Mobilising financing for climate change and health in Nigeria
Categories: Action Line 2: Evidence-based policy strategy and capacity building, Sustainable climate and health financing, Health systems wide resilience
Country: Nigeria
Organizations: World Bank, UK Foreign, Commonwealth and Development Office (FCDO), Ministry of Health, Nigeria
The intervention
Nigeria’s HOPE-Primary Healthcare (PHC) operation, part of the US$1.5 billion HOPE Program - financed by World Bank and other partners, mobilises financing for climate and health, to meet country commitments made at COP26. Nigeria has recently completed a detailed Vulnerability Assessment, has developed a Health National Adaptation Plan (HNAP), and has included ambitious health sector adaptation and mitigation objectives in its Nationally Determined Contribution update. The country takes a comprehensive approach to climate resilient primary healthcare infrastructure, with the support of FCDO and other partners. Development and implementation of Nigeria's HNAP includes State Health Adaptation Plans (HSAPs), to ensure Nigeria's climate and health agenda reaches all parts of the country using an approach contextualised to each states needs and owned by the local communities.
Success factors
The overall HOPE operation takes a sector wide approach (SWAp) which itself aligns well with the health systems model of integrating climate into health actions and facilitates Government leadership which has been critical for success with this work. The other key factor in success has been establishing a model that rewards outcomes over inputs. Policy and governance reliant interventions – such as HNAPs, and the devolution of planning to sub-national levels – is often a key development challenge. The HOPE-PHC Operation makes use of Disbursement Linked Indicators (DLIs) as an effective incentive for change at the scale needed for success.
Recommendations
Prioritising coordination and engagement has also underpinned success in particular with regard to Cross-sectoral and State Level Engagements and with Development Partners. Establishing a Cross-Sectoral Technical Working Group (TWG) has been seen as a critical step in the development of both the V&A and the HNAP. This also enabled climate focused health systems strengthening efforts to be aligned with government priorities building a resilient and sustainable movement for change.
Key resources
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