Supports & Past Projects

NSHIP

NSHIP was a World Bank-funded project that supported the introduction of Performance-Based Financing (PBF) in Nigeria's primary health care system. In Adamawa State, NSHIP was implemented across multiple LGAs and introduced results-based payment mechanisms to health facilities, incentivising quality service delivery.

• Introduced Performance-Based Financing (PBF) at PHC level
• Improved quality scores across participating health facilities
• Strengthened community participation through Community Health Committees
• Increased utilization of maternal and child health services
• Improved documentation and health information management

BMJ PACK

BMJ PACK (Primary Care Assessment and Clinical Knowledge) is a clinical decision support tool developed by the British Medical Journal to assist primary care health workers in low- and middle-income countries in correctly diagnosing and treating common conditions. The tool was piloted in Adamawa State to improve clinical quality at the PHC level.

• Deployed clinical decision support to CHEW and JCHEWs at PHC facilities
• Improved diagnostic accuracy for common childhood illnesses
• Reduced inappropriate antibiotic prescription rates
• Supported training and mentoring of front-line health workers
• Generated evidence on digital decision support in low-resource settings

EU–UNICEF

A multi-year collaboration between the European Union and UNICEF supporting primary health care strengthening across Adamawa State. The programme covered maternal and newborn health, immunization, the Emergency Transport Scheme (ETS), and community mobilisation. EU-UNICEF support was instrumental in the scale-up of the CHIPS programme and the revitalisation of Ward Health Teams.

• Supported the Emergency Transport Scheme (ETS) in collaboration with NURTW
• Revitalisation of non-functional primary health care facilities
• Scale-up of CHIPS programme community health workers
• Immunization coverage improvement across targeted LGAs
• Strengthened Ward Health Teams and community governance structures
• Support for MNCH week implementation and skilled birth attendance

HeRON

HeRON (Health Results and Outcomes in Nigeria) was a DFID-funded programme that supported health system strengthening in Adamawa State through a results-based approach. The programme focused on improving maternal and newborn health outcomes, strengthening governance, accountability, and quality of care at the PHC level.

• Strengthened health governance structures at state and LGA levels
• Results-based financing linked to quality improvements in MNCH
• Improved antenatal care attendance and skilled birth delivery rates
• Enhanced budget transparency and accountability in health sector
• Capacity building for ADSPHCDA management and technical staff
• Community engagement and citizen score-card initiatives

ALMANACH

ALMANACH is a digital clinical decision support system based on IMCI guidelines, implemented in Adamawa State since 2016. A collaboration between ADSPHCDA, ICRC, and SwissTPH, ALMANACH is active in 413 health facilities and is being scaled nationally. Published outcomes demonstrate 80% reduction in antibiotic prescriptions, improved diagnostic accuracy, and increased adherence to clinical protocols.

• Active in 413 health facilities across Adamawa State
• 80% reduction in antibiotic prescription rates
• Improved diagnostic accuracy for under-5 children
• Increased adherence to IMCI clinical protocols
• Piloted in 6 additional states: Kano, Kaduna, Borno, Yobe, Taraba, Gombe
• Approved by National Council on Health at 63rd meeting (2022)
• Published in international peer-reviewed journals (2015–2022)