PRRINN-MNCH Annual Review

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This review is a DFID annual review of two projects that have been combined: the DFID-funded Programme for Reviving Routine Immunisation in Northern Nigeria (PRRINN) project and the Norwegian-funded Maternal, Neonatal, and Child Health (MNCH) project.

Particular successes include:

  • the basket fund in Zamfara state demonstrating that funds can be transparently managed there
  • the appreciation expressed by the state governments of Zamfara and Jigawa for capacity building elements of the project, demonstrating their willingness to participate in the process of transparent government
  • human resource audits with fulltime HR units established within each State Ministry of Health, demonstrating real progress in HR planning in all states
  • costing of the Minimum Service Package (MSP) in each state
  • posting of 96 midwives per state through the Midwife Service Scheme (MSS)
  • increasing demand for routine immunisation and a programme survey indicates a doubling of routine immunisation rates for the four states (albeit from a very low base)

The biggest problems remain:

  • tracking the release and expenditure performance of budgets at every level (federal to state to LGA)
  • an overly complex health architecture across Nigeria
  • a lack of trained health personnel, particularly midwives


PDF - 960 KB

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