According to a 2019 interview with the Managing Director of Society for Family Health, although a large proportion of the VHW program funds came from the the Bill and Melinda Gates Foundation, a significant component came from the government, via the Gombe State Primary Healthcare Development Agency (GSPHCDA), to support monthly stipends for the VHW scheme. They contributed 50% payment of N6000 monthly to the 1200 VHWs in 2017 and have taken 100% responsibility since 2018.

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Minister of Health, Prof. Isaac Adewole said, “The plan will give poor Nigerians access to affordable, quality health services.” The Federal Ministry of Health has made a provision for the revitalization of more than 10,000 PHCs in the 2017 budget, in addition to the 2,923 PHCs that development partners have committed to revitalizing. A month before the initiative was officially announced, The Federal Government said it had committed N550m to renovate 110 primary healthcare facilities in the country.

Research on maternal death review and surveillance yielded up to 8 recommendations on preventing maternal deaths at the Central Hospital in Benin City: (1) Recruitment/deployment of more doctors, nurses and anesthesiologist to the Intensive Care Unit (ICU) at the facility. (2) Ensure the availability of blood products at all times. (3) Regular training and retraining of health workers on basic and comprehensive emergency obstetric care. (4) Revitalize the emergency Cesarean Section (CS) pack system at the facility. (5) Regular sensitization of members of the public through paid radio and television advertisements on the importance of antenatal care uptake, complying with medical advice and delivering at a health facility. (6) Ensure proper supervision of Traditional Birth Attendants (TBAs) and mission houses by the relevant monitoring agencies. (7) Proper use of case management protocols for all obstetric cases. (8) Develop a synergy between the facility and the tertiary health facility in the State, the University of Benin Teaching Hospital (UBTH), to ensure the speedy transfer of referred patients in emergency situations.

Currently, WHARC notes that they have trained over three hundred (300) Healthcare Providers on the proper use of the MPDSR in these project States, printed over 1000 copies of the MPDSR National guidelines and have also inaugurated the MPDSR Committees in these health facilities. Also, WHARC said that they regularly support the monthly MPDSR review meetings held in these facilities.