Indicators of Health Systems Strength in Higher- and Lower-Performing States in Nigeria, Through June 2021a

CFIR Factors and Subfactors
ServiceDeliveryPolitical andFinancialCommitmentPlanning andGuidanceCoordinationExternalChampionsSystems Strength and Readiness
Growth inFP ClientVolumeb, No. (%)State BudgetLine Item forFP Disbursed,US$ (%)HIIs Includedin State AOPc, No.State-LedCoordinationPlatforms RegularlyOperating, No.Advocacy GroupsConstituted, Registered,Operating Independentof TCIFacilitiesReportingContraceptiveStock-outs, %dFacilitiesReportingFP/AYSRH Datain Last 12Months, %(Lowest)d
State A+46,923 (+91)390,385 (79)9 (SD, DG,Advocacy,and MEL)7 State TWGs, all includeLGA participationACG, IFFe>1070–90
State B+32,683 (+15)506,622 (126)7 (SD, DG,Advocacy)7 State TWGs, all include LGAparticipation; Partner CoordinationPlatformACG, IFFe<10>90
State C+22,270 (+50)187,010 (58)4 (SD, MEL)1 State Reproductive Health TWGincludes LGA participation; StateTechnical Advisory CommitteeeACGe, IFFe>1050–70
  • Abbreviations: ACG, advocacy core group; AOP, annual operational plan; AYSRH, adolescent and youth sexual and reproductive health; DG, demand generation; FP, family planning; IFF, interfaith forum; LGA, local government area; MEL, monitoring, evaluation, and learning; SD, service delivery; TCI, The Challenge Initiative; TWG, technical working group.

  • aUnless otherwise noted, all data are from start of states' TCI partnership implementation through June 2021.

  • bFrom government service statistics (health management information system).

  • cFrom most recent state Annual Operational Plan/budget: HIIs included are implemented across all state LGAs.

  • dData from states’ quarterly review of performance.

  • eNot independently constituted.