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)
• Gender equality (significant objective)
• Children's issues (significant objective)
• 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 2025 include: (1) enrolled 117,339 (50% pregnant women and 50% children under 5) people through the vulnerable population program health insurance scheme. This represents 98% of the program's target of 120,000 beneficiaries; (2) 5 out of the 6 project target states now contribute at least 25% of counterpart funding for Vulnerable population program; (3) 100% of the Apex Primary health care facilities out of the targeted 459 facilities accredited to provide sexual reproductive, maternal and newborn child health services and receive Basic healthcare provision fund, marking a 19% increase from baseline; and (4) supported 3,381,747 of women and children to access the basic minimum package of sexual reproductive, maternal and newborn child health services at targeted facilities during this fiscal year.

• Proactive disclosure