Attachments
Highlights
The convergence of persistent insecurity, recurrent disease outbreaks, and a protracted food security and nutrition emergency in North‑East Nigeria has exacerbated systemic capacity gaps, operational access constraints, and sustainability risks across the response. At the systems level, State Ministries of Health face chronic shortages of skilled health workers in the remotes areas, high attrition linked to insecurity, fragile supply chains prone to disruption, and uneven surveillance and laboratory capacities—limiting the scale, continuity, and quality of essential health and nutrition services. Access constraints—including active conflict, road closures and IED risks, seasonal cut‑offs, movement authorization bottlenecks, and intermittent telecommunications—continue to impede outreach, supervision, and timely reporting, reinforcing reliance on remote modalities that challenge quality assurance. From a sustainability perspective, volatile funding and short planning cycles, incentivize short‑term, heighten dependence on partner‑funded incentives, and slow government ownership of critical functions. Without targeted investment in PHC service delivery, surveillance (including community‑based early warning), supply chain resilience, and LGA coordination, the response risks widening coverage inequities, elevated preventable morbidity and mortality, and jeopardizing the feasibility of a transition to more government‑led systems in the medium term.
With the Humanitarian Reset, Nigeria’s response is the prioritization of life‑saving actions, simplify locally led coordination, localize funding/leadership for the response.
Leadership and coordination:
Transition:
The Ongoing development of the Transition Health Sector Action Plan is through a consultative and iterative process led by the Health Sector Coordination Team, in alignment with HNRP 2026 priorities and the ongoing transition agenda. An initial draft drew on extensive engagement with humanitarian partners and the three State Ministries of Health and was strengthened through incorporation of the 2024 SWOT and risk analyses, as well as guidance from the ISCG and HCT.
During the first mini‑workshop held on 2 December 2025, health partners and government representatives jointly reviewed coordination and programming activities, roles and responsibilities, timelines, and indicators, with a focus on feasibility, prioritization, and continuity of essential health services under constrained resources. Key technical inputs were integrated into the revised draft, which will be further refined through additional consultations in early 2026 and finalized through a validation workshop in March 2026 to ensure coherence with transition milestones, government ownership, and evolving operational realities.
Service delivery support:
As of December 2025, the Health Sector under the Humanitarian Needs Response Plan (HNRP) 2025 has reached 2.056.665 individuals, which accounts for 65% of the 3.1 million people targeted. However, progress has been significantly hindered by critical funding gaps, with only 43% of the required $74.2 million secured, according to partners.