is working with W2A to help embed a comprehensive VfM approach across the programme. This is in line with the value for money initiative of the UK FCDO, which aims to ensure greater accountability and impact in spending on overseas development aid.

View Project

Let's Collaborate!

Whether you're an organisation wanting to improve your efficiency and effectiveness, a consultant with skills and expertise to share, or if you just want to find out more about our work, we'd love to hear from you. 

Contact Us