The report presents findings from the Behavioral Sentinel Surveillance (BSS) endline survey conducted in Kebbi, Sokoto, and Zamfara states, Nigeria, by Breakthrough RESEARCH/Nigeria. The survey aimed to assess the impact of integrated social and behavior change (SBC) interventions funded by USAID, focusing on health areas such as malaria, family planning, and maternal, newborn, and child health plus nutrition (MNCH+N). The project employs advocacy outreach, community engagement, and media campaigns to foster changes in behaviors, knowledge, and beliefs among targeted populations.
This endline assessment, which compares data from prior surveys, intends to evaluate the effectiveness of integrated SBC programming against singular focused approaches in Zamfara. It reveals trends in females' attitudes and behaviors concerning health interventions, drawing on quantitative data collected between October 1 and November 10, 2022. The findings are expected to inform future health policies and interventions, ensuring alignment with community needs and optimal resource allocation.
By identifying key shifts in women’s health-related practices, the report serves as an essential tool for stakeholders, contributing to ongoing efforts for controlled improvements in public health outcomes across Nigeria.
The USAID Community Health Activity Notice of Funding Opportunity (NOFO) issued on December 11, 2024, seeks applications from local Nigerian organizations to implement community health initiatives aimed at enhancing health behaviors and access to health services. The program, with budget allocations up to $35 million over a five-year period, focuses on three primary results: improving the adoption of healthy behaviors, operationalizing Nigeria's Community-Based Health Worker (CBHW) program, and strengthening local health governance and accountability.
Eligible applicants must be majority-owned and managed by Nigerian citizens or lawful residents. Activities will include training and deploying community health workers, fostering community engagement in health planning, and developing systems for effective health governance. The initiative addresses Nigeria's significant maternal and child health challenges, aiming to reduce mortality rates by improving healthcare access and service quality.
With an emphasis on evidence-based strategies and community-focused practices, the USAID program aligns with both USAID's objectives and Nigeria's health sector reform strategies, promoting sustainable improvements in local health outcomes through community ownership and accountability.
The USAID Community Health NOFO outlines Nigeria's health and socio-economic context, highlighting challenges like extreme poverty affecting 40% of the population and high maternal morbidity rates. It details Nigeria's decentralized healthcare system and conflict-driven disparities in healthcare access, particularly affecting women and marginalized groups. Key health issues include maternal mortality (high at 512/100,000 live births), low antenatal care access, nutritional deficiencies in children, significant child mortality rates, and a high burden of infectious diseases such as tuberculosis and malaria. Concerted efforts are being made to improve family planning services, maternal and child health, and nutrition through social behavior change (SBC) strategies, targeting sociocultural barriers and enhancing community health programs. The initiative aligns with Nigeria's health priorities and global health frameworks by promoting integrated approaches for service delivery, community engagement, and addressing inequalities. Through this comprehensive strategy, USAID seeks to enhance health outcomes while focusing on gender equality and youth empowerment, thereby fostering sustainability and resilience within Nigeria's health systems.
The National Primary Health Care Development Agency (NPHCDA) in Nigeria has developed a comprehensive framework to strengthen the community-based health workforce (CBHW) as part of its strategy to improve health outcomes, particularly focusing on maternal and child health. The initiative, part of a broader effort to align with Universal Health Coverage goals, emphasizes recruiting trained Junior Community Health Extension Workers (JCHEWs) and Auxiliary Community Health Workers (ACBHW) to provide essential health services through home visits in underserved areas.
The program outlines specific roles for CBHWs in health promotion, disease prevention, and basic curative services, with defined training modules to ensure competency. It also details a structured implementation plan, including community mapping, ongoing supervision, and a phased scale-up to achieve nationwide coverage by 2028. Financial and non-financial incentives are proposed to motivate workers, alongside a clear career progression pathway.
This strategic initiative is backed by collaborative efforts from various stakeholders, including governmental and non-governmental organizations, aiming to address health disparities and improve access to necessary health services in Nigeria's communities.