This abstract was presented by The Challenge Initiative (TCI) at the 6th Nigeria Family Planning Conference which happened in Abuja from December 7 - 11, 2020.

1. Coordination as a viable tool towards achieving integrated
Health Care Services Delivery in Nigeria
TITILOLA Munkail, Rabi EKELE, HUA Beeve, Yakubu Usman Abubakar and Adamu Musa Bara
December 2020

2. Outline
2
BackgroundI
MethodologyII
Results and ConclusionIII

3. A brief profile of Bauchi
3
Map of Bauchi state showing its LGAs
Bauchi State capital
Bauchi at a glance
Governor ▪ Bala Mohammed
State capital
▪ Bauchi
Demography
Popular
languages
▪ Hausa
▪ Gerawa
▪ Jarawa
▪ Gere
▪ Sayawa
▪ Kir-Balar
▪ Zumbun
▪ Karai
Karai
▪ Boyawa
▪ Total Population
▪ Land Mass
▪ No. LGAs
▪ No. of Wards
▪ Secondary Facilities
▪ No of PHCs
~ 694,000
3,687 Km2
20 LGAs
323 wards
26
1,300

4. Background/Objectives
4
 As an important element of health care delivery, coordination not only functions to provide direction for adequate
utilization of resources but also serves to ensure harmonious integration of service delivery across all levels.
 The objective of this presentation is to share how coordination serves as a tool towards achieving integrated
healthcare services delivery in Nigeria, Learning from the Bauchi state experience.
 Bauchi State Primary Health Care Development Agency was established by law on 8th February 2008. It has a well
outlined institutional arrangement headed by the executive chairman with 20 board members, 4 directorates and 3
zonal offices headed by directors. However the Agency relies on the state ministry of health for policy directions
 The Bauchi state government, BMGF, ADF, and USAID signed an MoU to strengthen the states Routine Immunization
program in 2014. Subsequently, in March 2018 RI MoU was extended for additional 5 years to expand the systems
strengthen initiatives to broader PHC services

5.  In April 2018 BSPHCDA inaugurated The PHC technical working group headed by
the executive chairman along with 7 other working groups under it.– composing of
state program officers and other stakeholders – with an overall responsibility of
coordinating activities targeted at improving the delivery of healthcare services in
Bauchi.
 Every year, these groups develop annual operational workplan (AOP) and set
milestones for the state
 They meet periodically to track results across the various programs and provide
requisite technical assistance.
 Jointly, the working groups conduct Integrated supportive supervision to improve
quality of care and ensure regular conduct of integrated data quality assessments
as well as integrated data validation meetings, to enhance data quality. And
develops quarterly RMNCH Score cards
Methodology
5

6. 6
State
Executive
Council
Top
Management
Committee
PHC TWG
Service Delivery
Working Group
CE/SM WG
TRAINING
WG
LGA Health
Management Team
Health Facilities
Management
Team
Supportive
Supervision
Working Group
M&E TWG
BASEC
O
ACG
WDC, QIT
and
Volunteers
Dir. PHC
MCH, Health
Educators
and M&E
Officers
SBCC
Finance
WG
Logistics
WG
Bauchi Coordination Structure

7. Results – Through the coordination efforts, quite significant
successes have been recorded
7
1
Coordination efforts have minimized duplication of efforts and wastage
of resources
2
Strengthened synergy among the various stakeholders – FP programs are effectively
prioritized and integrated along all PHC services. Thus, technical assistance being
provided benefits the entire system rather than individual programs
3
More than NGN200 million internal resources were tracked to have been leveraged
for FP programs within the state
4 Efforts provide avenue to adapt and adopt structures and resources used for
immunization programs for broader PHC services

8. Conclusion
8
In conclusion
Leveraging learnings from Bauchi
Experience, it can be reasonably concluded
that adopting a good coordination mechanism
is viable to enhancing the delivery of
integrated PHC services

9. 9