Joint External Evaluation of IHR Core Capacities of the Federal Republic of Nigeria: Mission Report: June 11-20, 2017


Executive summary

Findings from the joint external evaluation Nigeria has made commendable progress in the broad area of prevent but will need additional investments to move to a higher level:

• A top priority is to fast track the legislation, regulatory and policy frameworks to support IHR implementation at the Federal, State, and Local Government levels
• A critical piece of legislation is the finalization of the legislative approval for the Nigeria Centre for Disease Control (NCDC)
• To support implementation of “the One health approach” there is a need to establish a multi-sectoral, multi-disciplinary coordination mechanism (political and technical) at Federal Government, State and Local Government Area levels Nigeria has made tremendous progress in bio-surveillance for vertical diseases such as polio, TB, HIV/AIDs, but will need additional efforts to:

• Strengthen laboratory capacity, especially specimen shipping, transportation and referral • Scale up, enhance and sustain the Integrated Disease Surveillance and Response (IDSR) programme nation-wide at all levels (FG, State, LGA, PHC facilities), capitalizing on the polio investments
• Develop and implement a comprehensive public health workforce strategy Nigeria has made tremendous progress in response to PHEs-Ebola, Lassa Fever, Meningitis, Cholera etc. but will need additional efforts to:

• Formulate, cost, implement, monitor and evaluate a national action plan for health security that is aligned with sector strategies, addresses all hazards and is based on a comprehensive risk assessment and mapping
• Enhance the EOC/IMS system at federal level and strengthen sub-national RRTs supported by an all hazard risk communication strategy/plan
• Strengthen inter-sectoral collaboration for emergency response particularly between human and animal health, the environmental sectors and security agencies underpinned on an all hazards approach Nigeria has several PoEs that are already doing commendable routine (screening, have holding areas) and emergency actions, etc. Major setback is not officially designating the PoE:

• Designate, before the end of 2017, a few PoEs-Airports, Ports and some ground crossings

  • Airports
  • Abuja International Airport n Lagos International Airport
  • Kano International Airport
  • Lagos Sea Port
  • High volume ground crossings
  • Benin border
  • Cameroun border
  • Niger border

• Finalise Public Health contingency plan for PoEs that is linked to the national plan for health security
• Establish and sustain capacities for routine and emergency preparedness and response for the designated PoEs