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

1. Lekan Ajijola, TCI Nigeria
December 2020
Insights, Impact and
Inspiration
from TCI Business Unusual
Co-financing Strategy In
Nigeria

2. Overview of The Challenge Initiative Program
1
Greater self reliance of state governments to scale up FP
and AYSRH best practices to sustain improvements in
urban health systems and increase use of contraceptives,
especially among the urban poor
 Implemented by Johns Hopkins Center for Communication
Programs
 Funded by BMGF, Comic Relief, Bayer, TJ Mather
 Commenced in Sept 2017 | Currently in Year 5
 12 Implementing States | 122 LGAs

3. TCI’s Strategy and Business Model
2

4. Driving Self-Reliance in FP Financing
3
6
months
Year 2 Year 3 Graduation
6-12 months
Year 1
TCI’s Business Unusual model which of state-led technical assistance and tailormade capacity strengthening
efforts continues to evolve and targeted at strengthening government’s capability to coordinate its
resources and partners
Source: TCI Nigeria Co-financing Strategy; TCI Nigeria Capacity
Strengthening and coaching Strategy;
Expectations beyond Graduation
ASSIST STAGE: State leads implementation,
while TCI supports through coaching,
mentoring and supporting from behind
Activation
OBSERVE STAGE: Demonstrate state’s transformation
and commitment to lead, coordinated, results-oriented
and cost-effective, implementation
LEAD STAGE: TCI provides hands-on support to demonstrate
the feasibility of the ‘BU’ model while building the capacity of
managers and implementers
Overall goal: A “business unusual” approach to scaling up and sustaining proven urban reproductive health solutions.
§ Robust State governance and
accountability mechanism for FP
§ States are self reliant in terms of
funding and capacity to implement
selected high-impact interventions
§ Continued implementation of the
high-impact intervention with
minimal support from TCI
§ Successful states as Learning Hubs
and Centre of Excellence
25%
TCI Challenge Grant Contribution
33.3% 50% 75%NA
75% 66.6% 50% 25%100%
State Co-financing Contribution
Accelerated
Start-up
Active Scale-up &
Surge
Sustainable
Surge
Transition to
self-reliance

5. Results - Funding
54,779,600
294,082,626
400,248,944
0
50,000,000
100,000,000
150,000,000
200,000,000
250,000,000
300,000,000
350,000,000
400,000,000
450,000,000
Year 2 Year 3 Year 4
Amount in cash (N) released and expended by state
government across supported states
Implementation Period
4
A total of N749,111,170 ($2,080,864) released
by state government as co-investment
States have risen to the Challenge
 In 2018, only three states released
₦17,084,000 (7.3%) out of the ₦233,500,000
from four states with dedicated budget line.
 In 2019, seven states released ₦115,831,933
from the FP budget line out of the
₦588,309,740 allocated during the fiscal
year, representing a 20% budget
performance.
 While all 10 states now have a FP budget
line, five states have released ₦51,476,500
out of the ₦639,448,495 allocated in the
first six months of 2020 (as of June 2020).
Budgetary Allocation & Releases

6. Results – funding (cont’d)
108,567,964
793,772,522
618,138,390
54,779,600
294,082,626
400,248,944
-
100,000,000
200,000,000
300,000,000
400,000,000
500,000,000
600,000,000
700,000,000
800,000,000
900,000,000
Year 2 Year 3 Year 4
Yearly Comparison of TCI vs State Investment (N) in FP across 10 states
TCI funding State funding
27%
matched
by state
39%
matched
by state
5
34%
matched
by state

7. Results – Program Performance
6
0
20000
40000
60000
80000
100000
120000
140000
160000
Abia Anambra Bauchi Delta Kano Niger Ogun Plateau Rivers Taraba
FP annualized client volume across States-Baseline vs latest period
Baseline Latest
112%
68%
Adjusted for short-acting method, revisits and seasonality, Source: HMIS
116% 32%
61%
104%
155%
36%
121% 199%
All States
recorded
increase in client
volume when the
latest period
(June 2020) was
compared with
baseline

8. Conclusion
 The TCI model for program management, partnership and resource optimization has been
hugely successful with evidence of improvements in key indicators, increase in domestic
resources and catalyzing community action and ownership.
 The TCI competitive co-financing funding mechanism have proven useful in improving the
FP funding landscape across demonstration states in Nigeria through increasing FP budget
allocation and releases for program implementation.
 The model is also contributing to strengthening government accountability and
responsiveness in domestic financing for Health programs.
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9. 8
https://tciurbanhealth.org/wp-
content/uploads/2020/06/Co-Financing.pdf
Learn More about the TCI Co-financing Strategy