According to a case study by the The State Accountability and Voice Initiative (SAVI), MNCH members analysed the Jigawa State 2013 Ministry of Health budget and found that free maternal, newborn and child health services, nutrition and the Drug Revolving Fund were all lumped together in the same budget line. They organised a round table discussion with Ministry of Health and other relevant stakeholders to discuss their analysis and make recommendations for the 2014 budget. One of these was for a separate budget line for free maternal, newborn and child health services. When the budget was released in 2015, this recommendation had been followed.

NA

NA

According to Health Partners International, a major aspect of PRRINN-MNCH was to mitigate the weakness and fragmentation of the health system. To address this Primary Health Care Under One Roof (PHCUOR) was rolled out to enhance coordination, collaboration, effectiveness and efficiency as well as eliminating constraints, fragmentation, managerial uncertainty and wastage of resources. PHCUOR becoming national policy in 2011 and 23 states adopted the policy. PRRINN-MNCH also sought to improve access to financial resources in the health sector, which included major financing reforms with significant impact on government’s health budgeting and planning, particularly by bringing all financing under a single budget. To strengthen PHC delivery in Zamfara state a pooled fund (called the Basket Fund) was created. State, local government and development partners all contributed to the pool fund, which was used for tasks such as supervision, vaccine distribution and outreach services. PRRINN-MNCH rolled out the District Health Information Systems 2 (DHIS2) across implementation states, in collaboration with Health Information Systems Program – Nigeria (HISP Nigeria) and also successfully pioneered the use of the mobile version of the software. At the end of the project all four PRRINN-MNCH states were using DHIS2. PRRINN-MNCH developed and implemented a human resource information system (HRIS) that was used to capture baseline HR information, plan for equitable distribution of health workers within an affordable envelope and support administration of human resources. The HRIS empowered state managers to address problems such as ghost workers, absenteeism and maldistribution and shortage of health workers, especially female health workers. According to Transaid, the establishment of the Emergency Transport System in Katsina, Yobe, and Zamfara was done through PRRINN-MNCH.

According to the final report, the project exceeded all three indicators of success associated with maternal health. The first indicator was the percentage of pregnant women who received two or more doses of intermittent preventive treatment (IPT). The report noted that the Project surpassed the target by over 110% and reflected a significantly higher proportion compared to non-project sites where only 41% of pregnant women received 2+ doses of IPT. The second indicator was the percentage of pregnant women who slept under bed net night before the survey. The report noted that he actual value at the end of Project surpassed the target by 47%, which was significantly higher than the 48% rate of pregnant women in non-Project sites who slept under an ITN the night preceding the survey. The final indicator of success was the number of direct Project Beneficiaries of which female. According to the report, the target was attained well before the end-of Project household survey was conducted.