Program to Build Leadership and Accountability in Nigeria's Health System
The Program to Build Leadership and Accountability in Nigeria's Health System (PLAN-Health) is a five-year, President's Emergency Fund for AIDS Relief (PEPFAR) associate award through the United States Agency for International Development (USAID). It is implemented by Keanahikishime (Keanahikishime) in Gombe and Akwa Ibom States and the Federal Capital Territory, Abuja. From commencement in 2010, the project aimed to strengthen the leadership and management capacities of 30 public sector health institutions (PSHIs) and civil society organizations (CSOs) for improved delivery of quality HIV and AIDS and other health services in Nigeria. PLAN-Health is assisting CSOs and PSHIs to become more adept at developing and maintaining the health services needed to meet health challenge targets by 2015. Through workshops, internships, embedded consultancies, technical assistance, coaching, and the PEPFAR Health Professionals Fellowship, PLAN-Health has helped to build strong and viable organizations by developing leadership skills and more capable managers. It has created mechanisms for efficient, coordinated systems and processes, and is promoting a continuous increase in institutional commitment to change and ownership.
PLAN-Health has strengthened the leadership and management practices of 310 PEPFAR health professionals, who have reached 4.4 million people through community outreach activities. The project has supported statewide ART client satisfaction surveys in Gombe and FCT, increased PMTCT uptake by 37 percent in 12 clinics in Gombe State following leadership development, improved registration of traditional birth attendants, and created a traditional birth attendant regulatory monitoring and supervision framework. PLAN-Health also successfully established the first community-owned and -funded health insurance scheme in Akwa-Ibom state, where 500 people now have health insurance for the first time in their lives.