Nigeria States Health Investment Project

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The development objective of the State Health Program Investment Project for Nigeria is to increase the delivery and use of high impact maternal and child health interventions and improve quality of care at selected health facilities in the participating states. There are two components to the project. The first component is Results Based Financing (RBF): the project aims to strengthen service delivery and institutional performance by using two RBF approaches which are (i) Performance Based Financing (PBF) for outputs at health facilities and Local Government Area Primary Health Care (LGA PHC) Departments and (ii) Disbursement Linked Indicators (DLI) at state and LGA levels. In addition, the project will test a separate decentralized facility financing at the health facility level as an alternative to the PBF financing, whereby facilities will receive fixed output-based payments without performance-linked incentives. The second component is Technical Assistance (TA) for (i) strengthening of states project implementation capacity; (ii) support to federal, state, LGA and facility levels to manage and operate the RBF approach; and (iii) overall project management activities, as well as monitoring and evaluation (M and E) activities aimed at providing independent assessment of results and building national capacity for M and E.