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PROGRAM CASE STUDY
Open Access

Innovations in Public Financing for Family Planning at Subnational Levels: Sustainable Cofinancing Strategies for Family Planning With Nigerian States

Victor Igharo, Uduak Ananaba, Olukunle Omotoso, TrishAnn Davis, Mwikali Kioko and Clea Finkle
Global Health: Science and Practice May 2024, 12(Supplement 2):e2200242; https://doi.org/10.9745/GHSP-D-22-00242
Victor Igharo
aThe Challenge Initiative, Nigeria Hub, Johns Hopkins Center for Communication Programs, Abuja, Nigeria.
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  • For correspondence: vigharo1@jhu.edu
Uduak Ananaba
aThe Challenge Initiative, Nigeria Hub, Johns Hopkins Center for Communication Programs, Abuja, Nigeria.
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Olukunle Omotoso
aThe Challenge Initiative, Nigeria Hub, Johns Hopkins Center for Communication Programs, Abuja, Nigeria.
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TrishAnn Davis
bJohns Hopkins Center for Communication Programs, Baltimore, MD, USA.
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Mwikali Kioko
bJohns Hopkins Center for Communication Programs, Baltimore, MD, USA.
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Clea Finkle
cIndependent consultant, Seattle, WA, USA.
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  • FIGURE 1
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    FIGURE 1

    The Challenge Initiative Local Engagement Roadmap

    Abbreviations: HII, high-impact intervention; RAISE, Reflection and Action to Improve Self-reliance and Effectiveness; TCI, The Challenge Initiative; TCI-U, The Challenge Initiative University.

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    FIGURE 2

    The Challenge Initiative Nigeria Implementation States

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    FIGURE 3

    The Challenge Initiative Nigeria Cofinancing Model

    Abbreviations: FP, family planning; TCI, The Challenge Initiative.

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    FIGURE 4

    Taraba State FP Budget and Releases Over a Three-Year Horizon

    Abbreviation: FP, family planning.

Tables

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    TABLE 1.

    Nigerian State Funding Allocation and Release for Family Planning

     201820192020
    Partner states, No.51013
    States with budget lines for FP, No.4910
    States releasing funds, No.2810
    Funds allocated, N (US$)210,500,000 (584,722.22)558,309,740 (1,550,860.39)555,198,495 (1,542,218.04)
    Funds released, N (US$)24,739,158 (68,719.88)193,672,549 (537,979.30)169,877,941 (471,883.17)
    Allocated funds released, %123531
    Average amount released per state, N (US$)6,184,789.50 (17,179.97)21,519,172.11 (59,775.48)16,987,794.10 (47,188.32)
    • Abbreviations: FP, family planning; N, Nigerian naira.

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    TABLE 2.

    Analysis of TCI’s Challenge Fund Co-Investment Across All 13 Nigerian States Based on Graduated Benchmarks by Stage7

    Partnership StageChallenge Fund, N (US$)State Released, N (US$)State Contribution, %State Contribution Benchmark, %
    Start-upa452,817,829 (1,257,827.30)213,382,013 (592,727.81)320
    Scale-upa812,769,147 (2,257,692.08)432,440,369 (1,201,223.25)3525
    Surgeb568,037,808 (1,577,882.80)408,008,874 (1,133,357.98)4233
    Pre-graduationc194,482,944 (540,230.40)139,398,250 (387,217.36)4250
    Total2,028,107,728 (5,633,632.58)1,193,229,506 (3,314,526.41)
    • Abbreviations: N, Nigerian naira; TCI, The Challenge Initiative.

    • ↵a13 states.

    • ↵b10 states.

    • ↵c5 states.

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    TABLE 3.

    Analysis of TCI’s Challenge Fund Co-Investment With 13 Nigerian States Based on Commitment Versus Releases, by Year

    Partnership Year
    Cofinancing CategoryFunding Amount, N (US$)Proportion Accessed/Released, %Year 1, %Year 2, %Year 3, %Year 4, %
    TCI Challenge Fund available3,109,227,343 (8,636,743)65.213.162.865.873.7
     Total TCI Challenge Fund accessed2,028,107,728 (5,633,633)
    Government committed fund1,515,261,026 (4,209,058)78.715.471.197.775.7
     Total government cofunding released1,193,229,506 (3,314,526)
    • Abbreviations: N, Nigerian naira; TCI, The Challenge Initiative.

    • View popup
    TABLE 4.

    Average Counterpart Contribution by Nigerian States

    StatePartnership Duration, YearsAverage Contribution, %
    Plateau456
    Bauchi443
    Rivers439
    Kano435
    Taraba435
    Niger432
    Delta432
    Ogun423
    Abia427
    Anambra428
    Nasarawa152
    Gombe114
    Lagos175
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Global Health: Science and Practice: 12 (Supplement 2)
Global Health: Science and Practice
Vol. 12, No. Supplement 2
May 21, 2024
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Innovations in Public Financing for Family Planning at Subnational Levels: Sustainable Cofinancing Strategies for Family Planning With Nigerian States
Victor Igharo, Uduak Ananaba, Olukunle Omotoso, TrishAnn Davis, Mwikali Kioko, Clea Finkle
Global Health: Science and Practice May 2024, 12 (Supplement 2) e2200242; DOI: 10.9745/GHSP-D-22-00242

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Innovations in Public Financing for Family Planning at Subnational Levels: Sustainable Cofinancing Strategies for Family Planning With Nigerian States
Victor Igharo, Uduak Ananaba, Olukunle Omotoso, TrishAnn Davis, Mwikali Kioko, Clea Finkle
Global Health: Science and Practice May 2024, 12 (Supplement 2) e2200242; DOI: 10.9745/GHSP-D-22-00242
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  • Article
    • ABSTRACT
    • INTRODUCTION
    • TCI PROGRAM IN NIGERIA
    • TCI’S COFINANCING MODEL
    • METHODS
    • RESULTS
    • DISCUSSION AND KEY LEARNINGS
    • CONCLUSION
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