Immunisation of children against vaccine-preventable diseases is a key strategy that has been used over the years to improve the health indices of countries. As part of efforts to improve immunization services in Nigeria, Adam Smith International in partnership with Vodafone, GSK and the National Primary Health Care Development Agency implemented the pilot of the mVacciNation mobile application in 48 primary Health Care Centers (PHCs) across 2 LGAs in Kaduna South and Zaria LGAs for a period of 18 months. HSCL conducted an end line evaluation of the pilot project to independently assessed whether the Nigeria mVacciNation project achieved its expected results
To assess whether the mVacciNation Nigeria pilot project has achieved its objectives of improving data efficiency, stock management and safety; and enhanced health-seeking behaviour of caregivers
The African Risk Capacity (ARC), a specialized agency of the African Union (AU) provides financial tools and infrastructure to help the AU Member States to manage disaster risks and improve response to disasters by reducing the time it takes to mobilize financing for the response. This is achieved through the combination of three critical elements: early warning, contingency planning, and insurance. HSCL is contracted to execute workstream 2 of the project, which includes supporting the development of Outbreaks & Emergency contingency planning standards, guidelines, and templates that member states can adopt as well as develop country-specific, pathogen-specific contingency plans. Selected pathogens for pilot implementation in Uganda and Guinea include Ebola, Marburg, Lassa Fever and Meningitis. HSCL is also supporting the ARC in strengthening its technical review mechanism for contingency planning to improve efficiencies.
To support AU member states to improve their capacities to better plan, prepare and respond to extreme weather events & natural disasters.
The health conditions in the Northeast are among the worst in the country and the zone lags far behind the other geopolitical zones (except the North West) on key health indices. Under 5 mortality rates (U5MR) are 54% higher than in the south of Nigeria and malnutrition rates are even worse. Service delivery is also substantially worse in the south (In 2013, DPT3 immunization coverage was only 20.6% in the northeast compared to 72% in the southern zones). Based on these results and as part of the government's overall strategy for the development of the northeast, the World Bank is assisting the Government of Nigeria to rapidly strengthen health service delivery in the northeast. This will support the FMOH's strategy of ensuring at least one fully functional PHC per ward by using a PBF approach that builds on the successes of the original project. HSCL was contracted as a Contract Management & Verification Agency (CMVA) to manage project implementation in Borno state.
To strengthen the delivery of PHC services and the capacity of all service providers
Over the last decade, Universal Health Coverage has become the ideal - embraced and propagated by leading health authorities in global health with its primary goal being to ensure that all people obtain the necessary health services that they require without suffering any financial hardship in doing so. One of the key drivers to achieve UHC is the use of pre-payment mechanisms such as health insurance. HSCL conducted a study to determine key state-specific health financing information such as the current Household Health Expenditure, OOPE and willingness to pay of the residents in Abia, Ebonyi and Osun states to enable the client adequately develop a product that maintains this balance, and make the required policy directives for the implementation of the state health insurance scheme. The study is part of HP+ efforts to improve the health financing landscape of Abia, Ebonyi and Osun States, and provide a body of evidence to develop responsive health insurance policies.
To provide contextual insight, on adequately quantifying the value and understanding the current patterns of out of pocket expenditure (OOPE) in the states, as well as obtaining contextual amounts that varying population groups in each state are willing to pay for health insurance products.
HSCL designed and implemented formative research on understanding the barriers and facilitating factors in seeking care for sick children under the age of five in Nigeria. This was done to inform program design and implementation arrangements for the Maternal and Child Survival Program (MCSP) between 2017 and 2018.
To inform program design and implementation arrangements for the Maternal and Child Survival Program (MCSP) between 2017 and 2018.
Financial access is a key contributor to underutilisation of PHC services in Nigeria. Healthcare is financed primarily through out-of-pocket expenditure which as of 2016, accounted for 70% of total health expenditure in Nigeria. As part of on-going national health reforms aimed at reducing OOPE through pre-payment mechanisms, HSCL in collaboration with R4D is providing technical assistance to the government of Kaduna, and Niger states for the design and implementation a social health insurance scheme (pro-poor scheme) in both states.
To improve access to, and utilization of quality PHC services and the reduction of out-of-pocket payments with an emphasis on pregnant women, children, and those living in poverty.
Family planning (FP) is crucial for advancing reproductive, maternal, and child health. FP has numerous positive benefits on the reproductive and sexual health of women including reducing unmet needs for contraception, lowering fertility, reducing complications from abortions and preventing maternal and child deaths. These numerous benefits make it a critical factor for the improvement of MNCH indices and development, especially in Nigeria, which has the largest population in sub-Saharan Africa. In most recent times, interventions aimed at improving poor MNCH indices are focused on using financing mechanisms such as the State Social Health Insurance Schemes (SSHIS) as the vehicle for financing a basic package of health care for citizens and residents. In line with this, HSCL is providing technical assistance to the government at the sub-national level to strengthen the capacity for strategic purchasing for family planning services through private providers using the state health insurance scheme as a vehicle.
To strengthen the strategic purchasing function of the State Health Insurance Scheme for family planning services from private providers, to increase access and uptake of FP services.
The Nation Supply Chain Integration Project (NSCIP) is an ambitious and innovative initiative anchored on the need to facilitate the development of an integrated supply chain for health commodities in Nigeria. The project was executed through the National Products Supply Chain Management Programme (NPSCMP) under the Department of Food and Drugs Services (DFDS) of the Federal Ministry of Health with the support from major international donors. A baseline assessment of the supply chain systems of health commodities revealed: (i) Federal and State institutions responsible for health commodities supply chain management are grossly under-funded and lack capacity to deliver their mandate; (ii) Government, donors & private sectors act independently with multiple parallel supply chains; (iii) ineffective last-mile distribution systems; (iv) weak data management systems; (v) waste and expiry of medicines in warehouses.
To address the challenges and strengthen the institutional framework of the Nigeria Supply Chain Management Programme.
Vaccine supplies and logistics are a quintessential element of any immunization architecture. An effective routine immunization (RI) sub-system is built around uninterrupted availability of quality-assured vaccines, and devices (diluents, safe-injection equipment, and other vaccines - related commodities) at the last-mile service delivery points (SDPs). This is only possible when vaccines and related devices reach SDPs on time, and in the right quantity as well as ensuring these products are properly stored and accounted for. Poor stock (data) visibility and weak vaccine accountability have been identified as major challenges to the management of vaccine logistics and supplies in Nigeria, especially at the lower levels of the supply chain. As a first step to addressing these challenges, a national stock-count of vaccines and related commodities was conducted by the National Primary Health Care Development Agency (NPHCDA) with support from Global Alliance for Vaccine and Immunization (GAVI) and UNICEF. HSCL was contracted to conduct the physical stock-count in both the North-Central and North-East zone of the country.
To conduct a physical count of the vaccine and device forecasts to enable estimation of the procurement needs of the country for 2020.
The National Human Resources for Health Policy 2007 and the draft National Human Resources for Health Strategic Plan (2008-2012) sets out the basis for human resource planning, management and development across the health sector. Ensuring availability and access to a well-skilled health workforce in areas where they are most needed poses a major challenge for the health sector. In line with the National Human Resources for Health Policy and the National Strategic Development Plan 2010-2015, each state is mandated to adopt and domesticate the National Human Resources for Health Policy to guide Human Resources for Health developments within the state. Health Systems Consult Limited (HSCL) provided technical assistance to Oyo State Ministry of Health (Nigeria) in the development of the documents.
To develop of state-specific human Resources for health Strategic and Implementation Plans that are aligned and integrated with the National Human Resources for Health Policy, the Human Resources for Health Priority Area of the State Strategic Health Development Plan and the state’s planning and budgeting cycles.
HSCL provided technical assistance to the Federal Ministry of Health (Federal Ministry of Health (FMOH)) with funding from the Bill and Melinda Gates Foundation (BMGF) for the finalization of the National Strategic Health Development Plan (NSHDP)2 document. Specific work included leading the development of the Monitoring and Evaluation (M&E) framework, establishing an "efficient" secretariat that reconvened partners and consultants to complete the draft narrative and costing for the strategy, support for consolidation and stakeholder consensus building workshops and development of an implementation roadmap.
To provide technical assistance to the Federal Ministry of Health (FMOH) for the finalization of the National Strategic Health Development Plan (NSHDP)2 document and development of an implementation roadmap.
Not less than 60% of the population In Abia state access care in private health facilities. Health Systems Consult Limited (HSCL) worked with a broad range of private health facilities in the State to provide direct prevention of mother to child transmission (PMTCT) services to pregnant women and their partners and build the capacity of service providers under the SIDHAS project. After the 12 months pilot, the project was handed over to the NACA SURE-P HIV/AIDS Programme by President’s Emergency Plan for AIDS Relief (PEPFAR) and Health Systems Consult Limited (HSCL) was contracted to support the project through the provision of technical assistance for building the capacity of private health facilities to deliver high quality HIV services as well as the capacity of the state programme implementation unit to ensure project sustainability.
To scale-up HIV service delivery to reach the underserved through private sector engagement.
The SIDHAS project funded by USAID through FHI360 was implemented to strengthen Prevention of Mother to Child Transmission of HIV using the public health facilities. To ensure a more holistic approach, a need for broader coverage was discovered, hence a private sector engagement with the consideration that many Nigerians patronize the private health facilities and therefore the intervention in public facilities alone would miss out on this very important group. Through an extensive network of experienced partners engaged in delivering HIV/AIDS prevention, care and support services, Health Systems Consult Limited (HSCL) worked with a broad range of private health facilities in Abia State to provide direct prevention of to child transmission services (PMTCT) and build the capacity of service providers to offer quality prevention of mother to child transmission services.
To increase access to SIDHAS intervention through the engagement of private health facilities In Abia State.
In line with international best practices and project milestones, Clinton Health Access Initiative (CHAI) contracted Health Systems Consult Limited (HSCL) as an independent research agency to conduct a Mid-line and End-line assessment of the routine immunisation grant implemented by CHAI Nigeria in six focus states including Kano, Lagos, Rivers Nasarawa, Niger and Yobe.
To track Chai Health Access Initiative progress in achieving the intended project outcomes
The project involved the assessment of the organisational capacity of shortlisted sub-recipients to successfully implement the Global Fund HIV/AIDS Grants and the development of a capacity-building plan where gaps where identified. Sub-recipients were then ranked according to (a) those who had the capacity to commence implementation (b) those who could commence implementation and fill observed capacity gaps while implementing (c) those were capacity gaps that must be addressed before any disbursement. The organisations assessed include FHI 360, APIN (AIDS Prevention Initiative in Nigeria), CIHP (Center for Integrated Health Program), Hygeia, PPFN (Planned Parenthood Federation of Nigeria), and IHVN (Institute of Human Virology).
To assess the organisational capacity and develop capacity-building plans for the sub recipients of the Global Fund grants
In the wake of the 2014 Ebola Viral Disease (EVD) outbreak in West Africa and its spread to Nigeria, a declaration of an Ebola emergency was made in Lagos State. The Federal Government of Nigeria implemented a rapid response to contain the spread of the disease using all available public health assets. Handheld Thermal scanners were deployed to all airports and were used to screen passengers as they disembarked from aircraft and on departure. This was pertinent because high body temperature is one of the symptoms of ebola viral disease and this process provided the first line measure in screening for and later detecting the virus.
To build the capacity of Port Health Service staff and other relevant stakeholders on the installation and use of thermal Imaging Scanners.
In December 2016, the Country Coordinating Mechanism (CCM) Sierra Leone was allocated by the Global Fund the sum of US$90.9 million for HIV, Tuberculosis (TB), Malaria, and Resilient and Sustainable Systems for Health (RSSH) programs covering the period of 1 January 2018 to 30 June 2021. Against this backdrop, the CCM Sierra Leone contracted Health Systems Consult Limited (HSCL) to support the development of grant documents for HIV, TB, Malaria and RSSH components. HSCL also provided advisory services to the country to optimize her grant management processes for improved efficiency.
To develop grant documents for HIV, Tuberculosis (TB), Malaria and Resilient and Sustainable Systems for Health (RSSH) programs.
HSCL in collaboration with KPMG conducted a pre-feasibility study to gauge market dynamics for the set-up of a diagnostics center in Abuja, Lagos, and Port-Harcourt. Findings from the market feasibility study informed the design of the overall strategy and business and operating model for the proposed venture – through the design of a business plan.
To provide a detailed analysis of the medical diagnostics industry value-chain
Strengthening Contingency Planning Mechanism For Outbreaks & Epidemics (O&E) in Select AU Member States
Learn moreNigeria State Health Investment Project (NSHIP)
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Understanding the barriers and facilitating actors in seeking care for sick children under the age of five in Nigeria
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Physical Stock Count of Vaccines and Related Commodities across all Zones in Nigeria
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Development of the State Human Resources for Health Strategic Plan
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Private Sector Engagement for SURE-P HIV/AIDS Project in Abia State
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Evaluation of Routine Immunization Grant in Nigeria
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Re-Assessment of Sub-Recipients of the Global Fund PHASE II HIV SSF Grant
Learn moreTemperature Scanning System Training
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Development of Global Fund Grant Documents
Learn moreMarket Research and Development of Business plan for the establishment of a diagnostic centre
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Nigeria State Health Investment Project (NSHIP)
Learn more
Private Sector Engagement for SURE-P HIV/AIDS Project in Abia State
Learn more
Physical Stock Count of Vaccines and Related Commodities across all Zones in Nigeria
Learn more
Market Research and Development of Business plan for the establishment of a diagnostic centre
Learn more
Understanding the barriers and facilitating actors in seeking care for sick children under the age of five in Nigeria
Learn more
Evaluation of Routine Immunization Grant in Nigeria
Learn more
Temperature Scanning System Training
Learn more
Re-Assessment of Sub-Recipients of the Global Fund PHASE II HIV SSF Grant
Learn moreStrengthening Contingency Planning Mechanism For Outbreaks & Epidemics (O&E) in Select AU Member States
Learn moreDevelopment of Global Fund Grant Documents
Learn moreDevelopment of the State Human Resources for Health Strategic Plan
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HSCL is a Public health and development consulting firm established by a team with extensive experience in international health and development.
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