Immunization Financing Assessment : Nigeria
Nigeria has the highest population of unimmunized children in the world and is one of few countries with less than half the population covered with essential health services. Low coverage of services poses a threat to the health and well-being of N...
| Main Authors: | , , , , , , , |
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| Language: | English |
| Published: |
World Bank, Washington, DC
2021
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| Subjects: | |
| Online Access: | http://documents.worldbank.org/curated/en/372581617945522131/Nigeria-Immunization-Financing-Assessment http://hdl.handle.net/10986/35422 |
| Summary: | Nigeria has the highest population of
unimmunized children in the world and is one of few
countries with less than half the population covered with
essential health services. Low coverage of services poses a
threat to the health and well-being of Nigerian children,
but this threat becomes even more pronounced against a
backdrop of the ‘health financing transition’, including the
transition from support from the Gavi Alliance, the main
source of financing for the country’s immunization program.
The Nigeria Immunization Financing Assessment shows how the
factors at multiple levels of government and the health
system interact to affect four dimensions of health and
immunization financing: adequacy; sustainability;
efficiency; and predictability. The findings informed the
design of the Nigeria Strategy for Immunization and PHC
System Strengthening (NSIPSS), which will be used to guide
the country as it transitions from Gavi support. This paper
emphasizes the need to implement the NSIPSS in close
coordination with the current reforms underway in the health
sector. Currently, the government of Nigeria is piloting
reforms at federal, state, and local levels to fast track
implementation of the National Health Act, which aims to
bring additional and ‘smarter’ domestic resources for health
to the facility level. Also needed are systematic linking of
health plans to budgets, more efficient allocation of
resources, coordinated advocacy, exploration of demand-side
barriers to service delivery, capacity building, and
strengthened accountability mechanisms that ensure
investments in health lead to improved health outcomes. A
transition planning process that is grounded, backed by
evidence, monitored and adapted regularly, and backed by the
highest level of the government of Nigeria will be critical
for changing the trajectory for the children of Nigeria. |
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