LAFIYA Programme – Strengthening Budgeting and Planning at Federal and State Levels

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The LAFIYA programme is a DFID Funded programme delivered across Borno, Jigawa, Kaduna, Kano, Yobe and the Federal level with activities contextualized for each specific state instead of a “one size fits all” approach. The programme is being implemented by Palladium and its Consortium Partners – Society for Family Health, Options Consultancy Services Ltd, Centre for Health Economics and Development (CHECOD), PharmAccess, Solina and Chatham House.

The objective of the Lafiya contract is to improve health outcomes for the poorest and most vulnerable in Nigeria through the following interlinked outcome:

  • Increased resources invested in health, and prioritisation of health by Government of Nigeria (through civil society advocacy on human capital, community accountability for health; and use of data to inform government prioritisation of health);
  • Improving effectiveness and efficiency of public and private basic health services (through health system strengthening, and working with the private sector to improve delivery of affordable health services for the poorest populations); and
  • Reducing total fertility rate (through addressing social norms, demographic impact analysis, and support to family planning demand creation and delivery of services).

These outcomes will be achieved through a “joined-up, One-Team” delivery of the following outputs:

  • Output 1: “Advocacy & Accountability”: Increased demand for affordable basic health services through community accountability, and increased prioritisation of human capital (health, education, nutrition, WASH) through civil society advocacy
  • Output 2: “Data for delivery / health prioritisation”: Improved awareness and prioritisation by senior leadership in Government of Nigeria, using data in line with a “delivery-type” approach
  • Output 3: “Technical Assistance to maximise Government of Nigeria resources and efficiency”: Improved efficiency of existing resources for delivery of health services
  • Output 4: “Private sector”: Improved effectiveness of private sector in delivering affordable basic health services
  • Output 5: “Demographics and family planning”: Supporting family planning services through demand creation and addressing social norms/behaviour change. Analysis and communication of the wider impact of demographics.

The programme runs for an initial term of up to 7 years from February 2020 to January 2027

CHECOD is the lead on the provision of technical assistance services to encouraging Government of Nigeria to increase resources invested in health at Federal level and Lafiya States.