Nigeria: Nigeria and Mozambique Show How Health Systems Can Withstand Funding Cuts
[allAfrica] For decades, many health programmes across sub-Saharan Africa have relied on a familiar model: donors fund disease-specific projects, parallel delivery structures are built around them, and services expand or contract with the funding cycle.
Nigeria and Mozambique demonstrate how health systems can withstand funding cuts by shifting focus to government-led ownership and financing. In Nigeria, the Health Sector Renewal Investment Initiative (NHSRII) and the Basic Healthcare Provision Fund have consolidated donor-driven disease-specific projects into a single government-led architecture.
This shift has improved primary healthcare financing, accountability, and performance-based funding. In Sokoto State, donor funding cuts initially disrupted malaria programming, but a state-led primary healthcare reform with government ownership, integrated financing, and local accountability mitigated the impact. Key takeaways include government ownership of financing, integrated service delivery, and local production of medicines and vaccines to enhance resilience against funding shocks.
Written by urgent.news from AllAfrica's reporting — not their text. Machine-written — may contain errors; check the original before relying on it.
