VFM support for Maternal Newborn and Child Health (MNCH2)​

Nigeria

The Project

Nigerian Maternal Newborn and Child Health (MNCH2) is a five-year DFID funded programme delivering maternal, newborn and child health interventions. The programme aims to strengthen health system coordination through improved health sector planning and financing, in six states in Northern Nigeria. MNCH2 works with community, organizations, local and state government, health practitioners, and more to improve the lives of women, children and families.

Since inception of the programme, LAMP developed a VFM strategy which set out the metrics and evidence to measure and monitor VfM. It is based on the MNCH2 results framework and covers economy, efficiency, effectiveness, equity and sustainability throughout the programme cycle.

LAMP designed and implemented a Value for Money approach within MNCH2, including building up the capability of the programme team and developing a VfM plan to ensure objectives are met. Costs were benchmarked from data available from previous DFID Health projects such as PATHS 2 and PRINNN-MNCH. The capacity of the technical and operational staff across the states and HQs was built not only to understand the practical aspect of VFM but to embed VFM considerations in daily operations of MNCH2. LAMP developed data collection tools to help states to accurately capture information about cost savings, government contributions and unit costs of workhops and trainings.

Through quarterly and annual reviews, LAMP supports MNCH2 monitoring and reporting at state level, to measure efficiency of the programme and give recommendations to maximise use of resources and drive continuous improvement year on year. Early results are promising, with administration costs falling under 15% of total programme costs and the unit cost of supporting a health facility lower than benchmarks.

Impact

  • MNCH2 is working in six states in northern Nigeria to strengthen health systems and save lives
  • LAMP supports MNCH2 in monitoring and reporting on VfM on a routine basis
  • Over 100 programme staff accross all six States have completed training which received positive feedback "this is the first VfM training which shows us how it works in practice, rather than just concepts"

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
  • 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
  • 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

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