Support to the National Strategic Health Development Plan (Health V)


  • Reference: P-NG-IB0-008
  • Appraisal Date: 15/01/2011
  • Board Presentation: 15/06/2011
  • Status: PipelinePIPE
  • Implementing Agency: GOVERNMENT OF NIGERIA
  • Location: FCT,Abia,Akwa-Ibom,Oyo,Yobe,Benue,kaduna


The proposed project has been conceived and designed in the context of a significant paradigm shift in addressing the challenges of human development in Nigeria. The consultations with regards to the design of this project have taken account of the views of stakeholders in the health sector at both the Federal and State levels, as well as key development partners engaged in the health sector. The consultations aimed to ascertain the key priorities for which there were expected to be financing gaps, as well as recommendations on the strategic niche for the Bank in view of the size of its contribution, its likely contribution to achievement of results, and building on achievements of past and ongoing interventions. The design of the project is in line with the NSHDP framework which covers the following eight priority areas:

(i) leadership and governance,

(ii) service delivery,

(iii) health financing,

(iv) human resources for health,

(v) health information system,

(vi) community participation and ownership, (vii) partnerships for health development and (viii) research for health. Details of the priority areas are shown in Annx I.

AfDB's intervention in the 6 States will focus on 2 of the 8 priority areas in the draft NSHDP, namely:

(i) leadership and governance which promotes accountability, transparency and responsiveness and

(ii) health service delivery which includes defining and implementing a minimum essential health care package at the PHC level. A lump sum will be allocated to each State to cover

(i) leadership and governance;

(ii) health service delivery; and

(iii) project coordination. The Borrower will submit to the Bank for approval, Annual Work Plans with detailed cost estimates derived from the National Strategic Health Development Plan (NSHDP) and State Strategic Health Development Plan (SSHDP). Disbursement will therefore be based on the agreed work plans.

The Ministries of Health will be the implementing agencies at the State level, and coordinating committees will be formed to ensure effective project implementation. The responsibilities of the existing project implementation units under the Planning Department in each State will be expanded to include coordination of donor programmes and projects in the health sector. To this end, the interventions will involve strengthening management and coordination unit within State Ministries of Health to ensure effective implementation of the proposed project. With the support from the project, the unit will provide sustainable donor coordination structure at the states to ensure harmonization of efforts in the health sector.

All procurement of civil works, goods and acquisition of consulting services financed by the Bank will be in accordance with the Bank's Rules of Procedure for Procurement of Goods and Works or, as appropriate, Rules of Procedure for the Use of Consultants, using the relevant Bank Standard Bidding Documents. The direct payment method and the special account method will be used.


The project objective is to support the National Strategic Health Development Plan in order to strengthen leadership and governance in the health sector and improve service delivery.


Bank support to the proposed project is predicated on the bi-directional relationship between health and economic development. Health is critical for long-term economic growth, prosperity and sustainable development while increased resources generated through economic growth are vital for promoting public health. These two key factors are crucial for attracting investment and competitions in the international markets. Cost-effective interventions for controlling major diseases exist, but a serious lack of resources for health and a range of system constraints hamper national efforts to expand health services to the poor. A great proportion of the illnesses and deaths in Nigeria is preventable and, indeed, should be prevented. Hence, the high burden of preventable diseases in the country calls for strategic planning of investments across health and health-related sectors to improve the lives of poor people and promote development.

Given the strategic content and the magnitude of resources required for implementing National Strategic Health Development Plan, the Bank will play a catalytic role in facilitating the establishment of sustainable structures and systems for effective and equitable access by all Nigerians to essential health care. The Bank resources will mostly focus on the project states to strengthen governance structures to promote accountability, transparency and responsiveness of health systems, institutional arrangements for public-private partnership, mechanisms for improved resource mobilization for the health sector, community participation and improved service delivery as well as quality of health care.


Bank support to Nigeria will complement assistance by other development partners in the context of coordinated support to the NSHDP. The direct impact will improved and sustainable development planning for the health sector including improved resource allocation and utilization. The medium term impact is expected to be accelerated and sustained progress towards achievement of the health MDGs.

Key contacts

OSUBOR Gregory - OSHD3

Estimated Cost

UAC 33,000,000