From 2018 to 2022, The Challenge Initiative (TCI) employed a cofinancing strategy in Nigeria to support states in their family planning and reproductive health (FP/RH) budget allocations and expenditures.n Thirteen states accessed and used a total of 2.03 billion Nigerian naira (US$5.6 million) from the TCI Challenge Fund, a mechanism to incentivize domestic funding for FP programming.n State governments demonstrated substantial improvements in their fiscal commitment and releases with a 4-year average of 78.7% release of committed resources toward FP programs.
The Challenge Initiative (TCI) Nigeria applied the Reflection and Action to Improve Self-reliance and Effectiveness (RAISE) tool as a responsive feedback mechanism to enable all 13 state governments to assess their progress toward selfreliance in family planning/reproductive health programming; identify gaps; and incorporate learning and feedback to make improvements throughout the implementation life cycle. n Adaptation of the RAISE tool to Nigerian and state contexts improved local and state government teams' understanding of adaptive program management, leading to positive changes.
Strong external champions-both traditional and religious leaders but also media-savvy policy advocates-were a key component of a successful scaling experience by building public understanding and support for FP use and holding government leaders accountable for its provision. n Skilled and empowered state program officers, with support from internal government champions at the highest political but also agency leadership levels, spearheaded the introduction and implementation of the interventions and guided the institutionalization of interventions through existing state mechanisms.
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