Health Sector Strategic Blueprint Framework.xlsx

AOP Pillar (1) Pillar HEALTH SECTOR STRATEGIC BLUEPRINT (HSSB)

ANNUAL IMPLEMENTATION PLANNING (AOP) FRAMEWORK

Strategic Objectives SMART Outcome Indicator(s):

Baseline:

Target:

Baseline:

Target:

1. Number of States/FCT with State Health Policy that has at least 80% strategic (intervention) alignment with the National Health Policy (NHP)

2. Number of States/FCT that implement at least 80% of the BHCPP strategic interventions to at least 80% implementation level Baseline:

Target:

Engage the Nigerian Governors Forum with key policy processes and outcome from the FMoH.

Expand the membership of the NCH technical committee to include DPs, CSOs Define your:

SMART Output Indicator(s):

1. Availability of documented procedures for preparation and conduct of NCH Meeting that put updates and reviews of the National Health Act "National Health Policy" and "Health Development Plan" as the main agenda.

Baseline:

Target:

P1.1.1.2 Scale up the capacity of NCH Secretariat members both at federal and State level to ensure their effectiveness in supporting the Technical Committee . Train NCH Secretariat members both at national and sub-national level to ensure their effectiveness in supporting the Technical Committee in the vetting of memos and conduct of technical review of performance of the NHP and HSSB skill set and competence of officers that work in the NCH Secreteriat

Provide needed tools, supplies and logistics for the NCH Secretariat to match its functions Define your:

SMART Output Indicator(s):

1. % of Secreteriat members trained on the reviewed NCH 2.Percentage of NCH memos that meet the revised guidelines standards for acceptance of memos and technical review of NHP and HSSB performance.

3.Percentage gap in needed tools, supplies and logistics for the NCH Secretariat.

Baseline:

Target:

P1.1.1.3 Digitize the mechanism to track implementation of NCH resolutions Develp tool to track the implementation of NCH resolutions Define your:

SMART Output Indicator(s):

1. No. of States tracking the implementation of NCH resolution using the tracking tool

Baseline:

Target:

Stakeholders accountability rating of health sector leadership at national and subnational levels Baseline:

Target:

Use available platforms to sensitize citizens on the health sector initiatives towards demand creation and active citizens participation through optimal community engagement approaches Recommendation: Include townhall meetings, include LGA and State level including Define your:

1.SMART Output Indicator(s):

1. Number of Annual State of Health Report disseminated

2. No. of media engagement (press releases, interviews, interactive call in sessions) at Federal ,LGA, Community levels(Youth Groups) quarterly

3. No. of PHC facilities with with minimum number and type of informative health poster, bills displayed

4. No. of planned dialogues held every quarter

Baseline:

Target:

P1.2.2.2 Strengthen existing communication mechanisms e.g phone-in TV/Radio/Social media/Media hub programs, Servicom for feedback and functional grievance reddress 1. Recognize/appreciate or reprimand stakeholders' performance through awards and sanctions at regular NCH/SCH.

2. Provision of an award system to appreciate or reprimand stakeholders' performance through awards and sanctions at regular NCH/SCH.

3. Conduct a survey to measure citizens satisfaction on service delivery Define your:

SMART Output Indicator(s):

1.Number of NCH that included stakeholders' performance awards and sanctions

2. Proportion of Department of reform coordination and service improvement (servicom) mandate carried out in relation to health according to their guidelines.

3. Development of Department of reform coordination and service improvemen (servicom) annual report

Baseline:

Target:

Priority: Improve regulation and regulatory process P1.3.3.1 Harmonize frameworks for health professional regulatory bodies along different cadres. Regulatory framework/tools of various regulators should be reviewed to obtain consensus on the minimum standard required for common service delivery mandates. Define your:

SMART Output Indicator(s):

1.Percentage of Health professionals in service Licensed

2. Number of facilities /institutions accredited

3. Number of regulatory bodies that have fully digitized their licensing processes

4. Number of facilites that have annual certificate of standard

5. Availabilty of the national minimum standard for secondary and tertiary facility "certificate of standard"

6. Developed harmonized framework for all health professional regulatory bodies

Baseline:

Target:

P1.3.3.2 Harmonize accreditation/inspection standards for health facilities across the regulators. Adoption of

1. Joint Commission International (JCI)

2. Nigerian National Accreditation System

3. ISO Accreditation standards Define your:

SMART Output Indicator(s):

Number of facilities inspected and that checked out on minmum grade for tracking tools.

Baseline:

Target:

SMART Output Indicator(s):

1. Report on the state of supply chain at all levels

Baseline:

Target:

SMART Output Indicator(s):

Number of functional planning cell with ToR and regular meetings

Baseline:

Target:

SMART Output Indicator(s):

AOP developed with inclusion of development partners activities.

Baseline:

Target:

SMART Output Indicator(s):

1. Number of State AOPs with well defined and consolidated activities of the LGA and health facilities.

Baseline:

Target:

SMART Output Indicator(s):

1. Availabilty of Annual RMET Report

2. Annual Audited report published

P1.4.4.5 Coordinate pooled and non-pooled (Aligned) funds for efficient resource allocation including TA pooling arrangement. 1. Identify and map financial resources for health in all sectors

2. National/Sub-National ,State should align their pooled(Statutory Budget,NHIA gateway etc.) and non-pooled(funds from parters and donor agencies) funds.

3. All states should institutionalize and strengthen a platform for coordination of pooled and non-pooled (Aligned) funds through a sector wide approach Define your:

SMART Output Indicator(s):

1. Proportion of States with alignment of pooled and non-pooled funds.

2. Proportion of partners that aligned their resources to governments priorities

Baseline:

Target:

SMART Output Indicator(s):

1.Availability of SWAp orientation packages shared to states

2. Number of engagement dialogues conducted

Baseline:

Target:

SMART Output Indicator(s):

Proportion Availability of all stakeholders present at the joint Missions

Baseline:

Target:

P1.4.4.8 Conduct regular sub-national Strategic engagement to ensure successful implementation of Sector Wide Approach (SWAp) 1. Ensure regular dialogues conducted to engage and re-orient states on the SWAp (eg. Webinar) Define your:

SMART Output Indicator(s):

Number of dialogues organised by state

Baseline:

Target:

P1.4.4.9 Ensure deployment of relevant TA support to support states and be part of the process of Joint development of AOPs by the states and relevant stakeholders, including DPs. SMART Output Indicator(s):

Number of qualitative AOPs developed and implemented

Baseline:

Target:

P1.4.4.10 Inauguration of thematic advisory groups for coordination, harmonization and alignment of priorities. Inauguration of the TWGs with composition of relevant stakeholders for proper guidance and agreed terms of reference and cadance to ensure proper coordination, pooling of funds and TA support. Define your:

SMART Output Indicator(s):

Number of TWGs inaugurated and active

Baseline:

Target:

SMART Output Indicator(s):

1. Number of state compact addendums signed Baseline:

37 (36 states and FCT) Target:

37 (36 states and FCT) P1.4.5.2 Strengthen capacity of relevant Federal, State and LGA stakeholders to coordinate, monitor and manage delivery and performance in the health sector. Identification of a SWAp Desk officer to work with existing systems/persons to drive roles especially with regards to resource coordination, strategy and operational plan, M and E, health financing and RMNCH

Track implementation including quarterly reviews: Conduct of quarterly dialogues between key health sector stakeholders ie the Coordinating Minister and States, to review progress against key indicators, Facilitate cross-state problem-solving sessions, elevate state perspectives, challenges, and wins, and understand the performance and contribution of states’ performance to the National Health System. The use of scorecards to be employed

Conduct joint performance monitoring and review: Leverage the 2024 SWAp JAR to conduct State-level annual reviews that will lead up to Nigeria's Joint Annual Review.Ensure participation of all relevant stakeholders in joint annual review (JAR), as the country's primary review process, to publish one report (the state of health report). Define your:

SMART Output Indicator(s):

1. Number of states with a SWAp Desk officer

2. Developed TOR for the SWAp desk officer

Baseline:

Target:

P1.4.5.3 Review health sector coordination platforms at Federal, States and LGA level with clear terms of reference that delineate roles and responsibilities in consonance with SWAp principles . Define your:

SMART Output Indicator(s):

Report of the health sector coordination platform review

Baseline:

Target:

AOP Pillar (2)

Baseline:

Baseline:

2. Advocate for health in all sector policies for joint planning, implementation and review.

3. Build the capacity of multi-sectoral TWG members.

4.Multisectoral coordination of Provision of essential Health Promotion services including WASH, Environment and Nutrition Define your:

SMART Output Indicator(s):

1.Number of states and LGAs with an established health promotion multi-sectoral platform comprising of relevant MDAs, CSO/development partners, and private sector ( Source- ToR)

2. No of states with joint multi-sectorial health promotion coordination workplan. (Joint Workplan)

Baseline:

Target:

P2.5.6.2 Promote Advocacy for Mullti-sectoral coordination at all Levels of health and across the sectors that are proactive health promotion Advocate to relevant government within health in and non-health sectors and private industries to deliver on targets outlined in the MSAP.

Advocate to Decision makers at across MDAs and Sectors on Effective integration and multisectoral coordination of Health Promotion in Nigeria Define your:

SMART Output Indicator(s):

Number of inter and intra-high-level ministerial meetings convened annually with commitment established.

Baseline: 1 Target:4 P2.5.6.3 Build Capacity of FMoH/SMOH/LGA program managers to provide leadership and co-ordination for Multi-sectoral Partnership including CSOs for effective collaboration. Train program managers across the levels on the mechanisms and processes for reformulation and fiscal policies for MSP and Equip them with all requisite equipment and tools to provide oversight on policymaking and programming. Define your:

SMART Output Indicator(s):

1. Number of capacity building conducted

2. Proportion of FMoH/SMOH/LGA that participated in capacity building workshops to provide Leadership and Co-ordination for Multi-sectoral

3. Partnership (Strengthened capacity of the FMoH to provide leadership and coordination)

Baseline:

Target:

P2.5.6.4 Establish Partnerships with Global and Regional Alliance for Multi-sectoral Coordination Set up the Global and Regional Alliance for Multi-sectoral Coordination Partnership and Advocacy for resource mobilization. Define your:

SMART Output Indicator(s):

1. Number of regional and international events, dialogue, and meetings for multi-sectorial coordination with representation of Nigerian stakeholders.

2. Number of ministries with budget line with timely appropriation and release of funds for multi-sectorial activities in Nigeria.

Baseline:

Target:

P2.5.6.5 Monitor Trends and Determinants of Health and evaluate progress of coordination Develop/review and adopt national Health Promotion indicators and tools for Multisectoral Coordination within and beyond Health. capacity building of M&E officers on Health Promotion Tools and reporting Define your:

SMART Output Indicator(s):

Number of indicators and tools expanded into the NHMIS surveys, and service delivery.

Baseline:

Target:

P2.5.6.6 Strengthen accountability mechanism and community engagement to accelerate community participation and improve service delivery Develop/review policies and strategic documents including SBC materials for accountability and community engagement. Strengthen advocacy efforts and Build the capacity of community structures (WDC, VDC, Gate keepers etc) through the LGA level task force to be responsible and take accountability for issues of health and development in the communities. Establish/strengthen the reporting and feedback mechanisms(National Media hub) for health service improvement Define your:

SMART Output Indicator(s):

1. Proportion of community wards with effective accountability mechanisms for health issues per LGA.

2. Number of community wards engagement conducted and reported annually per community wards.

Baseline:

Target:

P2.5.6.7 Foster and integrate effective Multisectoral Health Promotion strategy 1.Develop and implement multisectoral Health Promotion strategy.

2. Build capacity of HW on Health Promotion Strategies 3.Develop Multi-sectoral Multi-sectoral Maximum Pressure Campaign strategy

4. Develop an integrated health promotion training manuals for Health Promotion Officers and other HCWs 5. Define your:

SMART Output Indicator(s):

1. proportion of community wards with effective accountability mechanisms for health issues per LGA.

2. Number of community wards engagement conducted and reported annually per community wards.

Baseline:

Target:

P2.5.6.8 Intensify SBC intervention to address risk factors, increase health literacy and healthy lifestyle and improve health outcomes 1.Review and implement integrated SBC strategy. Develop and implement multisection SBC Guideline 2. leverage on SBC blueprint. 3.Institutionalize data Bank for SBC materials across states and link to national SBC Bank. 5. capacity building of HW on SBC Interventions. 6. capacity building of HWs on Interpersonal Communication and counseling to improve quality services. 7. Development of SBC materials(electronic, prints) across all sectors to improve health literacy of all nigerians Define your:

SMART Output Indicator(s):

1. Developed integrated health promotion manual

2. Numbers of health workers trained on health promotion strategy

Baseline:

Target:

P2.5.6.9 Strengthen SBC (RCCE)multisectoral coordination mechanism to facilitate the implementation of routine and Emergency interventions. Expand RCCE to include relevant MDAs and sectors and integrate in the multi-sectoral Health Promotion SMART output indicator(s):

1. Numbers of SBC conducted across disease areas

2. Number of health care workers trained on SBC interventions for IEC

Baseline:

Target:

P2.5.6.10 Increase Demand Generation to improve health service uptake including RMNCAH, Nutrition, NCD, Mental Health, NTD Vaccination, Family Planning and other health services 1. Develop and implement multisectoral Demand Generation strategy. 2. training of HW on Demand Generation.3.community mobilization to increase uptake 4. community outreaches to sensitize and create awareness of Health care services Define your:

SMART Output Indicator(s):

1. Number of relevant MDAs included in the multi-sectoral Health Promotion

Baseline:

Target:

P2.5.6.11 Accelerate the Integration of awareness programs/health campaigns to improve health outcomes including primary health interventions 1.Develop and implement maximum pressure campaign strategy.

2. implement Media engagement strategy.

3. leverage on new technology to launch effective campaigns.

4 leverage on CAS for Health Effectiveness 5 Utilize the use of Technology to improve Health Literacy and promote healthy behaviours

6. intensify the use of on print media, social media and media institutions to create awareness and generate the interest towards healthy behaviour.

7. Build the capacity of the Health Promotion Officers on the use of New technologies in promoting Health Develop multi-sectoral programs to drive awareness around health risk factors (e.g. poor nutrition, tobacco usage, low physical activity, vaccine preventable diseases, health seeking behaviour, sodium, misuse and overuse of antimicrobials, alternative medicine, e.t.c) as part of routine primary healthcare programs and interventions. Leverage on maximum pressure campaign strategy to guide the awareness creation Define your:

SMART Output Indicator(s):

1. Number of HWs trained on demand generation

2. Number of community outreaches conducted to sensitize and create awareness of Health care services

Baseline:

Target:

P2.5.6.12 Leverage formal education system to improve healthy behaviors Collaborate with the Ministry of Education and relevant professinal bodies to incorporate health promotion activities that promote healthy behaviours for RMNCAH, Nutrition, CD, NCD, Mental Health Define your:

SMART Output Indicator(s):

1. Technology deployed Baseline:

Target:

- Number of social policies reviewed and aligned with national priorities (#) Baseline:

Target:

P2.5.7.2 Data Sharing and Collaboration Promote data sharing between community-based organizations, NGOs, and relevant government agencies.

Coordinated data can inform targeted interventions and identify vulnerable populations.

Collaborate with health facilities, schools, and social workers to identify families in need and provide comprehensive support. SMART Output Indicator(s):

-Data-sharing platform or dashboard established (#)

- Number of actors sharing data and collaborating on social welfare initiatives (#) Baseline:

Target:

P2.5.7.3 Set up a framework and structure within the FMOH&SW to coordinate the social sector space to maximize synergies with the health sector. Provide pathways for the social welfare issues to be given more visibility within FMOH&SW, putting in place clearly structures to ensure the effective coordination of the social sector space in the Ministry in order to maximize synergies with the health sector SMART Output Indicator(s):

- Coordination framework or structure developed

- Number of stakeholders engaged in the coordination mechanism (#)

Baseline:

SMART Output Indicator(s):

Proportion of settlements covered (%) Number of ZD children vaccinated

Baseline:

Target:

P2.6.8.2 Conduct Identification, Enumeration and vaccination (IEV) under immunized and zero dose children strategies in prioritised LGAs and Mapping of Zero Dose Communities 1. Under-fives in prioritized LGAs will be identified and enumerated prior to vaccination exercises in affected communities.

2. The prioritized LGAs have the largest concentration of ZD children (almost 40%) across the country.

3. The enumeration will include vaccination status of the children and allow accountability for children reached afterward.

4. ZD and under-immunised children will be linked to the HFs within their catchment areas for follow-up and this will be done electronically for ease of tracking and accountability purposes. 1. Under-fives in prioritized LGAs will be identified and enumerated prior to vaccination exercises in affected communities.

2. The prioritized LGAs have the largest concentration of ZD children (almost 40%) across the country.

3. The enumeration will include vaccination status of the children and allow accountability for children reached afterward.

4. ZD and under-immunised children will be linked to the HFs within their catchment areas for follow-up and this will be done electronically for ease of tracking and accountability purposes.

P2.6.8.3 Conduct of Big-Catch Up Campaign in prioritised LGAs This intervention will reach children 12-59 months who missed critical vaccines during the last COVID-19 pandemic to confer the needed immunity.

This is a regionally coordinated intervention and involves enumeration of U5s before the vaccination exercise Define your:

SMART Output Indicator(s):

Proportion of settlements covered.

Proportion of enumerated U5s vaccinated.

Baseline:

Target:

P2.6.8.4 Conduct of Peformance Accesssment for Program Management and Action (PAPA) 2.0 in prioritised ZD LGAs This is to conduct a mini-NICS in the prioritised ZD LGAs to determine the vaccination coverage in the LGAs.

The survey uses similar methodologies to that of the National Immunisation Coverage Survey (NICS) and is being conducted by NBS Define your:

SMART Output Indicator(s):

Performance assessment report for Program Management and Action (PAPA) 2.0 in prioritised ZD LGAs

Baseline:

Target:

P2.6.8.5 Expand access to immunization Services. Ensure routine immunization across all health facilities including outreach and fixed post to support in addressing zero dose. Define your:

SMART Output Indicator(s):

Vaccination Coverage

Baseline:

Target:

P2.6.8.6 Mapping of Zero Dose Communities Conduct biannual assessment of service reach to all settlement to inform prioritization efforts to reduce zero dose and unimmunized children. This activity will be coordinated at natinal level and will aid monitoring of rate of reach of zero dose communities Define your:

SMART Output Indicator(s):

Number of Communities with ZD Identifed

Baseline:

Target:

P2.6.8.7 Strenthening Communities to demand immunization services and reduce vaccine hesitancy. This intervention covers Advocacy, communication, demand generation and community mobilization interventions focusing on reduction of non-compliance, vaccine hesitancy, and refusals. It is intended also intend to ensure that commuities are well mobilized and empowered to demand for immunization services. The engagement of all stakeholders to drive demand for services inclouding traditional and religious leaders, CSOs etc are to be prioritized Define your:

SMART Output Indicator(s):

Percentage Increase in uptake of service

Baseline:

Target:

P2.6.8.8 Strengthening immunization data system for effective decision making and assessment of vaccine safety and impact. This intervention covers data quality improvement efforts aimed at reduction in data falsification, generate reliable evidence to inform decision making and monitoring of progress. It also captures acitivies related to VPD surveillance including AEFI/AESI as well as monitoring impact of new vaccine introductions Define your:

SMART Output Indicator(s):

1. Number of adverse effects reported per antigen

2. Availability of AEFI report

Baseline:

Target:

P2.6.8.9 Enhance the deployment of effective vaccine management system to reduce stock out. This intervention include all relevant activities aimed at strenghen the immunization supply chain systems, focusing on ensuring availability of vaccines at all levels by reducing bottlenecks in last mile distributions, ensuring full capacity for effective vaccine storage and handling, and monitoring wastage and potency of vaccines at all levels. Define your:

SMART Output Indicator(s):

1. Proportion of health facilities with no vaccine stock out.

2. Percentage reduction in stock out rate

Baseline:

Target:

2. Strengthen the NCD Expert task team and the four NCD sub-committees through capacity building and conducting regular meetings

3. Assess and strengthen state-level coordination mechanism, as per state NCD implementation plans.

4. Integrate NCDs and Mental Health services cordination into the existing structures at the LGA-level.

5. Landscape analysis of NCDs and Mental Health frameworks, guidelines and protocols

6. Increase resources including funds, manpower at national and state levels

7. Assessment of state level NCD desks Define your:

SMART Output Indicator(s):

1. Proportion of activities implemented in the 2019-2025 NCD multi-sectoral action plan implemented by the relevant MDAs, CSO, implementing partners, and commercial sector.

2. Proportion/Number of LGAs with NCD focal points

Baseline:

Target:

P2.6.9.2 Implement the MPOWER strategy to reduce tobacco use and adapt the Protocol to Eliminate Illicit Trade to reduce supply. Define your:

1. Proportion of activities implemented in the 2019-2025 NCD multi-sectoral action plan implemented by the relevant MDAs, CSO, implementing partners, and commercial sector.

2. Mortality of NCD (Unconditional probability of dying) Probability of dying between 30-70 years due to the major NCDs

3. Proportion/Number of LGAs with NCD focal points

Baseline:

Target: Define your:

SMART Output Indicator(s):

1. Prevalence of current tobacco use among adults

2. Global Adult Tobacco Survey conducted and data available for decision-making

3. Proportion of activities implemented within the MPOWER strategy

4. Number of meetings of the National Tobacco Control Committee

1. Strengthening restrictions on alcohol availability

2. Advancing and enforcing drunk driving counter measures.

3. Facilitating access to screening, brief interventions and treatment

4. Enforcing bans or comprehensive restrictions on alcohol advertising, sponsorship, and promotion

5. Raise prices on alcohol through excise taxes and pricing policies Define your:

SMART Output Indicator(s):

1. Total alcohol per capita consumption in litres of pure alcohol

2. Availability of a comprehensive national policy/regulation on alcohol

P2.6.9.4 Strengthening and supporting regulatory authorities to promote healthy diets, by policy formulations, and awareness creation at the community and schools 1. Develop a National Sodium Reduction Guideline, which includes setting targets for sodium levels in packaged and pre-packaged foods.

2. Develop an implementation strategy for the "Fats, Oils and Foods containing Fats and Oils Regulation 2022" , aimed at eliminating industrial trans-fatty acids in the diet.

3. Strengthen nutritional education in primary and secondary school curriculum.

4. Develop and implement a policy on marketing sweetened foods and non-alcoholic beverages to children.

5. Develop a National Healthy Public Procurement and Service Guideline Define your:

SMART Output Indicator(s):

1. Guidelines on sodium regulation completed.

2. Proportion of labs with capacity building to test for TFA (30% OF labs)

3. Mass media campaign guide developed

4. Advocacy kit to the Federal Ministry of Education on curricula development/amendent for healthy nutrition and Lifestyle developed

5. National Healthy Public Procurement and Service Guideline developed

P2.6.9.5 Adapt and implement the Global Action Plan on Physical Activity. Adapt, implement, monitor, and review the Global Action Plan on Physical Activity. Define your:

1. Prevalence of insufficient physically active adults

2. Global Action Plan on physical activity available by December 2025

P2.6.9.6 Define your:

1. Total alcohol per capita consumption in litres of pure alcohol

2. Availability of a comprehensive national policy/regulation on alcohol Baseline:

Target:

4.2.5.a 2.6.9.6.a Workshop Define your:

SMART Output Indicator(s):

1. Total alcohol per capita consumption in litres of pure alcohol

2. Availability of a comprehensive national policy/regulation on alcohol

3. Percentage reduction in drunk driving

2.6.9.6.b Planning Define your:

1. Guidelines on sodium regulation completed.

2. Proportion of labs with capacity building to test for TFA (30% OF labs)

3. Mass media campaign guide developed

4. Advocacy kit to the Federal Ministry of Education on curricula development/amendent for healthy nutrition and Lifestyle developed

5. National Healthy Public Procurement and Service Guideline developed

2.6.9.6.c Validation Define your:

1. Prevalence of insufficient physically active adults

2. Global Action Plan on physical activity available by December 2025

2.6.9.6.d Dessemination Define your:

1. Death rate due to road traffic injuries

2. Proportion of activities implemented in the NRSS II by 2025

4.2.5.b 2.6.9.6.e Dessemination Define your:

1. Prevalence of sickle cell disease in children ≤ 59 months, New cases of sickle cell Disease

2. Proportion of frontline health workers trained with the updated NCD module (Sickle cell Disease)

3. Proportion of states that have adopted the universal newborn screening.

2.6.9.6.f Develop Define your:

SMART Output Indicator(s):Inclusion of comprehensive NCDs prevention and treatment in the ward minimum package and minimum standards for primary health care in Nigeria.

Baseline:

Target:

1. Number of priority NCDs with integrated guidelines and simple treatment protocols developed

2. Proportion of primary health care workers trained on management of simple, uncomplicated NCDs and mHGAP 3.Proportion of PHCs with basic technologies (BP monitors, Glucometers and Depression screening tool) to screen, diagnose, and/or treat uncomplicated NCDs and Mental Health Disorders.

4.Proportion of states that have included protocol based antihypertensives, and anti diabetic medicines in their essential medicine lists

2.6.9.6.g Convene Define your:

1. Inclusion of comprehensive NCDs prevention and treatment in the ward minimum package and minimum standards for primary health care in Nigeria.

2. Number of states that have domesticated and adopted the National Mental Health Act 2021 Baseline:2 Target: 15

3. Proportion of Neuropsychiatric hospitals that established Mental Health Assessment Committee

4. State that have adopted and implemented the National Mental Health Policy 2023

5. Attempted Suicide at the National level decriminalised

6. Number of states that have integrated Mental Health into Primary Healthcare using mhGAP

SMART Output Indicator(s):

1. Death rate due to road traffic injuries

2. Proportion of activities implemented in the NRSS II by 2025

P2.6.9.11 Raise public awareness on pre-marital/pre-conception screening for sickle cell disease including genetic counseling 1. Conduct regular public awareness for pre-marital/pre-conceptions screening, and scale up universal sickle cell anaemia screening for all babies.

2. Adoption of the universal newborn screening policy at the state level

3. Promote collaboration Engagement with FBO/CSO, religious and traditional leaders, social influencers

4. Review Frontline health workers training package and build capacity of workers to improve sickle cell management module

5. Comprehensive approach to sickle cell disease prevention and control Define your:

SMART Output Indicator(s):

1. Prevalence of sickle cell disease in children ≤ 59 months, New cases of sickle cell Disease

2. Proportion of frontline health workers trained with the updated NCD module (Sickle cell Disease)

3. Proportion of states that have adopted the universal newborn screening.

P2.6.9.12 Strengthen health systems to address Prevention and Control of Non-Communicable Diseases at all levels of care and contribute to reducing risk factors.

1. Develop integrated guidelines and simple treatment protocols for the management of simple, uncomplicated NCDs and Mental Health at PHCs.

2. Conduct capacity building for health care workers at the PHC on comprehensive management of simple, uncomplicated NCDs and mHGAP

3. Equip and provide PHCs with basic technologies and essential medicines to screen, diagnose and treat uncomplicated NCDs and Mental Health Disorders.

4. Integrate Non-communicable Disease and Mental Health into Basic Primary Health Care with Referral to All Levels of Care Define your:

SMART Output Indicator(s):Inclusion of comprehensive NCDs prevention and treatment in the ward minimum package and minimum standards for primary health care in Nigeria.

Baseline:

Target:

1. Number of priority NCDs with integrated guidelines and simple treatment protocols developed

2. Proportion of primary health care workers trained on management of simple, uncomplicated NCDs and mHGAP 3.Proportion of PHCs with basic technologies (BP monitors, Glucometers and Depression screening tool) to screen, diagnose, and/or treat uncomplicated NCDs and Mental Health Disorders.

4.Proportion of states that have included protocol based antihypertensives, and anti diabetic medicines in their essential medicine lists

P2.6.9.13 Strengthen prevention of mental, neurological, and substance abuse disorders (MNSD) 1. Decriminalisation of attempted Suicide at the National level Baseline

2. Creation of mental health crisis hotlines.

3. Adoption/domestication of the National Mental Health Policy 2023 by 36 states and the FCT Define your:

SMART Output Indicator(s):

1. Inclusion of comprehensive NCDs prevention and treatment in the ward minimum package and minimum standards for primary health care in Nigeria.

2. Number of states that have domesticated and adopted the National Mental Health Act 2021 Baseline:2 Target: 15

3. Proportion of Neuropsychiatric hospitals that established Mental Health Assessment Committee

4. State that have adopted and implemented the National Mental Health Policy 2023

5. Attempted Suicide at the National level decriminalised

6. Number of states that have integrated Mental Health into Primary Healthcare using mhGAP

P2.6.10 Reduce the incidence of HIV, tuberculosis, malaria, and Neglected Tropical Diseases (NTDs) Baseline: The 3 diseases account for 13.8% of total disease burden in Nigeria vs the global average of 8.6% of total disease burden [IHME, 2019]Prevalence of each disease should be stated.

1. HIV prevalence - 1.4% (NAIIS 2018),

2. TB incidence - 219 per 100,000 population (GTB report 2023),

3. Malaria prevalence among children under five years - 22% (MIS 2021) Priority: Reduce the incidence of HIV, tuberculosis, and malaria. The Neglected Tropical Diseases cannot be ignored. its critical to plan for their elimination. NTDs Unit of FMoH should be contacted to provide strategic plans for incorporation into this blue print.

SMART Output Indicator(s):

percentage of overarching coordination meeting that held per annum ( Schedule is quarterly)

Baseline:

Target:

P2.6.10.2 Scale up integrated HIV prevention services 1. Implement combination HIV prevention for key populations.

2. Expand and strengthen HIV prevention programs for men who have sex with men, sex workers including the rapid expansion of access and uptake of PrEP.

3. Undetectable = Untransmittable (U=U) programming, condom and lubricant program, sexual and reproductive health services, mental health, psychosocial services, and violence prevention. Define your:

SMART Output Indicator(s):

1. Percentage of people at risk of HIV infection that have access to and use appropriate, priotize, people centered and effective combination preventive options.

Baseline:

Target:

P2.6.10.3 Increase uptake and acess to HIV testing, treatment, care, viral suppression 1. Using granular data to identify and address characteristics that lead to inequalities in testing, treatment, care access and outcome.

2. Increase uptake of differentiated HIV testing strategies where available (HIV self-testing, community-led testing services, partner services, and social network approach), and strengthen the linkage of access to testing services to HIV prevention and treatment services.

3. Expand and promote high-quality medicines, health commodities, science, technology, innovation, and solutions for PLHIV, KP, and other prioritised populations.

4. Scale up and fully resource community-led service delivery and monitoring to improve HIV and wider health outcomes of PLHIV and KPs Define your:

SMART Output Indicator(s):

1.Percentage increase in HIV testing Baseline:

Target:

Testing targets : 95%, Treatment Target:95%, Viral Suppression target: 95% (Testing and treatment targets are to be achieved within sub-populations, age group, and geographical settings, including children living with HIV and aggregated at the population level P2.6.10.4 Reach, treat and sustain Vertical HIV transmission and Paediatrics interventions 1. Implement innovative tools and strategies to find and diagnose all children living with HIV including the use of point of care, early infant diagnosis platform for HIV-exposed infants, family, household testing, and self-testing to find older children and adolescents living with HIV and not on treatment.

2. Prioritise rapid introduction and scale-up of access to the latest WHO-recommended, optimised, child-friendly HIV treatment through adolecence and achieve viral load suppression.

3. Reach, treat, and retain all pregnant and breastfeeding women living with HIV including female KP in integrated antenatal and HIV care with optimal treatment regimens that achieve sustained viral load suppression through differentiated and community-led services.

4. Intensify provision of optimized tailored PMTCT services. 1. SMART Output Indicator(s): Percentage of pregnant and breastfeeding women living with HIV have suppressed viral loads.

Baseline: 89% (2022 -Program data) Target: 92% (2025), 95% (2027)

2. SMART Output Indicator(s): Percentage of HIV exposed children are treated by two months of age and again after ceasation of breast feeding.

Baseline: 89.7% (2022 -Program Data) Target: 90% (2025), 95% (2027) P2.6.10.5 Improve access and utilisation of integrated vector control interventions (ITNs, Targeted IRS, targeted LSM, vector surveillance and insecticide resistance monitoring) Implement effective integrated vector control strategies using any vector control intervention based on prioritised need to achieve universal coverage. These include.

1. Provide insecticide Treated Nets (ITN) across places with moderate to high transmission ()

2. Implement indoor Residual Spraying (IRS) in targeted population.

3. Conduct targeted Larval Source Management (LSM) can be implemented as a complementary intervention to either ITN or IRS

4. Vector survelliance and insectiside resistance monitoring

5. Deploy safe and effective integrated vector control interventions based on malaria epidemiological stratification. SMART Output Indicator(s): % of of population with access to an ITN in the household Baseline: 43% (MIS 2021) Target: 80% (2025)

2. SMART Output Indicator(s): Percentage of the household population with access to an ITN and that slept under an ITN the night before the survey Baseline: 36% (MIS 2021) Target: 68% (2025) P2.6.10.6 Improve generation of evidence for decision-making and impact through reporting of quality malaria data and information from at least 80% of health facilities. Strengthen systems for data availability of good quality data to track progress in malaria cases and death and provide evidence for programming, policy and strategic decisions

1. Strengthen generation and reporting of quality malaria data through routine and non-routine sources.

2. Improve data flow from public and private health facilities (primary, secondary and tertiary) and from community health providers (PPMVs, Community Pharmacists and CORPs)

3. Strengthen health facaility and community level Data Quality Assurance (DQA) and broader surveillance systems assessments.

4. Improve generation of evidence from evaluations, therapeutic efficacy and entomological surveillance studies for strategic deployment of interventions.

5. Strengthen human resource for Surveillance Monitoring and Evaluation and Operational Research (SMEOR). (Build capacity of M&E and malaria programme officers at all levels on SMEOR)

6. Improve integration of malaria data and surveillance systems

7. Ensure the provision of malaria Health Products Logistics Management Information Systems (MHPLMIS), tools and SOPs. SMART Output Indicator(s): percentage of expected health facilities reports received and complete (with core indicators) Baseline: 84% (DHIS2 2023) Target: 90% (2025) P2.6.10.7 Increase access to effective chemoprevention, diagnosis and appropriate treatment of malaria and malaria vaccine. 1. Deployment of chemopreventive Interventions to all eligible populations such as

a) Seasonal Malaria Chemoprevention (SMC),

b) Intermittent Preventive Treatment of pregnant women (IPTp) at ANC in health facilities and community levels,

c) Perennial Malaria Chemoprevention (PMC) and

d) Malaria vaccine to eligible populations in all 36 state sand FCT

2. Deploy parasitological-based diagnosis (mRDT and Microscopy) for persons with suspected malaria in public, private health facilities, and communities.

3. Scale up for quality assurance and quality control systems for malaria diagnosis and update External Quality Assurance (EQA) guidelines, SOPs and Job Aids for malaria diagnosis

4. Ensure appropriate and timely treatment with effective medicines for individuals with confirmed malaria (ensure compliance to National Malaria Treatment Guidelines and the National Quality of Care Guideline on malaria case management).

5.Build capacity of personnel in public health, private health facilities…