Nigeria National Quality of Care Costed AOP 2021 2021

Nigeria National Quality of Care
For RMNCAEH+N
Costed Annual Operational Plan
(2021-2022)
Federal Ministry of Health

Abuja, Nigeria
JULY 2021
1
Contents
Foreword………………………………………………………..……………3
Acknowledgement……………………………………...…………..…….4
Abbreviations…………………………………………………………..……5
1.0 Executive Summary…………………………………………………….6
2.0 Introduction………………………………………………………...……8
2.1 Overview of the Maternal & Newborn Strategy…...………8
2.2 Nigeria Maternal & Newborn Health……………...………….9
3.0 The Annual Operation Plan………………………………...………..13
3.1 Aim of AOP….……………………………………………………13
3.2 Objectives of AOP………………………………………….…..13
3.3 Methodology for the development of the AOP……….…13
3.4 Key Areas of Interventions……………………………….....…14
Annex 1: The list of Stakeholders Implementing QoC in Nigeria.....16
Annex 2: The QoC RMNCAEH+N Operational Plan…… …………..18
2
Foreword
The Federal Government of Nigeria remains committed to improving the
Quality of Care (QoC) for Reproductive, Maternal, Newborn, Child,
Adolescent, Elderly Health and Nutrition (RMNCAEH+N) in Nigeria. The delivery
of quality healthcare is the cornerstone to reducing morbidity, mortality and
improving quality of life of key populations of women, children, adolescents,
and the elderly.
Healthcare in Nigeria is delivered at the primary, secondary, and tertiary levels.

To make quality healthcare in Nigeria safe, efficient, effective, time sensitive,
equity and safe, there is a need for more improved coordination to significantly
accelerate progress and ensure positive health outcomes for women, child,
adolescents, and elderly.
In February 2017, Nigeria connected with eight (8) other first wave countries as
well as partners to join the WHO-led Quality, Equity and Dignity (QED) global
network to improve Quality of Care to mothers and newborns. Furthermore,
the aim of the QED network is to reduce maternal and newborn mortality and
improve the experience of care by half in 2030. Consequently, Nigeria set up
a National Technical Working Group and Steering Committee to lead
implementation of the initiative. This led to the development of the National
Strategy for Reproductive, Maternal, Newborn, Child, and Adolescent Health
Quality of Care in Nigeria, Volume I Maternal and Neonatal Health, 2018 by the
Federal Ministry of Health, Abuja.
The National Quality of Care Strategy lays out a vision for the provision of quality
of care for women and newborn and is guided by the principle of country
leadership, equity, human rights, and accountability. This National Annual
operational plan is derived from the key priorities for 2021 to 2022, it provides
strategic operational direction and scope of activities to promote access to
and utilization of quality Reproductive, Maternal, Newborn, Child and
Adolescent Health and Elderly (RMNCAEH+N) services in health facilities at all
levels.
I, Chair of the national inter-ministerial-level QoC Steering Committee call on

all Stakeholders including Development Partners, Donors, Implementing
Partners, Non-Governmental Organizations, Civil Society Groups, professional
associations, and relevant health actor to work with Government at all levels
in implementing this Operational Plan through the technical working group.
Dr Osagie Emmanuel Ehanire, MD, FWACS

Honorable Minister of Health
July 2021
3
Acknowledgement
The unacceptable Maternal mortality ratios, Neonatal Mortality Rate & under
-5 mortality, are attributable to the poor quality of care services. In addition,
the need for standards for the RMNCAEH+N space has necessitated the
development of the National Quality of Care for RMNCAEH+N Annual
Operational Plan 2021-2022.
My profound appreciation goes to the RMNCAH Quality of care Technical

Working Group who are representatives of the Federal Ministry of Health, State
Ministries of Health, Development Partners, Donors, Implementing Partners,
Regulatory Bodies, Professional Associations and Private Sector for their hard
work and inputs.
I wish to express sincere gratitude to the family health team who worked
tirelessly to ensure the entire process of the development of the Quality of Care
annual operational plan 2021-2022. Furthermore, the contributions made by
DHPRS - Monitoring and Evaluation Division, Hospital Services- Inspectorate
Division, Public Health- Non communicable Disease, NPHCDA- Community
Health Service Department and BHCPF, States Focal – Kano, Kebbi, Bauchi,
Adamawa, Kaduna, Katsina, Niger, Ebonyi, and Gombe.
We especially appreciate the technical and financial support of our

Development Partners notably WHO, USAID/IHP, UNFPA and UNICEF, especially
in conceptualization, funding meetings and technical review of the
document. We equally thank other development partners who provided
technical support throughout the process including JHPIEGO, CHAI, and
WRAN.
Finally, I commend the National Quality of Care Focal Officer, Dr Kennedy

Abiahu, for the commitment and coordination demonstrated for the success
of the Quality of Care for RMNCAEH+N Annual Operational Plan 2021-2022.
Dr. Salma Ibrahim-Anas MBBS, MWACP, FMCPH

Director, Family Health Department
July 2021
4
Abbreviations
AMSTL Active Management of Second Stage of
Labor
AOP Annual Operational Plan
CHAI Clinton Health Access Initiative
FCT Federal Capital Territory
FMOH Federal Ministry of Health
IHP Integrated Health Program
JHPIEGO Johns Hopkins Program for International Education

in Gynecology and Obstetrics
MNH Maternal and Newborn Health
NDHS Nigeria Demographic Health Survey
NEST 360 Newborn Essential Solutions and Technologies
NPHCDA National Primary Health Care Development

Agency
PHC Primary Health Care
QED Quality, Equality and Dignity
QOC Quality of Care
RMNCAEH+N Reproductive, Maternal, Newborn, Child,

Adolescent, Elderly Health and Nutrition
TWG Technical Working Group
UNFPA United Nations Population Fund
UNICEF United Nations Children’s Emergency Fund
USAID United States Agency for International

Development
WHO World Health Organization
WRA White Ribbon Alliance
5
1.0 Executive Summary
Quality of care is increasingly recognized internationally as a critical aspect of
the unfinished agenda in the RMNCAEH+N field, particularly in relation to
maternal and newborn care around the vulnerable periods of labor, delivery,
and the immediate postnatal period. Quality care is critical to the reduction of
preventable maternal, newborn, child, and adolescent death, and improving
the health and well-being of mothers, newborn, and other population groups.
According to WHO, based on evidence from studies, “giving birth in a health
facility with a ‘skilled’ attendant is not sufficient to reduce maternal and
newborn deaths and severe morbidity. Many women and their babies die from
poor care practices, even after reaching a health facility. Improving the
quality of care and patient safety are therefore critical if we want to
accelerate reductions in maternal and newborn mortality.”
In terms of implementation of the QoC for RMNCAEH+N in healthcare agenda,

Nigeria currently has structures in place at national and sub-national levels for
coordination of implementation of the QoC initiative; these include the
national steering committee, national and state technical working groups.
However, several gaps exist with the oversight functions at the States level for
QoC coordination and implementation, the designation of QoC Focal at the
State Ministry of Health is not uniform across the level, the monitoring and
evaluation plan does not exist to provide guidance for effective decision
making and the strategic channeling of scarce resources, lack of a clear
strategic utilization of the Basic Health Provision Fund by the NHPCDA for PHCs,
and the quality of services for RMNCAEH+N provided in a tertiary hospital is not
tracked, the regional inequalities of QoC implementation and poor integration
of community engagement for QoC implementation.
The Nigerian country implementation approach builds on principles of

government leadership and multi-stakeholder partnerships. The approach is
driven by the National Technical Working Group on QoC for RMNCAEH which
was inaugurated on 6th February 2017, in collaboration with the Steering
Committee on QoC for RMNCAH by the Minister of State for Health at the time,
Dr. Osagie Emmanuel Ehanire. The National Technical Working Group
developed the annual operation plan and has prioritized it as a tool for
coordination and implementation of QoC at all levels of healthcare to l ensure
a common development for RMNCAEH+N to guide implementation and foster
accountability. The implementation approach calls for the ministries of health
to align a broad coalition of partners and resources to develop national
policies, strategies, and structures for quality of care in health services.
Together, this partnership supports implementation through facilitating quality
improvement activities such as onsite support, learning, quality of care
measurement, community & stakeholder engagement, programme
management and national quality of care forum (QoC Week) to reinforce the
6
need for synergy in addressing the social determinants of health that are
outside the domain of the health sector.
Over the last four (4) years, the FMoH has been successful in ensuring that
quality of care is at the top of the national health agenda. However, more
commitment from the country leadership with regards to financial inclusion,
financial commitments, addressing basic health amenities and provision of
health services remains vital for the success of QoC in Nigeria. Although the
COVID- 19 pandemic has delayed quality of care implementation activities
and impacted the collection of quality of care data, it has also tested the
relevance of the collaboration and learning functions of the QED Network.
The role of the TWG needs to be more strategic to enable Nigeria to

accelerate the operationalization of the QoC care framework for the
RMNCAEH+N program. The strategic interventions on scaling up and
expanding the QoC to RMNCAEH+N space and to integrate their quality
improvement activities within wider health system efforts for quality of care is a
priority and will enhance partnerships and facilitate learning and
collaboration.
Moving forward, the Federal Government of Nigeria through the Federal

Ministry of Health & State Ministry of Health will have to invest more in quality of
care to scale up strategic interventions, including strengthening their health
information systems to improve the overall quality of the data they produce,
continuously monitor maternal, newborn and child health quality of care
services and data, strengthen accountability mechanisms, the systematic
engagement of communities to improve quality of care and the involvement
of academic institutions to support the development and implementation of a
national learning platform for quality of care Continued engagement with
governments and partners will be required to sustain the gains made, and to
strengthen the institutionalization of quality of care for maternal, newborn and
child health.
7
2.0 Introduction
2.1 Overview of MNH QoC Strategy
To accelerate the reduction of preventable maternal and newborn mortality
and stillbirths, the World Health Organization (WHO), in collaboration with
partners, developed a conceptual framework (Fig. 1) to improve quality of
care (QoC) in the delivery of safe, effective, timely, efficient, equitable and
people-centered maternal and newborn care. This framework recognizes the
interplay of the health system, structure, and processes in health outcomes.
Figure 1: WHO Quality of Care Framework for Maternal and Newborn
8
In response to the high maternal and newborn mortality worldwide, WHO
working with UNICEF, member states, and key development partners
established a Quality of Care (QoC) initiative in ten (10) first-wave countries in
2017, called the Quality of Care Network for Improving Maternal, Newborn and
Child health (www.qualityofcarenetwork.org.)
Nigeria is one of 10 first-wave countries participating in the Network. Each

Network country has selected initial learning sites (facilities) in which Network
activities are supported in line with implementation guidance developed by
the QoC Network. Twelve (12) States and the F.C.T were selected for the first
wave of QoC Network learning sites, due to its high burden of maternal and
newborn mortality and commitment to improving quality of care.
In 2018, these States were identified, and facility QoC teams were inaugurated
by the State QoC TWG under the State Ministries of Health. A baseline survey
was also conducted with data submitted to the FMOH for analysis and
planning. In 2019, the national QoC TWG organized the first national Quality
of Care Training of Trainer session for members including the State
representatives. The training was stepped down and extended to State, LGA
program officers and facility QI team members from March 2019 in various
States and LGAs in Nigeria. In July 2019, the baseline assessment results were
disseminated with the expectation that the identified gaps in all the learning
sites would be addressed as part of the input measures for the initiative.
Nigeria has now prioritized the improvement in RMNCH QoC which is critical to
the reduction of preventable maternal, newborn, child, and adolescent
death, and improving the health and well-being of mothers, newborns, and
other population groups. The goals of the Network are to reduce preventable
institutional maternal, newborn and child deaths and to improve every
mother’s, newborns, and family’s experience of care by implementing the
eight (8) standards of care and quality statements for high-quality maternal,
newborn care and pediatric care published by WHO in 2017 and 2018,
respectively and expanding into community and households.
9
2.2 NIGERIA MATERNAL AND NEWBORN HEALTH
Nigeria with an estimated population of about 206 million (National population
commission 2020)) has a maternal mortality ratio of 512/100,000 live births,
neonatal mortality rate of 39/1000 live births, infant mortality rate at 67/1000
live births, under five mortality rate of 132/1000 live births. Sixty- seven percent
(67%) of pregnant women attended ANC with 39% taking place in the health
facilities and taken by skilled birth attendants, respectively. With a high fertility
rate of 5.3 children per woman and modern contraceptive prevalence of 17%
(NDHS 2018), the country’s population is expected to grow further.
Figure 2: Trends in early childhood mortality rates (Source: Nigeria Demographic Health Survey, 2018- Deaths per
1,000 live births in the 5-year period before the survey)
Figure 3: Trends in maternal health (Source: Nigeria Demographic Health Survey, 2018- Percent of live births in the five-
year period before the survey)
10
As a result of the high maternal and perinatal mortality rates and in addition to
other poor health indices, Nigeria, Bangladesh, Côte d’Ivoire, Ethiopia, Ghana,
India, Kenya, and Uganda are part of the World Health Quality of the Care
Network. The Nigeria quality of care Network with a goal of reducing maternal
and perinatal mortality by 50% in 2022, currently has learning sites in 113 health
facilities, 39 Local Government Areas in Twelve (12) states plus FCT with plans
to scale up. Morbidity and mortality reduction would be achieved through
quality improvement and would be prioritized as follows:
2.2.1 Maternal health: Improve the prevention and management of

postpartum hemorrhage using partograph (soon to be replaced by the labour
care guide), and Active Management of Second stage of labour (AMSTL),
Improve the prevention of preeclampsia and treatment of eclampsia with
Magnesium Sulphate and reduce the occurrence of sepsis.
2.2.2 Newborn health: Increase the practice of skin-to-skin contact, reduce

birth asphyxia, and decrease the cases of sepsis using chlorhexidine for
umbilical cord care.
In addition, adopt the evidence-based practice for the care of the sick and
small newborn.
2.2.3 Respectful maternity care: Foster respectful maternal and newborn care
through the adoption of the updated White Ribbon Alliance (WRA) patient
charter and other respectful care approaches.
2.2.4 Quality of Health Care is defined as the extent to which health services
provided to individuals and patient populations improve desired health
outcomes. (WHO). Simply Stated, it is doing the right thing at the right time for
every client, every time. Quality happens when all the inputs (such as trained
health workers, commodities, medicines, lab tests, etc.) come together
consistently at the right time to ensure that every client has what they need
when they need it. It has the following dimensions:
● Safety: Avoiding risks and harm to patients from care that is intended to
help them (e.g., treating malaria with Chloroquine instead of ACT)
● Person–Centeredness: Providing care that is respectful and responsive to
individual needs/values.
● Efficiency: Maximizing resources use and avoiding waste.
● Effectiveness: Providing services based on scientific knowledge, and
evidence-based guidelines
● Timeliness: Reducing delays in providing and receiving healthcare
Figure SEQ Figure \* ARABIC 1: WHO Quality of Care Framework (MNH)
11
● Equitable: Delivering health care that does not differ in quality according
to personal characteristics such as gender, race, ethnicity,
geographical location, or socioeconomic status.
This two-year quality of care operational plan is designed to reduce morbidities

and mortalities in Nigeria particularly as applied to Reproductive, Maternal,
Newborn, Child, Adolescent and Elderly Health plus Nutrition (RMNCAEH +N).
Figure SEQ Figure \* ARABIC 2: WHO QoC Framework for Child and Adolescent
Haelth
12
3.0 The Annual Operation Plan
3.1 Aim of Annual Operational Plan
To provide strategic operational direction and scope of activities to promote
access to and utilization of quality RMNCAEH+N services in health facilities at
all levels.
3.2 Objectives of Annual Operational Plan

1. To strengthen leadership and coordination of implementation of QoC in
Nigeria.
2. To identify and mobilize infrastructural, human resource and training needs
for scaling up QoC implementation.
3. To facilitate establishment of structures to support & sustain QoC
implementation.
4. To establish robust tracking and reporting mechanisms for QoC
implementation.
3.3 Methodology for the development of the Operational Plan

The 2021 First Quarter meeting of the National Technical Working Group (TWG)
on QoC was held from 21st to 23rd April 2021 with one of the objectives focusing
on the development of a 2-year Operational Plan with States & Stakeholders.
At the TWG meeting, the session continued with a clear overview of the group
work to develop a 2-year operational plan. Each group was assigned to each
of the 5 sections of the AOP organized according to the QoC strategic
objectives – Leadership & Coordination, Action, Learning, and Accountability
& Community Engagement.
Furthermore, a 3-day subcommittee meeting on the Monitoring and
Evaluation for QoC was held from the 23rd to 25th June 2021, to chart
mechanisms for strengthening monitoring, evaluation and learning on QoC
implementation and how to capture operational activities on the operational
plan to address this front burner issue, meeting was supported by WHO. A draft
M&E plan was developed at the meeting which will represent the Monitoring
and Evaluation Plan for Quality of Care for RMNCAEH+N for all levels of care in
Nigeria.
This was followed by a desk costing assumption of the operational plan by

USAID/IHP. The draft cost assumption was estimated at N 301, 520,000. 00.
A finalization and validation meeting which was made up of the TWG and
supported by UNICEF reviewed the draft Costed Quality of Care for
13
RMNCAEH+N Annual Operational Plan 2021-2022 from 23rd to 25th April 2021
and built a consensus on the AOP for implementation.
The validated Cost Quality of Care for RMNCAEH+N Annual Operational Plan
2021-2022 is estimated at N 743, 125, 000 for a timeline of 2years.
3.4 KEY OUTPUT AREAS

3.4.1 LEADERSHIP & COORDINATION
● Output 1: National, strategy and operational plan for improving MNH
QoC developed and funded.
● Output 2: QoC governance structures established/strengthened and
functioning at all levels.
3.4.2 ACTION
● Output 1 National evidence-based standards of care for MNH
developed and disseminated.
● Output 2: A National package of quality improvement interventions is
developed and disseminated.
● Output 3: Clinical and managerial capabilities to support quality
improvement are developed, strengthened, and sustained.
● Output 4: Quality improvement interventions for MNH are
implemented.
3.4.3 LEARNING
● Output 1: Data systems are developed/strengthened to integrate and
use quality of care data for improved care.
● Output 2: Mechanisms to facilitate learning and share knowledge
through a learning network are developed and strengthened.
● Output 3 Data and practice are analyzed and synthesized to generate
an evidence base for the quality of care improvement.
3.4.4 ACCOUNTABILITY
● Output 1: National framework and mechanisms for accountability for
QoC are established and functioning.
● Output 2: Progress of the National Network on RMNCAEH+N quality of
care is regularly monitored.
● Output 3: Impact of the National initiative on RMNCAEH+N quality of
care is evaluated.
14
3.4.5 COMMUNITY ENGAGEMENT
● Output 1: National community Engagement strategy for quality of care
is developed and implemented.
● Output 2: Community score card system is developed, linked with the
Ward Development Committee & strengthened.
15
Annex 1: The list of Stakeholders Implementing QoC
S/N STAKEHOLDERS ROLES AND RESPONSIBILITIES
1 Department of Family • Coordinates and provides leadership roles.

Health (FMoH)
• Serves as the national coordinating platform
for QoC
• Ensures identification and use of data for
evidence based QoC, dialogues and
decision making.
• Leads resource mobilization for national level
QoC
2 Department of Health • Leads tracking monitoring and review of

Planning, Research & performances.
Statistic (FMoH)
• Ensures identification and use of data for
evidence-based QI
3 Department of • Coordinates and provides leadership role for

Hospital Services the implementation of QoC at the tetiary
(FMoH) level of care in Nigeria.
4 National Primary • Coordinates and provides a leadership role

Healthcare for the implementation of QoC at the
Development primary level of care in Nigeria.
Agency
• Provides technical and programmatic
support to States and LGAs on
implementation of QoC at PHC level
• Mobilizes resources for PHC QoC
implementation.
5 States Ministry of • Coordinates and provides a leadership role

Health for the implementation of QoC at the
secondary level of care in Nigeria.
6 WHO • Coordinates and provides technical

guidance for the implementation of QoC in
Nigeria.
• Serves as the Country secretariat for the QED
network.
16
• Provides technical support to National QoC
TWG in the Implementation of QoC in
Nigeria.
7 UNICEF • Implementing QI in selected primary,

secondary & Tertiary health facilities in Kebbi,
Niger, Adamawa, Bauchi, Kano.
• Provides technical support to National QoC
TWG in the Implementation of QoC in
Nigeria.
8 USAID/IHP • Implementing QI in selected secondary and

primary health facilities in Bauchi, Kebbi,
Sokoto, Ebonyi States and FCT.
9 JHPIEGO • Implementing MSD for Mothers Quality of

Care project in selected primary, secondary
and private health facilities in FCT & Lagos.
• Supporting the implementation on indirect
causes of maternal mortality (Focus on risk
factors for CVD & Pre-Eclampsia/Eclampsia)
in Nigeria.
10 CHAI • Support the roll-out of a revised quality of

care strategy in alignment with national
strategy in program States (Kaduna, Kano,
Katsina & Rivers).
• Support the establishment and
institutionalization of Quality Improvement
(QI) dashboards and Quality-of-Care (QoC)
teams for continuous monitoring.
11 UNFPA • Support & Coordinate Implementation of

QoC in Gombe State
12 PATHFINDER • Support the TWG for coordinating &

Implementation of QoC.
13 WRA • Support the TWG for coordinating &

Implementation of QoC.
14 NEST 360 • Newborn Essential Solutions and

Technologies is implementing in Oyo & Lagos
State.
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Annex 2
The costed QoC RMNCAEH+N Operational Plan
National RMNCAH QoC 2021-2022 Operational Plan- Nigeria
Frequenc Key Agencies Means

Strategic Actions / Resource needed Estimated Total Estimated Timeline(s)
Output Sub-activities y of Lead Ministry & Output indicator of
Activity (s) (with estimated Cost) budget (N) budget (N)
Activity Partners Verification
YEAR 1 YEAR 2
National RMNCAH QoC 2021-2022 Operational Plan- Nigeria TOTAL AOP BUDGET
₦ 743,125,000 Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4
OVERALL BUDGET - Leadership & Coordination

1. LEADERSHIP & COORDINATION ₦ 251,790,000 Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4
Output 1: National, @N90,000/Day for 14 days level of effort. ₦ 1,260,000 1 ₦ 1,260,000

strategy and 1. Revise the National Activity 1.1a Engage a Consultant to review
operational plan for RMNCAH QoC Strategy by the performamce of current strategy and Review of the
improving MNH QoC incoporating the Small & facilitate the revision process : effort value NPHCDA, WHO, Performance based
Performance
developed and Sick Newborn and Child & at 14 days to facilitate the process FMoH/DFH, UNICEF, report of the MNH QoC
based report of the
funded. Adolescent Health IHP,JHPIEGO, Strategy
MNH QoC Strategy
components to the existing
MNH QoC Strategy
Activity 1.1b - 3-day workshop for review of Hall for 3 days @ N200,000 / day ₦ 600,000 1 ₦ 600,000
RMNCAEH+N QoC strategy incorporating Transport for 20 participants @ N3,000 eaach / day ₦ 180,000 1 ₦ 180,000
the MNH, Child health, Small & sick
newborn and Adolescent components DSA for 20 participants for 4 nights @ N30,000 /night ₦ 2,400,000 1 ₦ 2,400,000 NPHCDA, WHO, Reviewed National The strategy
2 Tea Breaks @ N2,000 each for 40 participants -3 days ₦ 480,000 1 ₦ 480,000 Q4 FMoH/DFH, UNICEF, RMNCAEH QOC Document, report of
Lunch and water @ N3,500 for 40 participants- 3 days ₦ 420,000 1 ₦ 420,000 IHP,JHPIEGO, Strategy meeting
Stationaries / writing materials @ N1,000 each ₦ 40,000 1 ₦ 40,000
Printing and Photocopies @ N100,000 ₦ 100,000 1 ₦ 100,000
Activity 1.2b - 2-day stakeholders'meeting Hall for 2 days @ N200,000 / day ₦ 400,000 1 ₦ 400,000
to review the first draft of RMNCAEH+N Transport for 20 participants @ N3,000 eaach / day ₦ 120,000 1 ₦ 120,000
QoC strategy incorporating the MNH, Child
DSA for 20 participants for 3 nights @ N30,000 /night ₦ 1,800,000 1 ₦ 1,800,000 NPHCDA, WHO, draft National The draft strategy
health, Small & sick newborn and
Adolescent components 2 Tea Breaks @ N2,000 each for 40 participants -2 days ₦ 320,000 1 ₦ 320,000 FMoH/DFH, UNICEF, RMNCAEH QOC Document, report of
Lunch and water @ N3,500 for 40 participants- 2 days ₦ 280,000 1 ₦ 280,000 IHP,JHPIEGO, Strategy meeting
Total Budget ₦ 8,540,000 ₦ 8,540,000
Activity 1.1c - 2-day Finalization and Hall for 2 days @ N200,000 / day ₦ 400,000 1 ₦ 400,000
validation meeting of RMNCAEH+N QoC Transport for 20 participants @ N3,000 eaach / day ₦ 120,000 1 ₦ 120,000
strategy incorporating the MNH, Child
DSA for 20 participants for 3 nights @ N30,000 /night ₦ 1,800,000 1 ₦ 1,800,000 Validated draft
health, Small & sick newborn and NPHCDA, WHO, The validated draft
National
Adolescent components 2 Tea Breaks @ N2,000 each for 40 participants -2 days ₦ 320,000 1 ₦ 320,000 FMoH/DFH, UNICEF, strategy Document,
RMNCAEH QOC
Lunch and water @ N3,500 for 40 participants- 2 days ₦ 280,000 1 ₦ 280,000 IHP,JHPIEGO, report of meeting
Strategy
Total Budget ₦ 3,060,000 ₦ 3,060,000
Activity 1.1c- Printing of 1000 copies of final Production and Printing @ N1,000 each x 1000 copies
RMNCAEH+N QoC strategy ₦ 1,000,000 1 ₦ 1,000,000
Total Budget ₦ 1,000,000 ₦ 1,000,000

Activity 1.1d - 1-day dissemination meeting Hall for 1 day @ N200,000 / day ₦ 200,000 1 ₦ 200,000 Hard copies of The Hard copies of
NPHCDA, WHO,
of RMNCAEH+N QoC strategy incorporating Transport for 40 participants @ N3,000 eaach / day ₦ 120,000 1 ₦ 120,000 National strategy Document,
FMoH/DFH, UNICEF,
the MNH, Child health, Small & sick RMNCAEH QOC report of dissemination
2 Tea Breaks @ N2,000 each for 40 participants -1 day ₦ 160,000 1 ₦ 160,000 IHP,JHPIEGO,
newborn and Adolescent components Strategy II meeting
Lunch and water @ N3,500 for 40 participants- 1 day ₦ 140,000 1 ₦ 140,000
Total Budget ₦ 760,000 ₦ 760,000
Output 1: National, 2. Develop a costed Activity 2.1a - 2-day stakeholders' meeting Hall for 2 days @ N200,000 / day ₦ 400,000 1 ₦ 400,000
strategy and National RMNCAH 2021- to develop RMNCAH+N QoC operatioal Transport for 20 participants @ N3,000 eaach / day ₦ 120,000 1 ₦ 120,000
operational plan for 2022 QoC operational plan plan 2021- 2022
DSA for 20 participants for 3 nights @ N30,000 /night ₦ 1,800,000 1 ₦ 1,800,000 NPHCDA, WHO, Develped costed
improving MNH QoC
The costed operational
developed and 2 Tea Breaks @ N2,000 each for 40 participants -2 days ₦ 320,000 1 ₦ 320,000 FMoH UNICEF, National RMNCAEH
Plan, report of meeting
funded. Lunch and water @ N3,500 for 40 participants- 2 days ₦ 280,000 1 ₦ 280,000 IHP,JHPIEGO, operational Plan
Total Budget ₦ 3,060,000 ₦ 3,060,000
Page 10
Activity 2.1b - 2-day stakeholders'meeting Hall for 2 days @ N200,000 / day ₦ 400,000 1 ₦ 400,000
to review the first draft RMNCAH+N QoC Transport for 20 participants @ N3,000 eaach / day ₦ 120,000 1 ₦ 120,000
operational plan 2021- 2022
DSA for 20 participants for 3 nights @ N30,000 /night ₦ 1,800,000 1 ₦ 1,800,000 NPHCDA, WHO, Develped draft
The draft operational
2 Tea Breaks @ N2,000 each for 40 participants -2 days ₦ 320,000 1 ₦ 320,000 FMoH UNICEF, National RMNCAEH
Plan, report of meeting
Lunch and water @ N3,500 for 40 participants- 2 days ₦ 280,000 1 ₦ 280,000 IHP,JHPIEGO, operational Plan
Total Budget ₦ 3,060,000 ₦ 3,060,000
Activity 2.1c - 2-day stakeholders'meeting Hall for 2 days @ N200,000 / day ₦ 400,000 1 ₦ 400,000
for costing of draft RMNCAH+N QoC Transport for 20 participants @ N3,000 eaach / day ₦ 120,000 1 ₦ 120,000
operational plan 2021- 2022
DSA for 20 participants for 3 nights @ N30,000 /night ₦ 1,800,000 1 ₦ 1,800,000 Develped costed
NPHCDA, WHO, The costed draft
draft National
2 Tea Breaks @ N2,000 each for 40 participants -2 days ₦ 320,000 1 ₦ 320,000 FMoH UNICEF, operational Plan,
RMNCAEH
operational Plan
Total Budget ₦ 3,060,000 ₦ 3,060,000
Activity 2.1d - 2-day stakeholders'meeting Hall for 2 days @ N200,000 / day ₦ 400,000 1 ₦ 400,000
for finalization and validation of draft Transport for 20 participants @ N3,000 eaach / day ₦ 120,000 1 ₦ 120,000
RMNCAH+N QoC operational plan 2021-
DSA for 20 participants for 3 nights @ N30,000 /night ₦ 1,800,000 1 ₦ 1,800,000 Validated costed
2022 NPHCDA, WHO, The validated costed
draft National
2 Tea Breaks @ N2,000 each for 40 participants -2 days ₦ 320,000 1 ₦ 320,000 FMoH UNICEF, draft operational Plan,
RMNCAEH
operational Plan
Total Budget ₦ 3,060,000 ₦ 3,060,000
Activity 2.1e - Printing of 1000 copies of Production and Printing @ N1,000 each x 1000 copies Hard copies of
final RMNCAH+N QoC operational plan NPHCDA, WHO,
National RMNCAEH 1000 copies of
2021- 2022 ₦ 1,000,000 1 ₦ 1,000,000 FMoH UNICEF,
QoC operational operational Plan
IHP,JHPIEGO,
Plan
Total Budget ₦ 1,000,000 ₦ 1,000,000
Activity 2.1f - 1-day dissemination meeting Hall for 1 days @ N200,000 / day ₦ 200,000 1 ₦ 200,000
of final RMNCAH+N QoC operational plan Transport for 20 participants @ N3,000 eaach / day ₦ 60,000 1 ₦ 60,000
2021- 2022
DSA for 20 participants for 2 nights @ N30,000 /night ₦ 1,200,000 1 ₦ 1,200,000 Dissemination of Hard and soft copies of
NPHCDA, WHO,
the National QoC operational Plan,
2 Tea Breaks @ N2,000 each for 40 participants -1 days ₦ 80,000 1 ₦ 80,000 FMoH UNICEF,
RMNCAEH report of dissemination
Lunch and water @ N3,500 for 40 participants- 1 days ₦ 1,400,000 1 ₦ 1,400,000 IHP,JHPIEGO,
operational Plan meeting
Total Budget ₦ 3,080,000 ₦ 3,080,000
Output 1: National, 3. Advocate for and Activity 3.1a - Engagement of Consultant @N60,000/Day for 14 days level of effort
strategy and mobilise resources to and Graphic Artist to developed the zero
operational plan for support the implementation draft of the Advocacy Kit on RMNCAEH
improving MNH QoC of RMNCAH QoC QoC
developed and operational plans at all
funded. levels
Activity 3.1b - 3 Days Meeting to Review Hall for 3 days @ N200,000 / day ₦ 600,000 1 ₦ 600,000
the draft Zero the RMNCAEH QoC
Advocacy Kit Transport for 20 participants @ N3,000 eaach / day ₦ 180,000 1 ₦ 180,000
DSA for 20 participants for 4 nights @ N30,000 /night ₦ 2,400,000 1 ₦ 2,400,000 NPHCDA, WHO, draft advocacy kit
2 Tea Breaks @ N2,000 each for 40 participants -3 days advocacy kit , report
₦ 480,000 1 ₦ 480,000 FMoH UNICEF, on QoC RMNCAEH
of meeting
Lunch and water @ N3,500 for 40 participants- 3 days ₦ 420,000 1 ₦ 420,000 IHP,JHPIEGO, implementation
Activity 3.1c - 2 Days Pretest of the Transport for 5 participants @ N50,000 eaach / day ₦ 250,000 1 ₦ 250,000
Prested draft
Advocacy kit for RMNCAEH QoC DSA for 5 participants for 3 nights @ N30,000 /night ₦ 2,250,000 1 ₦ 2,250,000 NPHCDA, WHO,
advocacy kit on Preseted advocacy kit
local Transport for 3 State persons Team 10,000/3 ₦ 30,000 1 ₦ 30,000 FMoH UNICEF,
QoC RMNCAEH , report of pretest
IHP,JHPIEGO,
Activity 3.1d - Finalization and Validation of Hall for 2 days @ N200,000 / day ₦ 400,000 1 ₦ 400,000 implementation
the Advocacy kit for Qoc
Transport for 20 participants @ N3,000 eaach / day ₦ 120,000 1 ₦ 120,000
DSA for 20 participants for 3 nights @ N30,000 /night ₦ 1,800,000 1 ₦ 1,800,000
2 Tea Breaks @ N2,000 each for 40 participants -2 days ₦ 320,000 1 ₦ 320,000
Lunch and water @ N3,500 for 40 participants- 2 days validated draft
₦ 280,000 1 ₦ 280,000 NPHCDA, WHO,
advocacy kit on report of finalization &
FMoH UNICEF,
Stationaries / writing materials @ N1,000 each ₦ 40,000 1 ₦ 40,000 QoC RMNCAEH validation meeting
IHP,JHPIEGO,
Printing and Photocopies @ N100,000 ₦ 100,000 1 ₦ 100,000 implementation
Activity 3.1e - Printing of 1000 copies of Production and Printing @ N1,000 each x 1000 copies
final RMNCAH+N QoC operatioal plan 2021- ₦ 1,000,000 1 ₦ 1,000,000
2022
Page 10
Activity 3.1e - Printing of 1000 copies of

final RMNCAH+N QoC operatioal plan 2021-
2022
Printed Advocacy 1000 copies of
NPHCDA, WHO, brief on QoC advocacy kits on QoC
FMoH/DFH UNICEF, RMNCAEH+N RMNCAEH+N
IHP,JHPIEGO,
Activity 3.2a - Advocate for budget line Memo to HMH, PSH ₦0 ₦0

Budget line for
and government funding in support of the HMH,PSH Approval on
FMoH/DFH DFH QoC and QoC
national QoC AOP Memo
Open Fund
Activity 3.2b- Mobilise additional funding Memo to HMH, PSH ₦0 ₦0 Budget line for
for the full implementation of the QoC and QoC
operational plan from the private sector Open Fund, HMH,PSH Approval on
and partners at all levels FMoH/DFH DFH
Defined Private Memo
sector Funding
mechanism
Activity 3.3c- Provide Monitoring mobility Hilux Vehicles @ N30,0000 x 5 ₦ 150,000,000
Vehicles avaiable
for National & State QoC Focals at all
1 ₦ 150,000,000 FMoH/DFH DFH for contnous Pictures, reports.
levels.
monitoring
Output 1: National, 4. Develop national quality Activity 4.1a - 3-day core group meeting to Hall for 3 days @ N200,000 / day ₦ 600,000 1 ₦ 600,000
strategy and of care implementation draft QoC implementation guide Transport for 20 participants @ N3,000 eaach / day ₦ 180,000 1 ₦ 180,000
operational plan for guide
improving MNH QoC DSA for 20 participants for 4 nights @ N30,000 /night ₦ 2,400,000 1 ₦ 2,400,000 NPHCDA, WHO, draft National QoC draft National QoC
developed and 2 Tea Breaks @ N2,000 each for 40 participants -3 days ₦ 480,000 1 ₦ 480,000 FMoH/DFH UNICEF, Implimentation Implimentation guide,
funded. Lunch and water @ N3,500 for 40 participants- 3 days ₦ 420,000 1 ₦ 420,000 IHP,JHPIEGO guide Developed report of Meetings
Total Budget ₦ 15,030,000 ₦ 165,030,000
Activity 4.1 b - 2-day stakeholders' meeting Hall for 2 days @ N200,000 / day ₦ 400,000 1 ₦ 400,000
to review and finalize QoC implementation Transport for 20 participants @ N3,000 eaach / day ₦ 120,000 1 ₦ 120,000
guide
DSA for 20 participants for 3 nights @ N30,000 /night ₦ 1,800,000 1 ₦ 1,800,000 NPHCDA, WHO, draft National QoC draft National QoC
2 Tea Breaks @ N2,000 each for 40 participants -2 days ₦ 320,000 1 ₦ 320,000 FMoH/DFH UNICEF, Implimentation Implimentation guide,
Lunch and water @ N3,500 for 40 participants- 2 days ₦ 280,000 1 ₦ 280,000 IHP,JHPIEGO guide reviewed report of Meetings
Total Budget ₦ 3,060,000 ₦ 3,060,000
Activity 4.1c - Printing of the finalized and Production and Printing @ N1,000 each x 1000 copies
Printed National
validated national QoC implementation NPHCDA, WHO, 1000 copies of
QoC
guide ₦ 1,000,000 1 ₦ 1,000,000 FMoH/DFH UNICEF, National QoC
Implimentation
IHP,JHPIEGO Implimentation guide
guide reviewed
Total Budget ₦ 1,000,000 ₦ 1,000,000
Activity 4.1d- dissemination of national Hall for 1 day @ N200,000 / day ₦ 200,000 1 ₦ 200,000
QoC implementation guide to stakeholders Transport for 40 participants @ N3,000 eaach / day ₦ 120,000 1 ₦ 120,000 Hard and Soft copies of
Disseminated
2 Tea Breaks @ N2,000 each for 40 participants -1 day ₦ 160,000 1 ₦ 160,000 NPHCDA, WHO, National QoC
National QoC
FMoH/DFH UNICEF, Implimentation guide
Lunch and water @ N3,500 for 40 participants- 1 day ₦ 140,000 1 ₦ 140,000 Implimentation
IHP,JHPIEGO disseminated, report of
Stationaries / writing materials @ N1,000 each guide
₦ 40,000 1 ₦ 40,000 dissemination meeting.
Total Budget ₦ 760,000 ₦ 760,000
Output 1: National, 5. Develop care SOP, Acitivity 5.1a - Conduct rapid assessment Hall for 3 days @ N200,000 / day ₦ 600,000 1 ₦ 600,000
strategy and guidelines and tool for all of Quality of Care for all levels of Transport for 20 participants @ N3,000 eaach / day ₦ 180,000 1 ₦ 180,000
operational plan for levels of healthcare healthcare NPHCDA, WHO,
DSA for 20 participants for 4 nights @ N30,000 /night ₦ 2,400,000 1 ₦ 2,400,000 Rapid assessment Report of rapid
improving MNH QoC (Primary, Secondary & UNICEF,
conducted at all assessment conducted
developed and Tertiary) 2 Tea Breaks @ N2,000 each for 40 participants -3 days ₦ 480,000 1 ₦ 480,000 - NPHCDA IHP,JHPIEGO,
levels of at all levels of
funded. Lunch and water @ N3,500 for 40 participants- 3 days ₦ 420,000 1 ₦ 420,000 CHAI, SPHCBS,
healthcare. healthcare
USAID
Total Budget ₦ 4,220,000 ₦ 4,220,000
Activity 5.1b - Engagement of core Hall for 2 days @ N200,000 / day ₦ 400,000 1 ₦ 400,000
technical team to develop draft SOP and Transport for 20 participants @ N3,000 eaach / day ₦ 120,000 1 ₦ 120,000
guidelines NPHCDA, WHO, draft SOPs,
DSA for 20 participants for 3 nights @ N30,000 /night ₦ 1,800,000 1 ₦ 1,800,000 UNICEF, Guidelines and report of meetings, the
2 Tea Breaks @ N2,000 each for 40 participants -2 days ₦ 320,000 1 ₦ 320,000 NPHCDA IHP,JHPIEGO, tools for all levels draft documents for all
Lunch and water @ N3,500 for 40 participants- 2 days ₦ 280,000 1 ₦ 280,000 CHAI, SPHCBS, of healthcare on levels of care on QoC
USAID QoC developed.
Total Budget ₦ 3,060,000 ₦ 3,060,000
Acitivity 5.1c- Conduct 3 series of 3 day Production and Printing @ N1,000 each x 1000 copies ₦ 1,000,000 1 ₦ 1,000,000 NPHCDA, WHO, Finalized draft
stakeholder workshop to review and report of meetings, the
UNICEF, SOPs, Guidelines
finalize levels of health care on QoC SOP, finalized draft
NPHCDA IHP,JHPIEGO, and tools for all
guidelines and tools documents for all
CHAI, SPHCBS, levels of
levels of care on QoC
USAID healthcare on QoC
Page 10
Acitivity 5.1c- Conduct 3 series of 3 day

NPHCDA, WHO, Finalized draft
stakeholder workshop to review and As above (Activity 5.1b) for one meeting of core report of meetings, the
UNICEF, SOPs, Guidelines
finalize levels of health care on QoC SOP, technical team x 3 series of meetings finalized draft
NPHCDA IHP,JHPIEGO, and tools for all
guidelines and tools ₦ 3,060,000 3 ₦ 9,180,000 documents for all
CHAI, SPHCBS, levels of
levels of care on QoC
USAID healthcare on QoC
Total Budget ₦ 4,060,000 ₦ 10,180,000

Activity 5.1d- Dissemination of levels of Hall for 1 day @ N200,000 / day ₦ 200,000 1 ₦ 200,000
healthcare QoC SOP and guidleines Transport for 40 participants @ N3,000 eaach / day NPHCDA, WHO, Disseminated SOPs, report of dissemination
₦ 120,000 1 ₦ 120,000
2 Tea Breaks @ N2,000 each for 40 participants -1 day ₦ 160,000 1 ₦ 160,000 UNICEF, Guidelines and meetings, the
FMOH/NPHCDA IHP,JHPIEGO, tools for all levels disseminated
Lunch and water @ N3,500 for 40 participants- 1 day ₦ 140,000 1 ₦ 140,000 CHAI, SPHCBS, of healthcare on documents for all
Stationaries / writing materials @ N1,000 each ₦ 40,000 1 ₦ 40,000 USAID QoC levels of care on QoC
Actitivy 5.1e - Conduct a National ToT on Hall for 1 day @ N200,000 / day ₦ 200,000 1 ₦ 200,000 report of national
QOC SOP and guidelines N-TOT condcuted
Transport for 40 participants @ N3,000 eaach / day ₦ 120,000 1 ₦ 120,000 NPHCDA, WHO, training of trainers,
on SOPs,
2 Tea Breaks @ N2,000 each for 40 participants -1 day ₦ 160,000 1 ₦ 160,000 UNICEF, dissemination
Guidelines and
FMOH/NPHCDA IHP,JHPIEGO, meetings, the pool of
Lunch and water @ N3,500 for 40 participants- 1 day ₦ 140,000 1 ₦ 140,000 tools for all levels
CHAI, SPHCBS, national trainers on
Stationaries / writing materials @ N1,000 each of healthcare on
₦ 40,000 1 ₦ 40,000 USAID QoC documents for all
QoC
Printing and Photocopies @ N100,000 ₦ 100,000 1 ₦ 100,000 levels of care.
Total Budget ₦ 1,520,000 ₦ 1,520,000
Output 2: QoC 1. Strengthen and ensure Activity 6.1a - Facilitate annual meetings of Hall for 1 day @ N200,000 / day ₦ 200,000 2 ₦ 400,000
governance structures the functioning of the the National RMNCAH QoC Steering Transport for 40 participants @ N3,000 eaach / day ₦ 120,000 2 ₦ 240,000
established/strengthen National RMNCAH QoC Committee x 2 Governance
ed and functioning at coordination structures 2 Tea Breaks @ N2,000 each for 40 participants -1 day ₦ 160,000 2 ₦ 320,000 NPHCDA, WHO, structures report of meeting and
all levels. Lunch and water @ N3,500 for 40 participants- 1 day ₦ 140,000 2 ₦ 280,000 FMoH/DFH UNICEF, established/strengt recommendations
Stationaries / writing materials @ N1,000 each IHP,JHPIEGO hened
₦ 40,000 2 ₦ 80,000
Prinitng and Photocopies @ N100,000 ₦ 100,000 2 ₦ 200,000
Total Budget ₦ 760,000 ₦ 1,520,000
Activity 6.1b - Facilitate quarterly meetings Hall for 2 days @ N200,000 / day ₦ 400,000 8 ₦ 3,200,000
of the National RMNCAH QoC TWG Transport for 20 participants @ N3,000 eaach / day ₦ 120,000 8 ₦ 960,000
meetings x 8
DSA for 20 participants for 3 nights @ N30,000 /night ₦ 1,800,000 8 ₦ 14,400,000 NPHCDA, WHO,
National TWG on report of meeting and
2 Tea Breaks @ N2,000 each for 40 participants -2 days ₦ 320,000 8 ₦ 2,560,000 FMoH/DFH UNICEF,
QoC held recommendations
Lunch and water @ N3,500 for 40 participants- 2 days ₦ 280,000 8 ₦ 2,240,000 IHP,JHPIEGO
Total Budget ₦ 3,060,000 ₦ 24,480,000
Activity 6.1c - Facilitate bi-monthly
meetings of the National RMNCAH QoC ₦0 ₦0 1 ₦0
TWG sub-committees
2. Establish / Strengthen of Activity 6.2a - Advocacy visit to facilitate

State-level RMNCAH the establishment / strengthening of state-
QoC/MPDSR Steering level RMNCAH QoC/MPDSR Steering
₦0 ₦0 1 ₦0
Committees in all 36 States Committees
and FCT
Activity 6.2b -Develop Guidance note for

integration of MPDSR and QoC.
₦0 ₦0 1 ₦0
3. Establish/ strengthen Activity 6.3a- Facilitate set up of QOC Hall for 3 days @ N200,000 / day ₦ 600,000 1 ₦ 600,000
States/ PHC RMNCAH+N Focal Officers within State Ministry of Health Transport for 20 participants @ N3,000 eaach / day ₦ 180,000 1 ₦ 180,000
QoC Focal/ QoC Assist and QOC Assist Points (AP) at PHC - QoC Focals in
DSA for 20 participants for 4 nights @ N30,000 /night ₦ 2,400,000 1 ₦ 2,400,000 NPHCDA,
Points (AP) in all 12 states (National Emergency Maternal And Child
SMOH identified/ Database of QoC
and FCT and LGAs health Interevntion Centres- NEMCHIC) 2 Tea Breaks @ N2,000 each for 40 participants -3 days ₦ 480,000 1 ₦ 480,000 FMoH/DFH WHO, UNICEF,
Assist Ponits Focals/Assist Points
Lunch and water @ N3,500 for 40 participants- 3 days ₦ 420,000 1 ₦ 420,000 IHP,JHPIEGO
identified in PHC
Total Budget ₦ 4,220,000 ₦ 4,220,000
Activity 6.3b- Facilitate set up of QOC Hall for 2 days @ N200,000 / day ₦ 400,000 1 ₦ 400,000
Assist Points (AP) within LGA Emergency Transport for 20 participants @ N3,000 eaach / day ₦ 120,000 1 ₦ 120,000
Maternal And Child health Interevntion
Centres( LEMCHICs) DSA for 20 participants for 3 nights @ N30,000 /night ₦ 1,800,000 1 ₦ 1,800,000 Assist Ponits
2 Tea Breaks @ N2,000 each for 40 participants -2 days
NPHCDA,
₦ 320,000 1 ₦ 320,000 FMoH/NPHCD identified and Database of Assist
WHO, UNICEF,
Lunch and water @ N3,500 for 40 participants- 2 days ₦ 280,000 1 ₦ 280,000 A set up in Points IN LEMCHIC
IHP,JHPIEGO
Stationaries / writing materials @ N1,000 each ₦ 40,000 1 ₦ 40,000 LEMCHIC
Total Budget ₦ 3,060,000 ₦ 3,060,000
Activity 6.3c- Reactivate / strengthen WDCs Hall for 1 day @ N200,000 / day ₦ 200,000 1 ₦ 200,000
as community assist points for QoC Transport for 40 participants @ N3,000 eaach / day ₦ 120,000 1 ₦ 120,000 Reactivated and
Strengthen Assist Database of Assist
WHO, UNICEF,
NPHCDA Ponits identified Points IN
IHP,JHPIEGO
and set up in Community
WDC
Page 10
Activity 6.3c- Reactivate / strengthen WDCs

as community assist points for QoC Reactivated and
2 Tea Breaks @ N2,000 each for 40 participants -1 day Strengthen Assist Database of Assist
₦ 160,000 1 ₦ 160,000 WHO, UNICEF,
NPHCDA Ponits identified Points IN
Lunch and water @ N3,500 for 40 participants- 1 day ₦ 140,000 1 ₦ 140,000 IHP,JHPIEGO
and set up in Community
Stationaries / writing materials @ N1,000 each ₦ 40,000 1 ₦ 40,000 WDC
Total Budget ₦ 760,000 ₦ 760,000
OVERALL BUDGET - Action
2. ACTION ₦ 200,240,000
Output 1 National 1. Review national MNH Activity 2.1a - Review national MNH QoC Hall for 3 days @ N200,000 / day ₦ 600,000 1 ₦ 600,000 Updated National
evidence-based QoC standards to standards to incorporate the WHO Transport for 20 participants @ N3,000 each / day ₦ 180,000 1 ₦ 180,000 MNH QoC
standards of care for incorporate the WHO Paediatrics, Adolescent, Small & Sick New
DSA for 20 participants for 4 nights @ N30,000 /night ₦ 2,400,000 1 ₦ 2,400,000 standards (with
MNH developed and Paediatrics, Adolescent, born standards of care FMOH, WHO,
WHO Paediatrics, Adapted Standards
disseminated Small & Sick New born 2 Tea Breaks @ N2,000 each for 40 participants -3 days ₦ 480,000 1 ₦ 480,000 FMOH NPHCDA,
Adolescent, Small and report of activity
standards of care and Lunch and water @ N3,500 for 40 participants- 3 days ₦ 420,000 1 ₦ 420,000 NEST360,IHP
& Sick New born
disseminate
Stationaries / writing materials @ N1,000 each ₦ 40,000 1 ₦ 40,000 standards of care
Printing and Photocopies @ N100,000 incorporated
₦ 100,000 1 ₦ 100,000
Total Budget ₦ 4,220,000 ₦ 4,220,000
Activity 2.1b - Adopt the respectful This will be done during Quarterly TWG meeting
maternity charter (experience of care) FMOH, WHO,
Respectful Printed respectful
WRAN, IHP,
₦0 1 ₦0 FMOH maternity charter maternity charter,
Jhpiego, UNICEF,
adopted Report of activity
UNFPA, NPHCDA
Activity 2.1c - Validate the Updated Hall for 2 days @ N200,000 / day ₦ 400,000 1 ₦ 400,000
National standards (Pediatric, Adolescent, Transport for 40 participants @ N3,000 each / day Validated National
₦ 240,000 1 ₦ 240,000 Validated National
Small & Sick),and Quality of Care standards
DSA for 20 participants for 3 nights @ N30,000 /night ₦ 1,800,000 1 ₦ 1,800,000 FMOH, WHO, standards (Pediatric,
assessment tools (Pediatric,
WRAN, IHP, Adolescent, Small &
2 Tea Breaks @ N2,000 each for 40 participants -2 days ₦ 320,000 1 ₦ 320,000 FMOH Adolescent, Small
Jhpiego, UNICEF, Sick) and Quality of
Lunch and water @ N3,500 for 40 participants- 2 days ₦ 280,000 1 ₦ 280,000 & Sick),and Quality
UNFPA, NPHCDA Care assessment tools,
of Care assessment
Stationaries / writing materials @ N1,000 each ₦ 40,000 1 ₦ 40,000 report of activity
tools
Total Budget ₦ 3,180,000 ₦ 3,180,000
Activity 2.1d - Diseminate the validated Hall for 1 day @ N200,000 / day ₦ 200,000 1 ₦ 200,000 Disseminated
National QoC standards ( Pediatric, WHO National QoC
Transport for 40 participants @ N3,000 each / day ₦ 120,000 1 ₦ 120,000
Pediatrics, Adolescent, Small & Sick),and FMOH, WHO, standards (
Quality of Care assessment tools 2 Tea Breaks @ N2,000 each for 40 participants -1 day ₦ 160,000 1 ₦ 160,000 WRAN, IHP, Pediatric, WHO
FMOH Report of activity
Lunch and water @ N3,500 for 40 participants- 1 day ₦ 140,000 1 ₦ 140,000 Jhpiego, UNICEF, Pediatrics,
Stationaries / writing materials @ N1,000 each UNFPA, NPHCDA Adolescent, Small
₦ 40,000 1 ₦ 40,000
& Sick),and Quality
Printing and Photocopies @ N100,000 ₦ 100,000 1 ₦ 100,000 of Care assessment
Total Budget ₦ 760,000 ₦ 760,000
Activity 2.1e - Disseminate the updated Hall for 1 day @ N200,000 / day ₦ 200,000 2 ₦ 400,000 The updated
national standards (NGNC, RMC, KMC Transport for 40 participants @ N3,000 eaach / day ₦ 120,000 2 ₦ 240,000 national standards
guidelines etc), QoC implementation (NGNC, RMC, KMC
2 Tea Breaks @ N2,000 each for 40 participants -1 day ₦ 160,000 2 ₦ 320,000
guidelines, protocols and assessment tools guidelines etc),
(including dashboards) to all relevant Lunch and water @ N3,500 for 40 participants- 1 day ₦ 140,000 2 ₦ 280,000 QoC
stakeholders for use Stationaries / writing materials @ N1,000 each ₦ 40,000 2 ₦ 80,000 FMOH, WHO, implementation
Printing and Photocopies @ N100,000 WRAN, IHP, guidelines,
Jhpiego, UNICEF, protocols and
UNFPA, NPHCDA assessment tools
(including
₦ 100,000 2 ₦ 200,000 dashboards)
disseminated to all
relevant
stakeholders
Total Budget ₦ 760,000 ₦ 1,520,000
2. Disseminate National Activity 2.1f- Identify all RMNCAEH+N Hall for 1 day @ N200,000 / day ₦ 200,000 2 ₦ 400,000
RMNCAEH+N guidelines & guidelines and Disseminate as the Transport for 40 participants @ N3,000 eaach / day ₦ 120,000 2 ₦ 240,000 FMOH, UNICEF,
policy documents RMNCAEH+N package to all relevant Disseminated
2 Tea Breaks @ N2,000 each for 40 participants -1 day ₦ 160,000 2 ₦ 320,000 NEST360, WHO,
stakeholders for use National
FMOH WRAN, IHP, Report of activity
Lunch and water @ N3,500 for 40 participants- 1 day ₦ 140,000 2 ₦ 280,000 RMNCAEH+N
Jhpiego, UNFPA,
Stationaries / writing materials @ N1,000 each guidelines.
₦ 40,000 2 ₦ 80,000 NPHCDA
Total Budget ₦ 760,000 ₦ 1,520,000
3. Develop the Elderly, Activity 2.1g- Conduct 1-Day policy Hall for 1 day @ N200,000 / day ₦ 200,000 1 ₦ 200,000 Roadmap for
Older Adolescent and dialogue on development of the Elderly, development of
Nutrition QoC standard of Older Adolescent and Nutrition QoC FMOH, UNICEF, the Elderly, Older
Care standard of Care with relevant stakeholders 2 Tea Breaks @ N2,000 each for 40 participants -1 day ₦ 160,000 1 ₦ 160,000
FMOH
WHO, WRAN, IHP, Adolescent and
Report of activity
Lunch and water @ N3,500 for 40 participants- 1 day ₦ 140,000 1 ₦ 140,000 Jhpiego, UNICEF, Nutrition QoC
Stationaries / writing materials @ N1,000 each UNFPA, NPHCDA standard of Care
₦ 40,000 1 ₦ 40,000
with relevant
Printing and Photocopies @ N100,000 ₦ 100,000 1 ₦ 100,000 stakeholders
Total Budget ₦ 760,000 ₦ 760,000
Activity 2.1h- Conduct 3-Day Stakeholders Hall for 3 day @ N200,000 / day ₦ 600,000 1 ₦ 600,000
meeting to develop Draft Elderly, Older Draft Elderly, Older
Adolescent and Nutrition QoC standard of FMOH, UNICEF,
Adolescent and
Care WHO, WRAN, IHP, Report of activity, Draft
FMOH Nutrition QoC
Jhpiego, UNICEF, document
standard of Care
UNFPA, NPHCDA
developed
Page 10
Activity 2.1h- Conduct 3-Day Stakeholders

meeting to develop Draft Elderly, Older Transport for 40 participants @ N3,000 each / day ₦ 360,000 1 ₦ 360,000 Draft Elderly, Older
Adolescent and Nutrition QoC standard of FMOH, UNICEF,
2 Tea Breaks @ N2,000 each for 40 participants -1 day ₦ 480,000 1 ₦ 480,000 Adolescent and
Care WHO, WRAN, IHP, Report of activity, Draft
FMOH Nutrition QoC
Lunch and water @ N3,500 for 40 participants- 1 day ₦ 420,000 1 ₦ 420,000 Jhpiego, UNICEF, document
standard of Care
Stationaries / writing materials @ N1,000 each UNFPA, NPHCDA
₦ 40,000 1 ₦ 40,000 developed
Total Budget ₦ 2,000,000 ₦ 2,000,000
Activity 2.1i- Conduct 3-Day Stakeholders Hall for 3 days @ N200,000 / day ₦ 600,000 1 ₦ 600,000
meeting to finalize and validate Elderly, Transport for 40 participants @ N3,000 eaach / day ₦ 360,000 1 ₦ 360,000 Elderly, Older
Older Adolescent and Nutrition QoC FMOH, UNICEF, Validated Elderly,
2 Tea Breaks @ N2,000 each for 40 participants -1 day ₦ 480,000 1 ₦ 480,000 Adolescent and
standard of Care WHO, WRAN, IHP, Older Adolescent
FMOH Nutrition QoC standard
Lunch and water @ N3,500 for 40 participants- 1 day ₦ 420,000 1 ₦ 420,000 Jhpiego, UNICEF, and Nutrition QoC
of Care, Report of
Stationaries / writing materials @ N1,000 each UNFPA, NPHCDA standard of Care
₦ 40,000 1 ₦ 40,000 activity
Total Budget ₦ 2,000,000 ₦ 2,000,000
Activity 2.1j- Disseminate Elderly, Older Hall for 1 day @ N200,000 / day ₦ 200,000 1 ₦ 200,000
Adolescent and Nutrition QoC standard of Elderly, Older
Care FMOH, UNICEF, Adolescent and
2 Tea Breaks @ N2,000 each for 40 participants -1 day ₦ 160,000 1 ₦ 160,000 WHO, WRAN, IHP, Nutrition QoC
Lunch and water @ N3,500 for 40 participants- 1 day ₦ 140,000 1 ₦ 140,000 Jhpiego, UNICEF, standard of Care
Stationaries / writing materials @ N1,000 each UNFPA, NPHCDA disseminated to all
₦ 40,000 1 ₦ 40,000
stakeholders
Total Budget ₦ 760,000 ₦ 760,000
Output 2: A National 1. Identify and Harmonize Activity 2.2a- Conduct a 3-day Hall for 3 days @ N200,000 / day ₦ 600,000 1 ₦ 600,000
package of quality National Quality stakeholders meeting to identify, Transport for 20 participants @ N3,000 eaach / day ₦ 180,000 1 ₦ 180,000
improvement Improvement interventions harmonize and agree on relevant quality
DSA for 20 participants for 4 nights @ N30,000 /night ₦ 2,400,000 1 ₦ 2,400,000 Harmonized
interventions is improvement packages (RMNCAEH+N, FMOH, NPHCDA,
Quality Harmonized document
developed and including indirect causes of maternal 2 Tea Breaks @ N2,000 each for 40 participants -3 days ₦ 480,000 1 ₦ 480,000 FMOH WHO, Jhpiego,
Improvement and Report of activity
disseminated morbidity and mortality such as hypertion, Lunch and water @ N3,500 for 40 participants- 3 days ₦ 420,000 1 ₦ 420,000 UNICEF, WRAN
packages
Diabetes, Obesity, SCD)
Total Budget ₦ 4,220,000 ₦ 4,220,000
Activity 2.2b - Diseminate Harmonized QI Hall for 1 day @ N200,000 / day ₦ 200,000 1 ₦ 200,000
packages with stakeholders Transport for 40 participants @ N3,000 each / day ₦ 120,000 1 ₦ 120,000
FMOH, UNICEF,
2 Tea Breaks @ N2,000 each for 40 participants -1 day ₦ 160,000 1 ₦ 160,000 Harmonized QI Harmonized QI
WHO, WRAN, IHP,
FMOH packages packages, report of
Lunch and water @ N3,500 for 40 participants- 1 day ₦ 140,000 1 ₦ 140,000 Jhpiego, UNICEF,
disseminated activity
Stationaries / writing materials @ N1,000 each UNFPA, NPHCDA
₦ 40,000 1 ₦ 40,000
Activity 2.2c -Advocate for appropriate Hall for 1 day @ N200,000 / day
demand-side
interventions to promote uptake of MNH ₦ 200,000 1 ₦ 200,000
services e.g. distribution of mama-kits,
(conditional cash transfer) FMOH, UNICEF, Demand QI
WHO, WRAN, IHP, packages Demand QI packages,
Transport for 40 participants @ N3,000 each / day ₦ 120,000 1 ₦ 120,000 FMOH
Jhpiego, UNICEF, identified for report of activity
2 Tea Breaks @ N2,000 each for 40 participants -1 day ₦ 160,000 1 ₦ 160,000 UNFPA, NPHCDA advocacy kit
Lunch and water @ N3,500 for 40 participants- 1 day ₦ 140,000 1 ₦ 140,000
Total Budget ₦ 760,000 ₦ 1,520,000
2. Assess status of QoC Activity 2.2.1 - Conduct a Midline Transport for 24 participants (flight @40,000 x2), (airport
₦ 2,760,000 1 ₦ 2,760,000
implementation in learning assessment on QoC (Learning sites) across terminal@5000x4) and local transport(3000x5days))
sites across all states to all states DSA for 24 participants for 6 nights @ N30,000 /night
₦ 4,320,000 1 ₦ 4,320,000
identify achievements, WHO, Jhpiego,
FMOH, Report of midline Report of activity,
lessons learned and gaps in Printing of materials for assessment UNICEF, UNFPA,
NPHCDA assessment photographs
implementation and WRAN,
develop a package of QI ₦ 100,000 1 ₦ 100,000
interventions to address
gaps
Total Budget ₦ 7,180,000 ₦ 7,180,000
Activity 2.2.2- Engage consultancy services Honorarium for 1 consultant @ N100,000 / day for 5 days protocols and tools
FMOH, UNICEF,
for hosting of ISS platform to accommodate for documenting
₦ 1,600,000 1 ₦ 1,600,000 FMOH WHO, WRAN, IHP, Report of activity,
ISS data from learninig states and disseminating
Jhpiego, UNICEF, Protocols and tools
quality
UNFPA, NPHCDA
Total ₦ 1,600,000 ₦ 1,600,000 improvement
Activity 2.2.3-. Hold a 5-day residential Hall for 5 days @ N200,000 / day ₦ 1,000,000 1 ₦ 1,000,000
protocols and tools
workshsop on review and development of Transport for 20 participants (flight @40,000 x2) + (airport
₦ 2,000,000 1 ₦ 2,000,000 for documenting
secondary and tertiary ISS electronic tools terminal @5000x4)
and disseminating
DSA for 20 participants for 6 nights @ N30,000 /night ₦ 3,600,000 1 ₦ 3,600,000 FMOH, UNICEF,
quality
2 Tea Breaks @ N2,000 each for 40 participants -5 days FMOH WHO, WRAN, IHP, Report of activity,
₦ 400,000 1 ₦ 400,000 improvement
activities and
Lunch and water @ N3,500 for 40 participants- 5 days ₦ 700,000 1 ₦ 700,000 UNFPA, NPHCDA
lessons learned at
Stationaries / writing materials @ N1,000 each ₦ 40,000 1 ₦ 40,000 various levels
developed
Activity 2.2.3-. Hold a 5-day residential
protocols and tools
workshsop on review and development of Page 10
for documenting
secondary and tertiary ISS electronic tools
and disseminating
FMOH, UNICEF,
quality
FMOH WHO, WRAN, IHP, Report of activity,
improvement
activities and
UNFPA, NPHCDA
lessons learned at
various levels
Printng and Photocopies @ N100,000 ₦ 100,000 1 ₦ 100,000 developed
Total ₦ 7,840,000 ₦ 7,840,000
Activity 2.2.4-. Schedule a 3-day residential Transport for 20 participants (flight @40,000 x2) + (airport
₦ 2,000,000 1 ₦ 2,000,000
training of state RMNCAEH+N F/P on use of terminal @5000x4)
the updated tool Hall for 5 days @ N200,000 / day ₦ 1,200,000 1 ₦ 1,200,000 protocols and tools
DSA for 20 participants for 6 nights @ N30,000 /night ₦ 3,600,000 1 ₦ 3,600,000 for documenting
2 Tea Breaks @ N2,000 each for 20 participants -5 days FMOH and disseminating
₦ 200,000 1 ₦ 200,000 FMOH, UNICEF,
quality
Lunch and water @ N3,500 for 20 participants- 5 days ₦ 350,000 1 ₦ 350,000 WHO, WRAN, IHP, Report of activity,
improvement
Stationaries / writing materials @ N1,000 each ₦ 40,000 1 ₦ 40,000 Jhpiego, UNICEF, Protocols and tools
activities and
Printng and Photocopies @ N100,000 ₦ 100,000 1 ₦ 100,000 UNFPA, NPHCDA
lessons learned at
Activity 2.2.5 - 2-day Pilot testing of the tool Local transport for Field testing of tool @ 3000/ per day for various levels
each of the 20 participants for 2 days ₦ 120,000 1 ₦ 120,000 FMOH
developed
Total
₦ 7,610,000 ₦ 7,490,000
Activity 2.2.6-. Organise a 2-day validation Transport for 20 participants (flight @40,000 x2) + (airport
₦ 2,000,000 1 ₦ 2,000,000
meeting of the updated tool terminal @5000x4)
Hall for 2 days @ N200,000 / day ₦ 400,000 1 ₦ 400,000
2 Tea Breaks @ N2,000 each for 20 participants -2 days FMOH
₦ 160,000 1 ₦ 160,000
Lunch and water @ N3,500 for 20 participants- 2 days ₦ 140,000 1 ₦ 140,000
Printng and Photocopies @ N100,000 ₦ 100,000 1 ₦ 100,000
Activity 2.2.7 - Disseminate findings and THIS WILL BE DONE AT 2022 Q-3 TWG Findings and and
recommendations from midline WHO, Jhpiego, recommendations
assessment at TWG. 1 ₦0 FMOH UNICEF, UNFPA, from midline Report of the meeting
WRAN, assessment
presented at TWG
Total Budget ₦0 ₦0
Activity 2.2.8-. Develop protocols and tools Hall for 2 days @ N200,000 / day ₦ 400,000 1 ₦ 400,000
for documenting and disseminating quality
improvement activities and lessons learned Transport for 20 participants @ N3,000 each / day ₦ 120,000 1 ₦ 120,000
protocols and tools
at various levels DSA for 20 participants for 3 nights @ N30,000 /night ₦ 1,800,000 for documenting
₦ 1,800,000 1
and disseminating
2 Tea Breaks @ N2,000 each for 40 participants -2 days ₦ 320,000 1 ₦ 320,000 FMOH, UNICEF,
FMOH quality
WHO, WRAN, IHP, Report of activity,
Lunch and water @ N3,500 for 40 participants- 2 days improvement
₦ 280,000 1 ₦ 280,000 Jhpiego, UNICEF, Protocols and tools
activities and
UNFPA, NPHCDA
Stationaries / writing materials @ N1,000 each ₦ 40,000 1 ₦ 40,000 lessons learned at
various levels
Printng and Photocopies @ N100,000 ₦ 100,000 developed
₦ 100,000 1
Total ₦ 2,660,000 ₦ 2,660,000
Continuously assess the Activity 2.3.1 Conduct quaterly supportive Transport for 24 participants (flight @40,000 x2), (airport Quaterly
₦ 2,760,000 1 ₦ 2,760,000 FMOH, UNICEF, supportive
quality of care situation and supervision to sub-national levels and terminal@5000x4) and local transport(3000x5days)) Report of quarterly
identify “best practices” disseminate findings at TWG x 8 DSA for 24 participants for 6 nights @ N30,000 /night ₦ 4,320,000 1 ₦ 4,320,000 WHO, WRAN, IHP, supervision to sub-
FMOH supportive supervision
based on the national Jhpiego, UNICEF, national levels
Printing of materials for assessment and TWG meetings
standards of care ₦ 100,000 1 ₦ 100,000 UNFPA, NPHCDA conducted and
findings
Total Budget ₦ 7,180,000 ₦ 7,180,000
Scale up and strengthen Activity 2.2.5 - Stakeholders to support
PAN, SOGON,
implementation of QoC in establishment/Harmonization,
Rotary, NISONM,
partnership with key strengthening and scale up of QoC Functional QoC
FMOH, IHP, UNICEF, Quarterly report from
stakeholders including PAN, committees at different levels ₦0 1 ₦0 committees at all
NPHCDA WHO, Jhpiego, States
SOGON, Rotary, NISONM, levels
UNFPA, WRAN,
IHP, UNICEF, WHO, Jhpiego,
PATHFINDER
UNFPA, WRAN, PATHFINDER
Activity 2.2.6 - Advocacy to stakeholders at
all levels ₦0 1 ₦0
Activity 2.2.7 - Desk review of functionality

₦0 1 ₦0
of QoC committees at sub-national level
Activity 2.2.8 - conduct 3-day Stakeholder Hall for 3 days @ N200,000 / day ₦ 600,000 1 ₦ 600,000
workshop to review and finalize PHC
MPDSR guideline and tools Transport for 20 participants @ N3,000 each / day ₦ 180,000 1 ₦ 180,000
FMOH, UNICEF,
2 Tea Breaks @ N2,000 each for 20 participants -3 days Finalized PHC
₦ 480,000 1 ₦ 480,000 WHO, WRAN, IHP, Finalized document,
FMOH MPDSR guideline
Lunch and water @ N3,500 for 40 participants- 3 days Jhpiego, UNICEF, report of activity
₦ 420,000 1 ₦ 420,000 and tools
UNFPA, NPHCDA
Total ₦ 4,220,000 ₦ 4,220,000
Activity 2.2.9 - Conduct Refresher National Hall for 3 days @ N200,000 / day
₦ 600,000 1 ₦ 600,000
training of trainers on PHC QoC/ MPDSR
processes, tools and guidelines Transport for 20 participants @ N3,000 each / day ₦ 180,000 1 ₦ 180,000
DSA for 20 participants for 4 nights @ N30,000 /night ₦ 2,400,000 1 ₦ 2,400,000 National ToT on
FMOH, UNICEF,
PHC QoC/ MPDSR
WHO, WRAN, IHP,
FMOH processes, tools Report of activity
Jhpiego, UNICEF,
and guidelines
UNFPA, NPHCDA
conducted
Page 10
Activity 2.2.9 - Conduct Refresher National

training of trainers on PHC QoC/ MPDSR
processes, tools and guidelines
National ToT on
FMOH, UNICEF,
2 Tea Breaks @ N2,000 each for 20 participants -3 days ₦ 480,000 1 ₦ 480,000 PHC QoC/ MPDSR
WHO, WRAN, IHP,
FMOH processes, tools Report of activity
Lunch and water @ N3,500 for 40 participants- 3 days Jhpiego, UNICEF,
₦ 420,000 1 ₦ 420,000 and guidelines
UNFPA, NPHCDA
Stationaries / writing materials @ N1,000 each conducted
₦ 40,000 1 ₦ 40,000
Total ₦ 4,220,000 ₦ 4,220,000
1. Establish and ensure the Activity 2.3.1 -Conduct a desk review to Hire a consultant to conduct desk review (for 2weeks @
Output 3: Clinical and functioning of national and Identify and establish QoC improvement 45,000/day)
Report of desk
managerial subnational resource resource centres at national and state
FMOH, UNICEF, review on QoC
capabilities to support centres, with tools to levels
WHO, WRAN, IHP, improvement
quality improvement improve capabilities of ₦ 630,000 1 ₦ 630,000 FMOH Report of activity
Jhpiego, UNICEF, resource centres at
are developed, health care providers and
UNFPA, NPHCDA national and state
strengthened and managers.
levels
sustained
Activity 2.3.2 -Support pilot states to Transport for 24 participants @2 participants per State
Identify and map site for resource centre. (flight @40,000 x2), (airport terminal@5000x4) and local ₦ 2,760,000 1 ₦ 2,760,000
transport(3000x5days)) FMOH, UNICEF,
Sites for resource
DSA for 24 participants for 6 nights @ N30,000 /night ₦ 4,320,000 1 ₦ 4,320,000 WHO, WRAN, IHP,
FMOH centres identified Report of activity
Jhpiego, UNICEF,
Printing of materials for assessment in pilot states.
₦ 100,000 1 ₦ 100,000 UNFPA, NPHCDA
Total ₦ 7,180,000 ₦ 7,180,000
Activity 2.3.3 - Develop an inventory of Laptops for QI officers in the States (250000 x 12) Inventory of
needed and available resources for the needed and
QoC improvement resource centres to FMOH, UNICEF, available
identify gaps WHO, WRAN, IHP, resources for the Inventory
₦ 3,000,000 1 ₦ 3,000,000 FMOH
Jhpiego, UNICEF, QoC improvement documentation
UNFPA, NPHCDA resource centres
created and gaps
identified
Activity 2.3.4 - Integrate QoC activities Write memo to ICT Department, with QoC documents QoC resources
QoC resources
highlights & resources into FMOH & attached available on
1 ₦0 FMOH FMOH, NPHCDA available on FMOH&
NPHCDA websites FMOH& NPHCDA
NPHCDA websites
websites
Total Budget ₦0 ₦0
Activity 2.3.5 - Include quality improvement Hall for 3 days @ N200,000 / day ₦ 600,000 1 ₦ 600,000
in the pre-service training curriculum (3- Health courses with QI,
Day stakeholders meeting to include QI in Transport for 20 participants @ N3,000 eaach / day ₦ 180,000 1 ₦ 180,000 Report of Stakeholders
curriculum - Schools of Nursing, Medical DSA for 20 participants for 4 nights @ N30,000 /night FMOH, UNICEF, QI in curriculum of meeting
schools, Colleges of health technology) ₦ 2,400,000 1 ₦ 2,400,000
WHO, WRAN, IHP, Health
2 Tea Breaks @ N2,000 each for 40 participants -3 days ₦ 480,000 1 ₦ 480,000 FMOH Jhpiego, UNICEF, courses,Report of
UNFPA, NPHCDA, Stakeholders
Lunch and water @ N3,500 for 40 participants- 3 days ₦ 420,000 1 ₦ 420,000 PATHFINDER meeting
2.. Identify and train Activity- Conduct a 3-Day National level Total FMOH, UNICEF,
national and state pools of training for QI focal persons from FMoH. Transport for 20 participants @ N3,000 each / day FMOH WHO, WRAN, IHP,
₦ 180,000 1 ₦ 180,000
master trainers and Jhpiego, UNICEF,
DSA for 20 participants for 4 nights @ N30,000 /night ₦ 2,400,000 1 ₦ 2,400,000 National ToT
facilitators with expertise in UNFPA, NPHCDA,
conducted for QI
quality improvement 2 Tea Breaks @ N2,000 each for 40 participants -3 days ₦ 480,000 1 ₦ 480,000 PATHFINDER Report of activity
focal persons from
Lunch and water @ N3,500 for 40 participants- 3 days ₦ 420,000 1 ₦ 420,000 FMoH
Total Budget ₦ 3,620,000 ₦ 3,620,000
3. Establish/strengthen Activity 2.3.6 - Facilitate the set up of Health Transport for 20 participants @ N3,000 each / day ₦ 120,000 1 ₦ 120,000 FMOH, UNICEF,
FMOH
Health Facility Quality Facility Quality Improvement Teams (QITs) DSA for 20 participants for 3 nights @ N30,000 /night WHO, WRAN, IHP,
₦ 1,800,000 1 ₦ 1,800,000 Health Facility
Improvement Teams (QITs) in new sites and strengthen existing ones Jhpiego, UNICEF,
2 Tea Breaks @ N2,000 each for 40 participants -2 days ₦ 320,000 1 ₦ 320,000 Quality
UNFPA, NPHCDA,
Improvement Report of activity
Lunch and water @ N3,500 for 40 participants- 2 days ₦ 280,000 1 ₦ 280,000 PATHFINDER
Teams set up in
Stationaries / writing materials @ N1,000 each ₦ 40,000 1 ₦ 40,000 new sites
Total Budget ₦ 2,660,000 ₦ 2,660,000
1. Strengthen and increase Activity 2.4.1 - Identify existing QoC sites
Output 4: Quality the scope of Learning sites and support the establishment of new sites
improvement for the implementation of
interventions for MNH RMNCAEH+N QoC national FMOH, UNICEF,
are implemented package of improvement ₦0 1 ₦0
WHO, WRAN, IHP, Health Facility
interventions FMOH Jhpiego, UNICEF, Quality
UNFPA, NPHCDA, Improvement
PATHFINDER Teams set up in
2.Refine the package of Activity 2.4 2- 3-day meeting to refine the Hall for 3 days @ N200,000 / day ₦ 600,000 1 ₦ 600,000 new sites, Report of activity
QoC interventions to package of effective and scalable QoC redefined package
include the new CAH and interventions and identify optimal of QoC
SSNB standards and expand implementation approach from the interventions for
implementation to new experiences of the demonstration sites implementation.
States and LGAs
Output 4: Quality
improvement Page 10
interventions for MNH FMOH, UNICEF,
are implemented WHO, WRAN, IHP, Health Facility
FMOH Jhpiego, UNICEF, Quality
UNFPA, NPHCDA, Improvement
PATHFINDER Teams set up in
2.Refine the package of Activity 2.4 2- 3-day meeting to refine the new sites, Report of activity
QoC interventions to package of effective and scalable QoC redefined package
include the new CAH and interventions and identify optimal of QoC
DSA for 20 participants for 4 nights @ N30,000 /night ₦ 2,400,000 1 ₦ 2,400,000 interventions for
SSNB standards and expand implementation approach from the
implementation to new experiences of the demonstration sites 2 Tea Breaks @ N2,000 each for 40 participants -3 days ₦ 480,000 1 ₦ 480,000 implementation.
States and LGAs Lunch and water @ N3,500 for 40 participants- 3 days ₦ 420,000 1 ₦ 420,000
Total Budget ₦ 4,220,000 ₦ 4,220,000
Activity 2.4.3 - Conduct 3-day TOT for Hall for 3 days @ N200,000 / day ₦ 600,000 1 ₦ 600,000 FMOH, UNICEF,
master trainers on expanded package of Transport for 20 participants @ N3,000 eaach / day FMOH WHO, WRAN, IHP,
₦ 180,000 1 ₦ 180,000
intervention at the National level Jhpiego, UNICEF,
DSA for 20 participants for 4 nights @ N30,000 /night ₦ 2,400,000 1 ₦ 2,400,000 National ToT
UNFPA, NPHCDA,
conducted for QI
2 Tea Breaks @ N2,000 each for 40 participants -3 days ₦ 480,000 1 ₦ 480,000 PATHFINDER Report of activity
focal persons from
Lunch and water @ N3,500 for 40 participants- 3 days ₦ 420,000 1 ₦ 420,000 FMoH
Total Budget ₦ 4,220,000 ₦ 4,220,000
Activity 2.4.4 - Facilitate zonal trainings on Hall for 3 days @ N200,000 / day ₦ 600,000 6 ₦ 3,600,000 FMOH, UNICEF,
the expanded package of interventions x 6 Transport for 20 participants @ N3,000 eaach / day FMOH WHO, WRAN, IHP,
₦ 180,000 6 ₦ 1,080,000
Jhpiego, UNICEF, Zonal ToT
DSA for 20 participants for 4 nights @ N30,000 /night ₦ 2,400,000 6 ₦ 14,400,000 UNFPA, NPHCDA, conducted for the
2 Tea Breaks @ N2,000 each for 40 participants -3 days ₦ 480,000 6 ₦ 2,880,000 PATHFINDER expanded Report of activity
Lunch and water @ N3,500 for 40 participants- 3 days ₦ 420,000 6 ₦ 2,520,000 package of QoC
interventions
Total Budget ₦ 4,220,000 ₦ 25,320,000
Activity 2.4.5 - Provide technical support to Transport for 20 participants ₦ 180,000 6 ₦ 1,080,000 FMOH, UNICEF,
state and LGA level trainings on the FMOH WHO, WRAN, IHP, Technical
RMNCAEH+N standards Jhpiego, UNICEF, assistance provide
Prinitng and Photocopies @ N100,000 ₦ 100,000 6 ₦ 600,000 UNFPA, NPHCDA, for State and LGA
Total Budget ₦ 2,680,000 ₦ 16,080,000 PATHFINDER level Trainings on Report of activity
3. Provide resources and Activity 2.4.6 - Provide technical Support Transport for 20 participants ₦ 180,000 6 ₦ 1,080,000 RMNCAEH+N
technical support to for adaptation of the package of Standards, and
implement the package of improvement interventions to State and capacity building
improvement interventions LGA context
Total Budget ₦ 2,680,000 ₦ 16,080,000
Activity 2.4.7 - Provide resources and Transport for 20 participants ₦ 180,000 6 ₦ 1,080,000 Technical
technical support to build capacity to FMOH, UNICEF,
DSA for 20 participants for 4 nights @ N30,000 /night ₦ 2,400,000 6 ₦ 14,400,000 assistance provide
implement the package of improvement WHO, WRAN, IHP,
Prinitng and Photocopies @ N100,000 for State and LGA
interventions in the learning sites Jhpiego, UNICEF,
level Trainings on
UNFPA, NPHCDA,
FMoH RMNCAEH+N Report of activity
PATHFINDER
₦ 100,000 6 ₦ 600,000 Standards, and
capacity building
provision of
resources
Total Budget ₦ 2,680,000 ₦ 16,080,000
4. Monitor, evaluate and Activity 2.4.8 - Develop protocols and tools
document the results of the for documenting and disseminating quality
₦0 1 ₦0
demonstration projects and improvement activities and lessons learned
lesson learned at various levels
Activity 2.4.9 - Facilitate monthly and
quarterly national and subnational activity ₦0 1 ₦0
reports submission to TWG.
5. Every two years in line Activity 2.5.1 Document RMNCAEH+N QoC

with the national research best practices and QI packages
agenda disseminate the
findings from a review of
standards, and the national
package of quality
improvement intervention
6. Institute the National Activity 2.6.1 National Quality of Care Hall for 5 days @ N300,000 / day
Quality of Care Week in Forum (QoC Week) x2
Nigeria, the Quality of Care ₦ 1,500,000 2 ₦ 3,000,000
National Forum (QoC
Week)
Transport for 20 participants @ N5,000 each / day ₦ 500,000 2 ₦ 1,000,000
2 Tea Breaks @ N2,000 each for 60 participants - 5 days ₦ 600,000 2 ₦ 1,200,000
Lunch and water @ N3,500 for 60 participants- 5 days ₦ 1,050,000 2 ₦ 2,100,000
Data refund for virtual participants @ N3000 for 300- 5
days ₦ 4,500,000 2 ₦ 9,000,000
Page 10

Back drop 1 @ N40,000 - 4 ₦ 160,000 2 ₦ 320,000
Roll up Banners 1 @ N70,000 - 6 ₦ 420,000 2 ₦ 840,000
Customized Bags packaged with QoC Resources @
₦ 2,000,000 2 ₦ 4,000,000
N20000 / 100
Live streaming @ N1000000 ₦ 5,000,000 2 ₦ 10,000,000
Delivery and dispatch ₦ 300,000 2 ₦ 600,000
Printing and Photocopies @ N100,000
₦ 100,000 2 ₦ 200,000
₦ 19,190,000 ₦ 41,380,000
OVERALL BUDGET - Learning
3. LEARNING ₦ 157,680,000
1. Develop and validate a Activity 3.1.1 - Convene 3-day meeting to Hall for 3 days @ N200,000 / day ₦ 600,000 1 ₦ 600,000
Output 1: Data systems national minimum set of develop Core RMNCAEH+N QoC Transport for 20 participants @ N3,000 eaach / day ₦ 180,000 1 ₦ 180,000
are RMNCAEH+N QoC indicators.
developed/strengthen indicators aligned with the
ed to integrate and core global indicators and 2 Tea Breaks @ N2,500 each for 40 participants -3 days ₦ 480,000 1 ₦ 480,000
use quality of care include in the NHMIS Lunch and water @ N4,500 for 40 participants- 3 days ₦ 180,000 3 ₦ 540,000
data for improved
care
Printing and Photocopies @ N100,000 NPHDA, First Draft core
₦ 100,000 1 ₦ 100,000 Available report of the
FMOH/DHPRS WHO,UNICEF,JHP indicators
facemasks @ 5000 - for 3days ₦ 5,000 3 ₦ 15,000 meetings
IEGO, USAID developed
sanitizers @ 25,000 for 40participants ₦ 25,000 1 ₦ 25,000
Flight for 20 persons @ N90,000 per person ₦ 1,800,000 1 ₦ 1,800,000
Terminal @ 20,000 per person for 20 participants ₦ 400,000 1 ₦ 400,000
Activity 3.1.1.a: Convene a day planning Data bundle for 40 participants @ N2000 each
₦ 80,000 1 ₦ 80,000
meeting
Communication @ 5000 ₦ 5,000 1 ₦ 5,000
Activity 3.1.1.b: Dashboard/Digitilization of IT developer fee @ 30,000,000
₦ 30,000,000 1 ₦ 30,000,000
NHMIS registers for QoC data elements
Total Budget ₦ 35,295,000 ₦ 39,865,000
Activity 3.1.2 Convene 2-day meeting to Hall for 2 days @ N200,000 / day ₦ 400,000 1 ₦ 400,000
finalize/validate the developed Transport for 20 participants @ N3,000 eaach / day ₦ 120,000 1 ₦ 120,000
RMNCAEH+N Qoc indicators
DSA for 20 participants for 3 nights @ N35,000 /night ₦ 700,000 3 ₦ 2,100,000
Flight for 20 persons @ N90,000 per person ₦ 1,800,000 1 ₦ 1,800,000 NPHDA,
Terminal @ 20,000 per person for 20 participants ₦ 400,000 1 ₦ 400,000 WHO,UNICEF,JHP
Finalized validation
IEGO, Report of meeting, List
2 Tea Breaks @ N2,000 each for 40 participants -2 days ₦ 320,000 1 ₦ 320,000 FMOH/DHPRS RMNCAEH+N Qoc
USAIDNPHDA, of indicators
Lunch and water @ N3,500 for 40 participants- 2 days ₦ 280,000 1 ₦ 280,000 indicators
WHO,UNICEF,JHP
Stationaries / writing materials @ N1,000 each ₦ 40,000 1 ₦ 40,000 IEGO, USAID
facemasks @ 5000 - for 2day ₦ 10,000 1 ₦ 10,000
sanitizers @ 25,000 for 40participant ₦ 25,000 1 ₦ 25,000
Total Budget ₦ 4,195,000 ₦ 5,595,000
Activity 3.1.3 - Convene 2-day National Hall for 2 days @ N200,000 / day ₦ 400,000 1 ₦ 400,000
QoC TWG M&E subcommittee meeting to Transport for 20 participants @ N3,000 eaach / day ₦ 120,000 1 ₦ 120,000
present RMNCAEH+N QoC indicators for
inclusion in NHMIS. DSA for 20 participants for 3 nights @ N30,000 /night ₦ 1,800,000 1 ₦ 1,800,000
Indicators
Lunch and water @ N3,500 for 40 participants- 2 days ₦ 280,000 1 ₦ 280,000 NPHDA, approved and
Stationaries / writing materials @ N1,000 each ₦ 40,000 1 ₦ 40,000 FMOH/DHPRS WHO,UNICEF,JHP adopted for Report of meeting
Printing and Photocopies @ N100,000 ₦ 100,000 1 ₦ 100,000 IEGO, USAID inclusion to the
NHMIS
facemasks @ 5000 - for 2day ₦ 5,000 1 ₦ 5,000
sanitizers @ 25,000 for 40participant ₦ 25,000 1 ₦ 25,000
Flight for 20 participants @ N90000 ₦ 1,800,000 1 ₦ 1,800,000
Terminal for 20 participants @ N20000 ₦ 400,000 1 ₦ 400,000
Total Budget ₦ 5,290,000 ₦ 5,290,000
2. Strengthen capacity for Activity 3.2.1 - convene 5-day national Hall for 5 days @ N200,000 / day ₦ 1,000,000 1 ₦ 1,000,000
data collection, synthesis level meeting to standardise tools for data Transport for 20 participants @ N3,000 eaach / day ₦ 300,000 1 ₦ 300,000
monitoring and reporting at collection, synthesis, monitoring and
national and sub-national reporting. DSA for 20 participants for 3 nights @ N30,000 /night ₦ 3,600,000 1 ₦ 3,600,000
levels 2 Tea Breaks @ N2,000 each for 40 participants -5 days ₦ 800,000 1 ₦ 800,000
NPHDA, FMOH,
Lunch and water @ N3,500 for 40 participants- 5 days ₦ 40,000 1 ₦ 40,000 Monitoring and Available meeting
STATES,
FMOH/DHPRS data collection report and
Stationaries / writing materials @ N1,000 each ₦ 40,000 1 ₦ 40,000 WHO,UNICEF,JHP
tools Standardized standardized tools
Printing and Photocopies @ N100,000 IEGO, USAID
₦ 100,000 1 ₦ 100,000
facemasks @ 10000 - for 5 days ₦ 10,000 1 ₦ 10,000
data collection, synthesis level meeting to standardise tools for data
monitoring and reporting at collection, synthesis, monitoring and
national and sub-national reporting. Page 10
levels
NPHDA, FMOH,
Monitoring and Available meeting
STATES,
FMOH/DHPRS data collection report and
WHO,UNICEF,JHP
tools Standardized standardized tools
IEGO, USAID
Hand sanitizer @ N25000 for 5 days for 40 participants ₦ 25,000 1 ₦ 25,000

Flight for 20 participants @ N90000 ₦ 1,800,000 1 ₦ 1,800,000
Total Budget ₦ 7,755,000 ₦ 7,755,000
Activity 3.2.2 - Digitalize the NHMIS tools
and develop SOP on the use of the ₦0 1 ₦0
standardise tools.
Activity 3.2.3 - convene 5-day national Hall for 5 days @ N200,000 / day ₦ 1,000,000 1 ₦ 1,000,000
level TOT on the standardised tools for data Transport for 20 participants @ N3,000 eaach / day ₦ 300,000 1 ₦ 300,000
collection, synthesis monitoring and
reporting.
2 Tea Breaks @ N2,000 each for 40 participants -5 days ₦ 800,000 1 ₦ 800,000 Number of the
Lunch and water @ N3,500 for 40 participants- 5 days ₦ 700,000 1 ₦ 700,000 NPHDA, FMOH, national level
FMOH/DHPRS WHO,UNICEF,JHP Masters trainers list of national trainers
Stationaries / writing materials @ N1,000 each ₦ 40,000 1 ₦ 40,000 IEGO, USAID trained on the
Printing and Photocopies @ N100,000 ₦ 100,000 1 ₦ 100,000 standardized tools
Flight for 20 participants @ N90,000 ₦ 1,800,000 1 ₦ 1,800,000
Total Budget ₦ 8,740,000 ₦ 8,740,000

Activity 3.2.4 - convene 3-day 6-zonal TOT Hall for 3 days @ N200,000 / day ₦ 600,000 1 ₦ 600,000
on the standardised tools for data Transport for 20 participants @ N3,000 eaach / day ₦ 180,000 1 ₦ 180,000
collection, synthesis, monitoring and
reporting. DSA for 20 participants for 4 nights @ N30,000 /night ₦ 2,400,000 1 ₦ 2,400,000
(STATES: NHMIS, M&E, DPRS SMOH, DPRS 2 Tea Breaks @ N2,000 each for 40 participants -3 days ₦ 480,000 1 ₦ 480,000 Number of the
NPHDA, FMOH,
SPHCDA, MROS) Lunch and water @ N3,500 for 40 participants- 3 days ₦ 420,000 1 ₦ 420,000 zional level Masters
WHO,UNICEF,JHP list of zonal master
FMOH/DHPRS trainers trained on
Stationaries / writing materials @ N1,000 each ₦ 40,000 1 ₦ 40,000 IEGO, USAID, Six trainers available
the standardized
Printing and Photocopies @ N100,000 Zones
₦ 100,000 1 ₦ 100,000 tools
Flight for 20 participants @ N 900000 ₦ 3,600,000 1 ₦ 3,600,000
Total Budget ₦ 8,620,000 ₦ 8,620,000

Activity 3.2.5 - Conduct bi-annual Transport for 20 participants ₦ 180,000 4 ₦ 720,000 NPHDA, FMOH,
monitoring of data collection, synthesis DSA for 20 participants for 4 nights @ N30,000 /night ₦ 2,400,000 4 ₦ 9,600,000 WHO,UNICEF,JHP
monitoring and reporting. IEGO, USAID, Six
Printing and Photocopies @ N100,000 Improved data
Zones,WRA,
collection and Improved report on the
FMOH/DHPRS IHPNPHDA,
reporting at all NHMIS
₦ 100,000 4 ₦ 400,000 FMOH,
levels
WHO,UNICEF,JHP
IEGO, USAID, Six
Zones,WRA, IHP
Total Budget ₦ 2,680,000 ₦ 10,720,000
Activity 3.2.6 - Track/monitor use of data NPHDA, FMOH,
collection subnationally. WHO,UNICEF,JHP Tracking checklist Filled checklist
₦0 1 ₦0 FMOH/DHPRS
IEGO, USAID, Six filled available
Zones,WRA, IHP
Activity 3.2.7 - Conduct advocacy visits to Transport for 20 participants ₦ 180,000 3 ₦ 540,000 NPHDA, FMOH, Improved data
States on the importance of data WHO,UNICEF,JHP collection and Improved report on the
DSA for 20 participants for 3 nights @ N30,000 /night ₦ 2,400,000 3 ₦ 7,200,000 FMOH/DHPRS
collection, synthesis, monitoring and IEGO, USAID, Six reporting at all NHMIS
Printing and Photocopies @ N100,000 ₦ 100,000 3 ₦ 300,000 Zones,WRA, levels
reporting.
Total Budget ₦ 2,680,000 ₦ 8,040,000
3. Develop a system for Activity 3.3.1 - Develop a template for Template for
NPHDA, FMOH,
collection and reporting of reporting case studies. reporting case
WHO,UNICEF,JHP
case studies as well as best 1 ₦0 FMOH/DHPRS studies and best Available template
IEGO, USAID, Six
practices from the field. practices
Zones,WRA, IHP
developed
Activity 3.3.2- National level meeting to Hall for 2 days @ N200,000 / day ₦ 400,000 1 ₦ 400,000
build capacity on case study development Transport for 20 participants @ N3,000 eaach / day ₦ 120,000 1 ₦ 120,000
NPHDA, FMOH,
Lunch and water @ N3,500 for 40 participants- 2 days ₦ 280,000 1 ₦ 280,000 WHO,UNICEF,JHP No of National
FMOH/DHPRS Report of activity
Stationaries / writing materials @ N1,000 each ₦ 40,000 1 ₦ 40,000 IEGO, USAID, Six Officers trained
Printing and Photocopies @ N100,000 Zones,WRA, IHP
₦ 100,000 1 ₦ 100,000
Flight for 20 persons @ 90,000 ₦ 1,800,000 1 ₦ 1,800,000
Terminal for 20 persons @ 20,000 ₦ 400,000 1 ₦ 400,000
facemask @ 10000 ₦ 10,000 1 ₦ 10,000
Hand sanitizer @ 25,000 ₦ 25,000 1 ₦ 25,000
Total Budget ₦ 5,295,000 ₦ 5,295,000
Activity 3.3.3- 2-day zonal level meeting to Hall for 2 days @ N200,000 / day ₦ 400,000 1 ₦ 400,000
build capacity on case study development Transport for 20 participants @ N3,000 eaach / day ₦ 120,000 1 ₦ 120,000
- state QoC focal person and state MPDSR
DSA for 20 participants for 3 nights @ N30,000 /night ₦ 1,800,000 1 ₦ 1,800,000 NPHDA, FMOH,
chair)
WHO,UNICEF,JHP No of National
FMOH/DHPRS Report of meeting
IEGO, USAID, Six Officers trained
Zones,WRA, IHP
Page 10
Activity 3.3.3- 2-day zonal level meeting to

build capacity on case study development
- state QoC focal person and state MPDSR
NPHDA, FMOH,
chair)
WHO,UNICEF,JHP No of National
2 Tea Breaks @ N2,000 each for 40 participants -2 days ₦ 320,000 1 ₦ 320,000 FMOH/DHPRS Report of meeting
IEGO, USAID, Six Officers trained
Lunch and water @ N3,500 for 40 participants- 2 days ₦ 280,000 1 ₦ 280,000 Zones,WRA, IHP
Total Budget ₦ 3,060,000 ₦ 3,060,000
4. Provide updates during Activity 3.4.1 -Conduct quaterly supportive Transport for 20 participants @ N3000 /day ₦ 180,000 8 ₦ 1,440,000
quarterly review meetings - supervision to sub-national levels and DSA for 20 participants for 4 nights @ N30,000 /night ₦ 2,400,000 8 ₦ 19,200,000 FMOH/DHPRS,
No of planned ISS Report of
Use of ISS system to disseminate findings at TWG FMOH NPHCDA AND
Printing and Photocopies @ N100,000 conducted dissemination meeting
generate information and Partners
₦ 100,000 8 ₦ 800,000
promote learning
Total Budget ₦ 2,680,000 ₦ 21,440,000
Activity 3.4.2 - Share key data with
stakeholders to inform decision-making ₦0 1 ₦0
and planning at TWG.
5. Promote research on Activity 3.5.1 - Engage resource persons to @N90,000/Day for 30 days level of effort for X 6 ₦ 1,260,000 6 ₦ 7,560,000
QoC and utilize findings for undertake research work on identified QoC Geopolitical Zones FMOH/DHPRS,
learning and decision- interventions to assess performance and resource person on Draft research work on
FMOH NPHCDA AND
making. outcomes. board QoC interventions
Partners
Total Budget ₦ 1,260,000 ₦ 7,560,000

Activity 3.5.2 - Disseminate research Hall for 2 days @ N200,000 / day ₦ 400,000 1 ₦ 400,000
findings, every two years in line with the Transport for 20 participants @ N3,000 eaach / day ₦ 120,000 1 ₦ 120,000
national research agenda on review of
standards, operational research and the
national package of quality improvement 2 Tea Breaks @ N2,000 each for 40 participants -2 days ₦ 320,000 1 ₦ 320,000
interventions. Lunch and water @ N3,500 for 40 participants- 2 days ₦ 280,000 1 ₦ 280,000 FMOH/DHPRS, Research findings
Stationaries / writing materials @ N1,000 each ₦ 40,000 1 ₦ 40,000 FMOH NPHCDA AND dissemination Report of meeting.
Printing and Photocopies @ N100,000 ₦ 100,000 1 ₦ 100,000 Partners meetings held.
Facemasks @ 10,000 ₦ 10,000 1 ₦ 10,000
Hand sanitizers @ 25000 ₦ 25,000 1 ₦ 25,000
Flight for 20 person @ 90000 per participant ₦ 1,800,000 1 ₦ 1,800,000
Terminal for 20 persons @ 20000 per participant ₦ 400,000 1 ₦ 400,000
Total Budget ₦ 5,295,000 ₦ 5,295,000
6. Promote the use of Activity 3.6.1 - Leverage on the Developer for FHD website, RMNCAEH+N scorecard and Template for
scorecards and dashboards RMNCAEH+N Scorecard to develop integrate with the DFH.HEALTH.GOV.NG for 60day @ tracking QoC
in the quarterly template for tracking QoC indicators. N90,000/day FMOH/DHPRS, Indicators
dissemination meetings ₦ 5,400,000 1 ₦ 5,400,000 FMOH NPHCDA AND developed and Report of meeting
Partners integrated into
DFH.HEALTH.GOV.N
G
Activity 3.6.2 -Orientate desk officers on Virtual training for QoC Focals for 5-day @ N5000/day for FMOH/DHPRS,
No of desk officers
use of QoC Scorecard. 50 participants ₦ 1,250,000 1 ₦ 1,250,000 FMOH NPHCDA AND Report of meeting
trained
Partners
Total Budget ₦ 6,650,000 ₦ 6,650,000
Output 2: Mechanisms 1. Establish distance/online Activity 3.2.1 - Establish a dedicated Leverage on the DFH.HEALTH.GOV.NG to integrate online
to facilitate learning learning systems with website/application to facilitate online learning- Developer for 30day @ N90,000/day
and share knowledge access to national and learning on RMNCAEH+N QoC taking into ₦ 2,700,000 1 ₦ 2,700,000
through a learning international resources on account households, communities and
network are MNH QoC facilities.
FMOH/DHPRS,
developed and Activity 3.2.2 - Establish and support virtual Dedicated website Web access for Online
FMOH NPHCDA AND
strengthened and face-to-face learning networks and developed. learning
₦0 1 ₦0 Partners
communities of practice at all levels taking
into account local languages
Activity 3.2.3 - Establish a central web Leverage on the DFH.HEALTH.GOV.NG
interactive communication learning ₦0 1 ₦0
network.
Total Budget ₦ 2,700,000 ₦ 2,700,000
Activity 3.2.9 - Conduct needs assessment @N90,000/Day for 30 days level of effort
of protocols, standards and guidelines on ₦ 2,700,000 1 ₦ 2,700,000
RMNCAEH+N QoC for all levels of care.
Activity 3.2.9 - Disseminate findings from Hall for 2 days @ N200,000 / day
needs assessment on protocols, standards
and guidelines on QoC to all levels of care ₦ 400,000 1 ₦ 400,000
& Stakeholders' dialogue on integration.

Page 10
Facemasks @ 10,000 ₦ 10,000 1 ₦ 10,000

Hand sanitizers @ 25000 ₦ 25,000 1 ₦ 25,000
Flight for 20 person @ 90000 per participant ₦ 1,800,000 1 ₦ 1,800,000
Terminal for 20 persons @ 20000 per participant ₦ 400,000 1 ₦ 400,000
Total Budget ₦ 7,995,000 ₦ 7,995,000
Activity 3.2.9 - Finalize & Validate Review Hall for 2 days @ N200,000 / day
draft Disseminate relevant protocols,
₦ 400,000 1 ₦ 400,000
standards and guidelines on QoC to all
levels of care.
Total Budget ₦ 3,060,000 ₦ 3,060,000
Activity 3.2.9 - Disseminate relevant Leverage on the QoC Week.
protocols, standards and guidelines on
QoC to all levels of care.
OVERALL BUDGET - Accountability

4. ACCOUNTABILITY ₦ 54,380,000
1. Develop, update and Activity 4.1.1 - Host monthly National QoC 1. Data allowance @ NGN3,000.00/person X
Output 1: National publish quality indicator M& E subcommittee meetings to develop 20participants DHS
framework and dashboards on the DHIS2 to and update indicators on the Dashboard FMoH(DFH, SMoHs Updated quality
mechanisms for track progress at the ₦ 60,000 24 ₦ 1,440,000 DPRS) & SPHCDAs indicators on the Meeting minutes
accountability for QoC facility, LGAs, State and NPHCDA Development Dashboard
are established and Federal levels partners
functioning
Activity 4.1.2 - Track and report quarterly DHS
Analyzed and
on input and output indicators as in the SMoHs
disseminated Analyzed indicator
national RMNCAEH+ N QoC operational ₦0 1 ₦0 FMoH (DPRS) SPHCDAs
comprehensive report
plan at TWG meetings Development
report
partners
2. Strengthen public Activity 4.1.4 - Conduct periodic/annual Consultancy fees (all inclusive rates) for the entire
accountability approaches independent assessments of progress to assessments Finalized and
that improve citizens’ validate routinely reported results validated
₦ 1,500,000 1 ₦ 1,500,000 FMoH (DFH) NPHCDA & DHS Assessment report
engagement in policy independent
design and implementation. assessment report
Activity 4.1.5 - Conduct regular/quarterly Hall for 2 days @ N200,000 / day ₦ 400,000 1 ₦ 400,000
multi-stakeholders’ dialogue to monitor Transport for 20 participants @ N3,000 eaach / day NPHCDA
₦ 120,000 1 ₦ 120,000
progress and resolve issues SMoHs
DSA for 20 participants for 3 nights @ N30,000 /night ₦ 1,800,000 1 ₦ 1,800,000 SPHCDAs Meeting
2 Tea Breaks @ N2,000 each for 40 participants -2 days ₦ 320,000 1 ₦ 320,000 FMoH Professional communique TWG meeting report
Lunch and water @ N3,500 for 40 participants- 2 days ₦ 280,000 1 ₦ 280,000 associations issued
Development
Stationaries / writing materials @ N1,000 each ₦ 40,000 1 ₦ 40,000 partners
Total Budget ₦ 4,620,000 ₦ 6,000,000
Output 2: Progress of Promote development and Activity 4.2.1 - Develop and disseminate Printing of quarterly progress reports (2,000
the National Network dissemination of annual quarterly progress report on copies)@1000/copy ₦ 2,000,000 4 ₦ 8,000,000 NPHCDA SMoHs
Progress report
on RMNCAEH+N progress report and other MNH/RMNCAEH+N QoC activities SPHCDAs
Hosting the progress reports on FMoH domain FMoH developed and Progress report
quality of care is documentation of best Development
₦0 disseminated
regularly monitored practices partners
Total Budget ₦ 2,000,000 ₦ 8,000,000

Activity 4.2.2 - Develop and disseminate Publication fee for 4 peer-reviewed Development
₦ 4,000,000 1 ₦ 4,000,000
other materials to document and share the materials@1,000,000/review partners,
experiences and lessons from the Policy brief ₦0 Professional Case studies, policy
MNH/RMNCAEH+N initiative, including case Case studies assocations, briefs and peer-
studies, policy briefs, and peer-reviewed QoC Case studies,
FMoH, SMoH, Academic and reviewed materials
materials policy briefs and peer-
SPHCDA Research developed and
reviewed materials
₦0 Institutions disseminated/publis
Religious & hed
Traditional
Leaders
Total Budget ₦ 4,000,000 ₦ 4,000,000
Activity 4.2.4 - Organise midterm review of Hall for 2 days @ N200,000 / day ₦ 400,000 2 ₦ 800,000
the 2-year National QoC AOP Transport for 20 participants @ N3,000 eaach / day ₦ 120,000 2 ₦ 240,000
DSA for 20 participants for 3 nights @ N30,000 /night ₦ 1,800,000 2 ₦ 3,600,000 NPHCDA SMoHs
SPHCDAs
2 Tea Breaks @ N2,000 each for 40 participants -2 days ₦ 320,000 2 ₦ 640,000 FMoH Reviewed AOP Meeting report
Development
Lunch and water @ N3,500 for 40 participants- 2 days ₦ 280,000 2 ₦ 560,000 partners
Activity 4.2.4 - Organise midterm review of
Page 10
the 2-year National QoC AOP
NPHCDA SMoHs
SPHCDAs
FMoH Reviewed AOP Meeting report
Development
partners

Total Budget ₦ 3,060,000 ₦ 6,120,000
Recognise and reward Activity 4.2.5 - Develop criteria for
NPHCDA SMoHs
States, LGAs, facilities, and recognition of excellence and award Criteria for high
SPHCDAs
individuals who excel in the system ₦0 1 ₦0 FMoH performing QoC Meeting report
Development
implementation of States developed
partners
RMNCAEH+N QoC
Activity 4.2.6 - Establish multi-level
Award task team
(National, State and LGA) task teams for FMoH, SMoH Development
₦0 1 ₦0 identified and Meeting report
recognition of excellence and TOR SPHCDA partners
inaugurated
Activity 5.1 -Conduct annual National Hall for 2 days @ N200,000 / day ₦ 400,000 2 ₦ 800,000
Steering committee meeting to recognize Transport for 20 participants @ N3,000 eaach / day ₦ 120,000 2 ₦ 240,000
awardees DHS NPHCDA
SMoHs Pictures of award
2 Tea Breaks @ N2,000 each for 40 participants -2 days ₦ 320,000 2 ₦ 640,000 Award ceremony
FMoH SPHCDAs recognition and
Lunch and water @ N3,500 for 40 participants- 2 days conducted
₦ 280,000 2 ₦ 560,000 Development certificates
Stationaries / writing materials @ N1,000 each ₦ 40,000 2 ₦ 80,000 partners
Printing of certificates/Production of awards and
₦ 300,000 2 ₦ 600,000
Photocopies @ N100,000
Total Budget ₦ 3,260,000 ₦ 6,520,000
Activity 5.1 -Impact of 1. Annual evaluation of the Activity 4.3.1 - Review and build consensus Hall for 2 days @ N200,000 / day
the National initiative RMNCAH QoC initiative on evaluation designs for the RMNCAEH+N ₦ 400,000 2 ₦ 800,000
on RMNCAEH+N QoC initiative
quality of care is Transport for 20 participants @ N3,000 eaach / day ₦ 120,000 2 ₦ 240,000 DHS NPHCDA
evaluated
DSA for 20 participants for 3 nights @ N30,000 /night ₦ 1,800,000 2 ₦ 3,600,000 SMoHs
evaluation tools
FMoH SPHCDAs Evaluation tools
2 Tea Breaks @ N2,000 each for 40 participants -2 days ₦ 320,000 2 ₦ 640,000 Development
reviewed & adapted
Lunch and water @ N3,500 for 40 participants- 2 days ₦ 280,000 2 ₦ 560,000 partners

Activity 4.3.2 - Conduct baseline studies, Indicative of proposed no. of scale up states DHS NPHCDA
midterm and endline evaluation on QoC Training cost on baseline, midline assessment tools SMoHs
QoC evaluations
where applicable. Travel Cost for assessors ₦ 20,000,000 1 ₦ 20,000,000 FMoH SPHCDAs Evaluation report
conducted
Accomodation Cost for Assessor Development
partners
DHS NPHCDA
Activity 4.3.3 - Disseminate findings and Leverage on National & State TWG.
SMoHs
recommendations at national and sub- Evaluation report Dissemination meeting
₦0 1 ₦0 FMoH SPHCDAs
national levels disseminated report
Development
partners
OVERALL BUDGET - Community Engagement
5. COMMUNITY ENGAGEMENT ₦ 79,035,000
Output 1:National Harmonize existing Activity 5.1 -Review existing community Hall for 2 days @ N200,000 / day ₦ 400,000 2 ₦ 800,000
community community engagement engagement guideline and plan in line Transport for 20 participants @ N3,000 eaach / day ₦ 120,000 2 ₦ 240,000
Engagement strategy strategy with WHO Strategic with WHO strategic guideline on
for quality of care is guidelines on community community Engagement for RMNCAEH+N DSA for 20 participants for 3 nights @ N30,000 /night ₦ 1,800,000 2 ₦ 3,600,000
developed and engagement for quality of care (QoC). 2 Tea Breaks @ N2,000 each for 40 participants -2 days ₦ 320,000 2 ₦ 640,000
implemented RMNCAEH+N QOC Lunch and water @ N3,500 for 40 participants- 2 days ₦ 280,000 2 ₦ 560,000
₦ 2,960,000 ₦ 5,920,000 Copies of
FMOH/NPHCDA/ Community
Activity 5.1.1(Finalization and Validation of Hall for 2 days @ N200,000 / day Availabilty of the
₦ 400,000 2 ₦ 800,000 WHO/UNICEF/UN engagement
Community Engagement for RMNCAEH+N FMOH/NPHCDA document,
FPA/Jpiego/BA- guideline and plan
QoC) Photographs, Reports
N/CHAI/IHP developed on
RMNCAEH+N QoC
Activity 5.1.2 Printing 2000 copies of Printing per copy @ N1,500 x 2000
Community Engagement Strategy for ₦ 3,000,000 1 ₦ 3,000,000
RMNCAEH+N
Total
₦ 5,920,000 ₦ 8,920,000
Activity 5.1.3 Conduct National level TOT on Hall @ N200,000 / day for 3-days
implementation of Community ₦ 600,000 1 ₦ 600,000
Engagement Strategy for RMNCAEH+N
Transport for 20 Participants @ N15,000 each for 3-days ₦ 900,000 1 ₦ 900,000
FMOH/NPHCDA/
Report
WHO/UNICEF/UN NToT and SToT
FMOH/NPHCDA Photographs
FPA/Jpiego/BA- conducted
Attendance
N/CHAI/IHP
Page 10
Printing per copy @ 500 x 50 copies ₦ 25,000 1 ₦ 25,000 FMOH/NPHCDA/

Report
Activity 5.1.4 Conduct State level capacity Hall for 2 days @ N200,000 / day FMOH/NPHCDA
WHO/UNICEF/UN NToT and SToT
Photographs
building on implementation of Community FPA/Jpiego/BA- conducted
Attendance
Engagement Strategy for RMNCAEH+N ₦ 400,000 1 ₦ 400,000 N/CHAI/IHP
Transport for 30 participants @ N3,000 each / day

₦ 90,000 1 ₦ 90,000
Printing per copy @ 500 x 40 copies ₦ 20,000 1 ₦ 20,000
Promote Community Activity 5.5 Implement existing Transport for 30 participants @ N3,000 each / day FMOH/NPHCDA/
Communication Report
Engagement/participation communication WHO/UNICEF/UN
₦ 90,000 1 ₦ 90,000 FMOH/NPHCDA Strategy identified Photographs
for RMNCAEH+N Quality of strategy on RMNCAEH+N FPA/Jpiego/BA-
and implemented Attendance
Care (QoC) N/CHAI/IHP
DSA for 30 participants for 3 nights @ N30,000 /night
₦ 2,700,000 1 ₦ 2,700,000
Activity 5.6 Working closely with Advocacy meeting with Traditional leaders in Abuja for 2-
community, days FMOH/NPHCDA/
Traditional Report
traditional, religious leaders and women WHO/UNICEF/UN
₦ 5,000,000 2 ₦ 10,000,000 FMOH/NPHCDA institution advocacy Photographs
groups to accelerate community FPA/Jpiego/BA-
meeting done Attendance
engagement N/CHAI/IHP
Activity 5.7 Implement appropriate Transport for Advocacy visits to Key Stakeholders on
demand-side scaling implementation FMOH/NPHCDA/
Report
interventions to promote uptake of MNH WHO/UNICEF/UN Advocacy visits
₦ 600,000 1 ₦ 600,000 FMOH/NPHCDA Photographs
services e.g. distribution of mama-kits, FPA/Jpiego/BA- conducted
Attendance
(conditional cash transfer) N/CHAI/IHP
Activity 5.8 To enhance distribution of Transport for Advocacy visits to Key Stakeholders on FMOH/NPHCDA/
Misoprostol and scaling implementation of MNh/ Report
WHO/UNICEF/UN Advocacy visits
Chlorhexidine ₦ 600,000 1 ₦ 600,000 FMOH/NPHCDA Photographs
Attendance
N/CHAI/IHP
Activity 5.9 Conduct Community National, State and
assessment to map stakeholders involved FMOH/NPHCDA/ LGA community
in QI initiatives and identify the community WHO/UNICEF/UN engagement Report
QoC priorities and gaps. FMOH/NPHCDA
FPA/Jpiego/BA- working group Photographs
N/CHAI/IHP sensitized on
RMNCAEH+N QoC
Total Budget ₦0 ₦ 41,195,000
Activity 5.10 - Develop Social and Hall for 3 days @ N200,000 / day ₦ 600,000 1 ₦ 600,000
Behaviour Change (SBC) materials Transport for 20 participants @ N3,000 eaach / day ₦ 180,000 1 ₦ 180,000
including Advocacy briefs for CE QoC
DSA for 20 participants for 4 nights @ N30,000 /night ₦ 2,400,000 1 ₦ 2,400,000 FMOH/NPHCDA/
Report
WHO/UNICEF/UN SBC on CE
2 Tea Breaks @ N2,000 each for 40 participants -3 days ₦ 480,000 1 ₦ 480,000 FMOH/NPHCDA Photographs
FPA/Jpiego/BA- developed
Lunch and water @ N3,500 for 40 participants- 3 days ₦ 420,000 1 ₦ 420,000 Attendance
N/CHAI/IHP
Total Budget ₦ 4,220,000 ₦ 4,220,000
Build capacity for CE at Activity 5.12 Conduct TOT workshop at Hall for 3 days @ N200,000 / day ₦ 600,000 1 ₦ 600,000
national, subnational, LGA National and sub-national levels Transport for 20 participants @ N3,000 eaach / day ₦ 180,000 1 ₦ 180,000
and Ward level
Report
WHO/UNICEF/UN TOT on CE
N/CHAI/IHP
Total Budget ₦ 4,220,000 ₦ 4,220,000
Activity 5.13 Conduct a step-down training Hall for 3 days @ N200,000 / day ₦ 600,000 1 ₦ 600,000
to LGA and Ward levels Transport for 20 participants @ N3,000 eaach / day ₦ 180,000 1 ₦ 180,000
Report
WHO/UNICEF/UN Step down training
N/CHAI/IHP
Total Budget ₦ 4,220,000 ₦ 4,220,000
Output 2: Community Development of Activity 5.14 Conduct TOT for interpersonal Hall for 2 days @ N200,000 / day ₦ 400,000 2 ₦ 800,000
score card system is Community QoC Score communication and counselling for Transport for 20 participants @ N3,000 eaach / day ₦ 120,000 2 ₦ 240,000
developed, linked with card National QoC
the Ward Development Report
Committee & FMOH/NPHCDA Photographs
strengthened Attendance
N/CHAI/IHP
Page 10
Output 2: Community Development of Activity 5.14 Conduct TOT for interpersonal

score card system is Community QoC Score communication and counselling for
developed, linked with card National QoC
FMOH/NPHCDA/
the Ward Development Report
Committee & 2 Tea Breaks @ N2,000 each for 40 participants -2 days ₦ 320,000 2 ₦ 640,000 FMOH/NPHCDA Photographs
strengthened Lunch and water @ N3,500 for 40 participants- 2 days ₦ 280,000 2 ₦ 560,000 Attendance
N/CHAI/IHP
Total Budget ₦ 3,060,000 ₦ 6,120,000
Activity 5.15 Conduct Step down training for Hall for 3 days @ N200,000 / day
interpersonal communication and ₦ 600,000 1 ₦ 600,000
counselling for States QoC Focals.

Lunch and water @ N3,500 for 40 participants- 3 days
₦ 420,000 1 ₦ 420,000
FMOH/NPHCDA/
Stationaries / writing materials @ N1,000 each Report
₦ 40,000 1 ₦ 40,000 WHO/UNICEF/UN Step down training
FMOH/NPHCDA Photographs
Prinitng and Photocopies @ N100,000 Attendance
₦ 100,000 1 ₦ 100,000 N/CHAI/IHP
Activity 5.17 Support States to step down Hall for 3 days @ N200,000 / day ₦ 600,000 1 ₦ 600,000
training to LGA level. Transport for 20 participants @ N3,000 eaach / day ₦ 180,000 1 ₦ 180,000
Total Budget ₦ 4,220,000 ₦ 4,220,000

Nigeria National Quality of Care Costed AOP 2021 2021

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Nigeria National Quality of Care Costed AOP 2021 2021

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Nigeria National Quality of Care

Costed Annual Operational Plan

Federal Ministry of Health

Healthcare in Nigeria is delivered at the primary, secondary, and tertiary levels.

I, Chair of the national inter-ministerial-level QoC Steering Committee call on

Dr Osagie Emmanuel Ehanire, MD, FWACS

My profound appreciation goes to the RMNCAH Quality of care Technical

We especially appreciate the technical and financial support of our

Finally, I commend the National Quality of Care Focal Officer, Dr Kennedy

Dr. Salma Ibrahim-Anas MBBS, MWACP, FMCPH

AOP Annual Operational Plan

CHAI Clinton Health Access Initiative

FCT Federal Capital Territory

FMOH Federal Ministry of Health

IHP Integrated Health Program

JHPIEGO Johns Hopkins Program for International Education

MNH Maternal and Newborn Health

NDHS Nigeria Demographic Health Survey

NEST 360 Newborn Essential Solutions and Technologies

NPHCDA National Primary Health Care Development

PHC Primary Health Care

QED Quality, Equality and Dignity

QOC Quality of Care

RMNCAEH+N Reproductive, Maternal, Newborn, Child,

TWG Technical Working Group

UNFPA United Nations Population Fund

UNICEF United Nations Children’s Emergency Fund

USAID United States Agency for International

WHO World Health Organization

WRA White Ribbon Alliance

In terms of implementation of the QoC for RMNCAEH+N in healthcare agenda,

The Nigerian country implementation approach builds on principles of

The role of the TWG needs to be more strategic to enable Nigeria to

Moving forward, the Federal Government of Nigeria through the Federal

Figure 1: WHO Quality of Care Framework for Maternal and Newborn

Nigeria is one of 10 first-wave countries participating in the Network. Each

2.2.1 Maternal health: Improve the prevention and management of

2.2.2 Newborn health: Increase the practice of skin-to-skin contact, reduce

This two-year quality of care operational plan is designed to reduce morbidities

3.2 Objectives of Annual Operational Plan

3.3 Methodology for the development of the Operational Plan

This was followed by a desk costing assumption of the operational plan by

3.4 KEY OUTPUT AREAS

1 Department of Family • Coordinates and provides leadership roles.

2 Department of Health • Leads tracking monitoring and review of

3 Department of • Coordinates and provides leadership role for

4 National Primary • Coordinates and provides a leadership role

5 States Ministry of • Coordinates and provides a leadership role

6 WHO • Coordinates and provides technical

7 UNICEF • Implementing QI in selected primary,

8 USAID/IHP • Implementing QI in selected secondary and

9 JHPIEGO • Implementing MSD for Mothers Quality of

10 CHAI • Support the roll-out of a revised quality of

11 UNFPA • Support & Coordinate Implementation of

12 PATHFINDER • Support the TWG for coordinating &

13 WRA • Support the TWG for coordinating &

14 NEST 360 • Newborn Essential Solutions and

Frequenc Key Agencies Means

OVERALL BUDGET - Leadership & Coordination