Key Findings – Malaria Control Booster Project (MCBP). By: Tim Aniebonam, CCG Nigeria.

Successes: Single most comprehensive malaria intervention currently being implemented in the States visited by the Pilot E-ISR+ team; Ensured building of capacity at various levels to ensure the provision of quality and affordable malaria prevention and treatment services; Reinvigorating the hitherto largely inactive PHCs facilities scattered across various States of the project; and High satisfaction with the quality of services being provided and commodities distributed.

Challenges:  Slow services and commodities acquisition process (including logistic distribution system);  Low awareness, knowledge and misconception about the use of LLINs;  Weak capacity of some health personnel to carryout malaria services as prescribed;  Low compliance to instructions and prescription on malaria prevention and treatment services by clients; and  Passive participation of community beneficiaries in malaria intervention and decision-making processes.

Key Recommendations made to – MCBP Team: Project Team (at WB, NMCP & SMCP) should design a strategy to ensure effective participation of stakeholders in project circle Reviews procurement procedures Relevant actors, to consider putting in place a mechanism for complaint and redress on health entitlements including malaria. Sustained third party monitoring process to allow CSOs assess project performance on a regular basis. Promote wide dissemination of finding at various fora (National, State, LGAs etc)

Outcomes of the Third Party Monitoring in Nigeria

Short term: Pilot EISR+ conducted with Final reports shared with TTLs and PIUs. Result of findings incorporated in Aide Memoires and ISRs of the specific projects covered by the pilot EISR+ in Nigeria Built / Strengthened the capacity of 25 CSOs for independent supervision and monitoring of WB assisted projects Ensured Advocacy visits to various stakeholders - Project TTLs, PIUs, SPIUs, MDAs, Societal gatekeepers, etc on the need for community and non actors participation at all levels of project circle. Framework for CCG’s conduct of subsequent EISR being developed

Long Term: - Enhanced communication between project implementation units, target beneficiaries and other non state actors - Improved gender participation in project implementation - Improved mobilisation of beneficiaries in project delivery - Enhanced understanding of project by target / community beneficiaries - Will impact on service delivery by indentifying gaps and making necessary recommendations

Challenges: - Weak state team members selection criteria - Capacity gap among CCG members for the conduct of EISR+ - Tight timeframe allotted for the conduct of the pilot EISR+ - Socio – Political unrest - Suspicion of the EISR+ process by some PIUs and SPIUs - Limited fund for the EISR process - Weak mechanism for dissemination / feedback with National, State and community level stakeholders - Sustainability concern

Next level: Next level: ◦ CCG have secured additional grant from the WB CSF to scale – up the implementation of the EISR+ and third party supervision / monitoring of WB assisted projects in Nigeria, implementation had commenced. ◦ CCG is working to ensure integration of EISR+ findings in current and future WB assisted programmes in Nigeria to ensure inclusive planning, implementation, facilitative supervision and monitoring by ordinary citizens

◦ Planned Advocacy to key governmental actors as a way of promoting the institutionalisation of the EISR+ / third party / supervision and monitoring process in Nigeria. ◦ Seeking support to establish a comprehensive membership data base, provide more members with necessary trainings and materials to facilitate independent monitoring and supervision of WB, Donors and other IDPs assisted projects in Nigeria

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