Results for Development (R4D) is a global nonprofit organization working with partners in more than 55 countries to find new ways to help people escape poverty and reach their full potential. We apply fresh thinking and rigor to emerging and stubborn development challenges—particularly within the fields of health, education and governance—and we pioneer and advance creative, high-impact solutions. We do this by conducting analysis that helps to inform and influence decision-makers; building platforms and networks that connect people and ideas; by providing direct support to local change agents; and combining these approaches to deliver meaningful and lasting results.

In 2014, the Government of Nigeria (GoN) committed to reforming health care financing and service delivery in a Presidential Summit on Universal Health Coverage and enacted the Nigeria National Health Act. The Act officially recognized Nigerians’ right to health and established a Basic Health Care Provision Fund (BHCPF) to make financial resources available for primary health care (PHC) services. These reforms have the potential to greatly strengthen Nigeria’s PHC system and improve population health. Federal and state governments in Nigeria are currently working with local and international partners to implement systems for channeling these new health care funds for service delivery and financing, and setting up state-level demand side financing (DSF) mechanisms.

To support these reforms, Results for Development (R4D), in partnership with the Bill and Melinda Gates Foundation (BMGF), USAID and the Health Finance and Governance (HFG) Project, recently launched a program working with public actors and a consortium of development partners in Nigeria to provide two technical assistance programs for health care financing: one focused on federal-level reform, and the other providing targeted support to specific states.

  • The federal work engages key stakeholders in joint policy dialogue, generating evidence to inform health financing design options, and disseminating that evidence and practical implementation tools to states.

  • For the state-specific work, R4D will work closely with the governments of Kaduna and Niger states to analyze their unique health systems contexts, design tailored demand-side financing programs, and support the implementation of those programs, collaborating closely with governmental and nongovernmental partners.


Together, these two technical assistance programs will foster an enabling environment for creating health impact via more equitable and sustainable health care financing interventions.