Background and justification

The European Union-Support for Immunisation Governance in Nigeria (EU-SIGN) was established to support primary health care governance with specific focus on routine immunisation (RI) and systemic restructuring in the form of primary health care under one roof (PHCUOR). EU-SIGN is focusing on PHCUOR reform because fragmentation and suboptimal accountability mechanisms have contributed substantially to poor uptake of RI service and consequent poor maternal and child health outcomes in Nigeria.

The EU-SIGN technical assistance team (TAT) is working with NPHCDA to institutionalise PHCUOR in 23 states of Nigeria’s 36 states and Federal Capital Territory (FCT). The states are Abia, Akwa Ibom, Anambra, Bauchi, Cross River, Ebonyi, Edo, Gombe, Jigawa, Kaduna, Kano, Katsina, Kebbi, Kogi, Kwara, Lagos, Ogun, Osun, Plateau, Rivers, Sokoto, Yobe, Zamfara and the FCT.

The European Union Delegation made available 55 million euro for the EU-SIGN project. Of this sum, 35 million euro is managed by NPHCDA while 20 million euros goes to WHO Nigeria for polio eradication.

The EU-SIGN project also funds upgrade of cold stores and cold chain equipment. In addition, the project is providing support to PHC operations research in NPHCDA.

Justification(Why is it important or being done)

The low routine immunization coverage across Nigeria made EUD to contribute into providing funds to strengthen governance and policy about routine immunization to also build cold rooms and provide cold chain equipment (CCE) with infrastructures that will allow an improvement in routine immunization services. Also, to come up with an operational research that will document the activities of immunization within the EU-SIGN States.

The project started in 2013 but has gotten 2 riders for extension that is suggesting a closure phase of all implementations by September, 2018. The final closure of the project will be in May, 2019.

The Start-up program estimate for the project commenced in August, 2013 and was closed with 46% achievements. The operational program estimate one (OPE 1) was also completed in 2015 and OPE 2 commenced but OPE 3 was not possible due to delay in implementations of project activities and fear of meeting up with the project timelines. Therefore, the OPE 2 was extended by another 6 months to cover for the loss of time. The project is in the OPE 2 extension phase now.

The role of NPHCDA

The department of Disease Control and Immunisation (DCI) is leading the EU-SIGN project with support from departments of Planning, Research and Statistics; Logistics and Health Commodities; Community Health Services; and Finance and Accounts. The project supports routine immunization (RI) activities within states where EU-SIGN is operating through:

  1. Organizing integrated RI supportive supervision;
  2. Construction of new cold stores and renovation of existing ones;
  3. Supply of direct drive solar refrigerators;
  4. Supply of 4×4 pick-up trucks; and
  5.  Supply of computer equipment for data management.

The project is supporting operations research efforts in NPHCDA. It is financing the establishment of a database of research projects within NPHCDA. EU-SIGN is a key member of the Operations Research Advisory Group (ORAG) and it sponsored the first ORAG workshop in Lagos in October 2015. The project is also supporting capacity building for NPHCDA staff on operations research methods.

In addition to the foregoing, the EU-SIGN project supported data quality improvement training on the district health information system version two (DHIS2) in 2016.

Collaborating partners

We are working with WHO-Nigeria on polio eradication activities. Other collaborating partners include Conseil Santé, HPI, UNICEF, CHAI, BMGF, and JHKF.

Any dates of completion of tasks

May, 2019

Performance measures

A robust M&E framework is in place to help track results.

Further information please contact:

Dr. Adamu D. Dawud |

Nneka Onwu|