Attachments
Highlights
Sustained efforts are crucial to maintain life-saving health interventions and mitigate health risks for the affected population in Northeast Nigeria despite global challenges. The BAY States Ministries of Health and humanitarian health partners continue in delivering emergency health services amidst funding limitations and volatile security situation.
Service delivery support:
As of April 2025, 480,797 individuals (15% of target) have been reached by 34 operational partners in 53 LGAs in northeast Nigeria, with over 858,000 healthcare consultations provided.
Coordination and leadership:
In response the defending that happened since January 2025, the health sector undertook surveys to assess the impact of aid suspension, stop work-order and terminations on live saving programming withing the region. Through the analysis and outcome of the surveys, the sector was able to achieve successes across four thematic areas: needs assessment, monitoring and evaluation of impact of defunding; coordination and local capacity strengthening; Implementing health threats anticipatory action and emergency preparedness and readiness; and enhancing resource mobilization, allocation and efficiency.
• Needs assessment, monitoring and evaluation of impact of defunding: Preliminary surveys on the impact of defunding were conducted and analysed, with the results and identified operational gaps shared with partners and government stakeholders. The analysis of the health sector indicator dashboard for Q1 2025 revealed persistent gaps and challenges, particularly those exacerbated by defunding, compared to the previous year's performance. In addition, a comprehensive facility-based and community-level survey is currently underway to identify specific gaps in programming and human resources for health service delivery across the BAY states.
• Coordination and local capacity strengthening: The humanitarian needs and response plans (HNRP) for 2025 underwent reprioritization and new target setting, focusing on lifesaving interventions. A standard operating procedure (SOP) for program transition and exit strategy was developed and shared with partners, aligning with the commitment to implement the health sector localization plan for Northeast Nigeria. Additionally, engagements were held with national non-governmental organizations (NGOs) and Local Government Area (LGA) Health Authorities to address identified gaps, including supporting the Public Health Emergency Operational Center (PHEOC) staff and strengthening community health workers (CHWs) for health education.
• Implementing health threats, anticipatory action and emergency preparedness and readiness: The Public Health Situation Analysis (PHSA) for the first semester of 2025 was rolled out, identifying and prioritizing life-saving needs and areas most affected through a review of secondary data. Additionally, coordination with the WASH sector was strengthened to enhance the effectiveness of public health emergency interventions while reducing costs.
• Enhancing resource mobilization, allocation and efficiency: Resource mobilization efforts are currently underway, involving communication with donors, development and dissemination of advocacy notes, to respond to the upcoming lean season, flood, and cholera. Meanwhile, reprioritized interventions and available funds are redirected to sustain high-impact, life-saving interventions in primary healthcare centers (PHCs) and mobile health teams where co cost extensions or project modifications are feasible. Only 3% of the health sector’s 2025 funding requirements is being met. Recently reactivated partner’s funds from United States Government (USG) are actively supporting operations. in some LGAs.