International Development Grant

Expanding Health Insurance to Improve Sexual and Reproductive Health Outcomes

Project Number: CA-3-P010437001

Status: Operational

Country/Region:

Nigeria 100.00%

Maximum Contribution: $9,750,000.00

Start Date: March 08, 2022

End Date: November 30, 2025

Duration: 3.7 years

Project Description

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.

Expected Results

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.

Progress & Results Achieved

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.

Key Information

Executing Agency:
Clinton Health Access Initiative

Reporting Organization:
Global Affairs Canada

Program:
WGM Africa

Last Modified:
September 19, 2025

Development Classifications

DAC Sector:

Health policy and administrative management 45%
Basic health care 15%
Population policy and administrative management 30%
Population statistics and data 10%

Aid Type: Project-type interventions

Collaboration: Bilateral

Finance Type: Aid grant excluding debt reorganisation

Selection Mechanism:
Unsolicited Proposal

Policy Markers
Level 1 Gender equality
Level 1 Children's issues
Level 1 Youth Issues
Level 1 Nutrition
Major Funding (>$1M)
Budget Breakdown
2021-04-01 to 2022-03-31 $9,750,000 CAD
Geographic Information
000";Budget Type:Original;Start Date:2022-04-01;End Date:2023-03-31;Value Date:2022-03-08;Value:"$2
Reference ID: 575