This brief documents successful approaches for achieving and sustaining high enrollment rates in the informal sector, aiming to facilitate replication across other states in Nigeria. 

LHSS advances the priorities of the USAID HIV/AIDS and Tuberculosis (HAT) Office by strengthening HIV/AIDS financing through improved government expenditure and financial risk protection schemes, while also conducting a landscape analysis of financing arrangements and public financial management processes to lay the foundation for effective implementation with state-specific institutions in Kano State.

This report presents the findings of a Gender Equality and Social Inclusion (GESI) analysis conducted by the USAID/Nigeria Local Health Systems Sustainability Project (LHSS) in the HPN States of Nasarawa, Plateau, and Zamfara. 

LHSS Nigeria recently held a peer learning workshop in Abuja. The primary goal of the workshop was to evaluate and identify areas for improving health system performance influenced by LHSS initiatives. Participants collaborated in thematic groups, focusing on key performance determinants and sharing valuable lessons learned. This collaborative effort aimed to enhance the effectiveness and sustainability of health system interventions in Nigeria.

The Forum of CEOs of State Social Health Insurance Agencies in Nigeria, supported by LHSS, trained 14 newly appointed SSHIA CEOs from various states. Experienced CEOs and health experts shared insights on managing health insurance ecosystems, advancing Universal Health Coverage (UHC), leveraging ICT, and stakeholder management. The sessions, particularly beneficial for those without a health insurance background, aim to foster cross-learning and support Nigeria's goal of achieving UHC by 2030.

LSACA, in collaboration with the Local Health System Sustainability Project, recently organized a two-day Annual Operational Development Plan workshop.

LHSS Nigeria supported LASHMA to host the retreat – both technical and financial support. LHSS has been supporting LASHMA and will continue to provide technical assistance to LASHMA for improved UHC coverage.

Improved referral system helps those experiencing poverty in Nasarawa State to better access to secondary care.

Agencies that rarely communicated joined hands last year to make sure poor and vulnerable residents are identified for assistance programs.

In Nasarawa, Nigeria only six percent of the population is enrolled in the Nasarawa State Health Insurance Scheme. The training workshop with the National Orientation Agency aims to provide staff the requisite knowledge to improve awareness about the country's health scheme and boost enrollment. 

People living with HIV are among those who will benefit from the funds, which were released by the government following LHSS-supported advocacy efforts.

The Lagos State Civil Society Participation for Development (LACSOP) with support from LHSS held a budget consultative forum with civil society organizations across the state to discuss key recommendations for the Lagos State 2024 health budget. 

The Lagos State Health Management Agency (LASHMA) hosted the first-ever Lagos State Health Insurance Summit on July 27, 2023, marking the state government’s renewed commitment and energy for accelerating progress toward universal health coverage.  

Five innovators—from Nigeria, Senegal, India, and Cameroon— are working with LHSS to sustainably scale up their businesses and reach more people with their vital health services.

Poor budget execution results in inefficiencies that undermine the ability of health agencies to improve access to needed health services and improve population health. Yet billions of dollars in unexecuted health budgets are returned to treasuries every year.