WHO Region: African region
World Bank Income Group: Lower-middle-income country
Gavi Co-financing Status: Accelerated transition
Immunisation System Highlights:
- Memoranda of Understanding (MOUs) between State governments and immunisation partners have moved many northern states with very low immunisation coverage toward greater sustainability through phased funding approaches. Through the arrangements, participating States saw their Pentavalent vaccine coverage increase as much as five-fold between 2015 and 2018.
- Nigeria implements supply-side performance-based financing to improve the quality of care and enhance equity in the delivery of maternal and child health care services, including immunisation.
- Nigeria’s National Primary Healthcare Development Agency (NPHCDA), WHO, and other partners have been working with traditional leaders in communities using their recently developed Community Engagement Framework (CEF) to counter vaccine hesitancy.
- In 2019, the Federal Government of Nigeria released NGN13.75 billion ($38.14 million USD) for the Basic Healthcare Provision Fund (BHCPF), which provides financing for a basic package of highly cost-effective interventions, including immunisation. This fund is critical for ensuring sustainability of the immunisation programme as the country transitions from Gavi and the Global Polio Eradication Initiative (GPEI) support.