This final report from the UK aid and Norwegian government funded Partnership for Reviving Routine Immunization in Northern Nigeria, Maternal, Newborn and Child Health programme (PRRINN-MNCH) provides an overview of the programme’s key achievements, results and lessons learned. The programme worked in alignment with the World Health Organization’s ‘six pillars’ for strengthening health systems, while a strong focus on community engagement through implementation of demand-side interventions added an additional important focus. The report documents the programme’s main interventions in the following areas:
- Strengthening state and local government governance of primary health care systems geared to routine immunisation and MNCH
- Improving human resource policies and practices for PHC
- Improving delivery of MNCH and RI services via the PHC system
- Providing evidence of performance via operational research
- Improving information generation with knowledge being used in policy and practice
- Increasing demand for MNCH and RI services
- Improving capacity at Federal Ministry level to enable states’ MNCH and RI activities.
It describes the partnership approach that was used to engage government and other stakeholders and build long-term sustainable capacity. Key results are presented, including evidence of a significant decline in child and infant mortality rates, which almost halved over the lifetime of the programme, and evidence of approximately 21,000 maternal deaths averted. The report presents a critical analysis of implementation challenges and how these were addressed, looks at outstanding contextual and other challenges in the northern Nigerian context, and sets out implications for policy makers and development partners.