Project profile — Expanding Health Insurance to Improve Sexual and Reproductive Health Outcomes

• Nigeria (100.00%)

• Health, General: Health policy and administrative management (12110) (45.00%)
• Basic Health: Basic health care (12220) (15.00%)
• Population policy and administrative management:
Population policy and administrative management (13010) (30.00%)
Population statistics and data (13096) (10.00%)

• Youth Issues (significant objective)
• Climate change mitigation (not targeted)
• Urban issues (not targeted)
• Disability (not targeted)
• Climate Change Adaptation (not targeted)
• Trade development (not targeted)
• ICT as a tool for development (not targeted)
• Desertification (not targeted)
• Environmental sustainability (cross-cutting) (not targeted)
• Biodiversity (not targeted)
• Indigenous Issues (not targeted)
• Participatory development and good governance (not targeted)
• Gender equality (significant objective)
• Children's issues (significant objective)
• Disaster Risk Reduction(DRR) (not targeted)
• Nutrition (significant objective)

This project aims to increase coverage of gender responsive sexual, reproductive, maternal and newborn child health (SRMNCH) services in target states in Nigeria. Project activities include: (1) developing and costing state-specific expansion strategies for the health insurance programs to include vulnerable groups; (2) building capacity of state and community groups to sensitize community members on health insurance programs; (3) enrolling vulnerable women, girls, and children under five into each targeted states’ health insurance programs; (4) establishing and implementing counterpart funding agreements with states’ governments to subsidize health services; and (5) developing state-specific health financing strategies. The project expects to reach 120,000 direct beneficiaries (women, girls and children under five years old), 500,000 indirect beneficiaries and 459 health facilities across six states.

The expected outcomes for this project include: (1) increased coverage of state health insurance schemes to formal and informal sectors; (2) increased access to gender-responsive SRMNCH services for the most vulnerable populations; and (3) improved enabling policy environment for gender-responsive SRMNCH services for the most vulnerable.

Results achieved as of March 2023 include: (1) enrolled 302,375 people through the state’s health insurance scheme. This shows a 7% increase from 281,626 people at baseline; (2) increased health insurance enrolment through a 79% increase in the informal sector (48% of 651 women); and (3) accredited 96% out of the targeted 459 primary health care providers, receiving BHCPF funds and marking an 18% increase from baseline.

• Proactive disclosure