The Clinton Health Access Initiative, Inc. Associate PHC Financing, Health Systems Strengthening The Clinton Health Access Initiative, Inc. • Nigeria • via UNjobnet

The Clinton Health Access Initiative, Inc. (CHAI) is a global health organization committed to our mission of saving lives and reducing the burden of disease in low- and middle- income countries. We work at the invitation of governments to support them and the private sector to create and sustain high- quality health systems.

At CHAI, our people are our greatest asset, and none of this work would be possible without their talent, time, dedication and passion for our mission and values. We are a highly diverse team of enthusiastic individuals across 40 countries with a broad range of skill sets and life experiences. CHAI is deeply grounded in the countries we work in, with the majority of our staff based in program countries. Learn more about our exciting work: http://www.clintonhealthaccess.org

CHAI is an Equal Opportunity Employer, and is committed to providing an environment of fairness, and mutual respect where all applicants have access to equal employment opportunities. CHAI values diversity and inclusion, and recognizes that our mission is best advanced by the leadership and contributions of people with diverse experience, backgrounds, and culture.

Nigeria is the second largest contributor of maternal and newborn mortality globally, with 512 maternal deaths per 100,000 births. Most maternal and neonatal deaths are caused by a small number of preventable and/or treatable conditions that can be addressed at the primary care level. Efforts to improve service coverage through increased spending have been largely unsuccessful and key coverage statistics have remained relatively constant.

The Nigerian government has demonstrated its commitment to ensuring universal health coverage (UHC) in the State through the improvement of primary health care (PHC). The country’s second and overarching 5- year National Health Strategic Development Plan (2018-2022) sets priorities for the national health system. The National Health Act (2014) provides a framework for the delivery, financing, and standards of the National Health System. This Act birthed the Basic Health Care Provision Fund (BHCPF)- a demand and supply financing mechanism that aims to provide a basic package of SRMNCH services to the rural poor that is currently being operationalized across the country.

Recognizing the pivotal role of a robust performance management system in establishing a resilient and responsive Primary Health Care (PHC) system, CHAI, through regional grant funding from the Swedish International Development Agency (SIDA) worked with Kano and Kaduna states to design and pilot a revamped performance management system with the end goal of systematically improving the operations, outputs (in terms of service provision – availability, quality) and resulting outcomes (in terms of population coverage, improved access, and longer term reduction in morbidity and mortality) of the PHC facilities.

This work which commenced in 2021 resulted in the development of the Minimum Service Package – Monitoring Team (MSP- MT) approach in Kano and known as the Service Delivery Plan – Monitoring Team (SDP- MT) approach in Kaduna state. In Kano and Kaduna states, CHAI supported the State Primary Healthcare Boards to set up cross- cutting internal “delivery units” that worked with the different program teams to set key performance indicators for the PHC using the NPHCDA policy on Minimum Service Package for PHCs as the gold standard.

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