The Business Unusual Model to Family

Planning Programming: Lessons on

Government Ownership and Sustainability
in Five Nigerian States

Olukunle Omotoso

April 16, 2018

 Outlines
❖Background
• NURHI Proven Model
• Achievements in NURHI 6 intervention cities
❖ Description of Intervention
• The Business Unusual Model
• TCI Demand Driven Model
❖ Results/Lessons Learned
• Update on Program Implementation
• Governments’ commitment by states

❖Conclusion
• The Business Unusual is Scalable
 Background
❖ The Challenge Initiative commenced in September 2016, TCI Nigeria
is an ambitious program to accelerate demand-driven participation
and spark up a national Family Planning Movement

❖ The Challenge Initiative is built to be streamlined, highly-

leveraged, agile, and sustainable:

❖ A “business unusual” approach to scaling up and

sustaining proven urban reproductive health solutions

❖ TCI is currently being implemented in 5 states across Nigeria

ADS-Interlinking (Advocacy, Demand & Service Delivery)

❑ Expanding on FP advocacy to increase voice, accountability

and changes in values, beliefs and norms;

Demand
Generation
❑ Fostering supportive policy and enabling environment for
sustainable, inclusive and responsive investment in health in
general (and FP in particular);

Advocacy
Service
❑ Building local capacity to generate demand for modern
Delivery contraceptive methods using data, evidence and science

❑ Iincrease access to high-quality FP through service delivery

interventions that are demand-driven, customized and locally-
owned

4
The proof of Concept: NURHI 1 (2009 – 2015)
 The Business Unusual (‘BU’lls-eye)

Promote Resource Sustainability

Drive Ownership and through State funding (in cash
Participation by getting states and kind) and other leveraged
to Self-select and commit resources from partners and
resources to scaling up FP donors
services

Satisfied Users
of FP services
amongst urban
poor
Provide Technical Support
(leading from behind) to states
Facilitate Sharing and Learning
driving the implementation of
for scale-up and Replication
proven High Impact NURHI
through TCI-University and
Interventions
Community of Practice
Business Unusual from existing interventions to TCI

Existing TCI

• proof of concept • proof of scale up

o cost-efficient and sustainable
• pilot cities chosen • cities “self-select”

• full package of interventions • minimum package with similar

results

• intensive technical assistance • Streamlined, light-touch and

(TA) targeted TA
o TCI University

7
Characterized by SCALE:

❖ Self-selection and demand-driven

❖ Challenge Fund - Access to catalytic fund
❖ Angel Investing “Entrepreneurial” approach
❖ Learning resources and tools - Community of
Practice
❖ Efficient & Effective Visionary development
financing framework

Kano

North West
7.3
North East
Niger
7.2

North Central
5.4
South West Bauchi
Ogun 4.5
South South
South East Distribution of Implementing states
4.7 4.8

Delta
 Demand-Driven Model (DDM)

EoI Eligibility &

Validation checklist
+ Proposal Review and
Project award criteria

□Political commitment □Technical Soundness

□Resource □Cost-efficiency
contribution
□System readiness
□Size of potential
impact

Stage 1 Stage 2 Stage 3

Expression Program Design Implementation

of Interest/ Concept (Proposal Development)
note •Consolidated toolkit
•Challenge Fund
•Technical support
•TCI University •Community of practice
•Marketing
•Application guidance •Monitoring and Evaluation
•Advocacy
Progress across the stages:

36 10 Submitted
EOIs 7 State EOIs
validated 5 Proposals
Submitted

Selected for
Implementation

Kano

5
Ogun
Delta
Bauchi
Niger
 Competitive Financing Model

~$988k
(28%) State
Commitment TCI States
from 5 states
- Self-select, state-led,
-owned & aligned
- Financial Investment
- Indefinite delivery - Political Commitment
Indefinite Quantity (IDIQ) - Significant Need
mechanism - Potential Impact
- Fund draw-out based on - Urban/peri-urban slums,
innovative/adapted URHI Seed Funds Underserved population
interventions USAID-
- Continuous funding HC3/BA
Other
subject to response to Partners TJM
catalyst AYSRH
CR

Additional Funding Streams

Government Commitment by States
Percentage Distribution of Funding
Demography Program Information
commitment

Est. WRA in
Leveraged Total State selected # # # Intervention
TCI State Funding Population cities LGAs cities HF proposed

Kano 63% 30% 7% 12,983,043 861,068 8 8 40

Ogun 50% 44% 6% 5,882,959 740,023 8 8 44
Delta 87% 13% 0% 4,975,526 348,547 13 5 65
Bauchi 69% 20% 11% 6,800,000 322,613 5 5 50
Niger 61% 37% 2% 5,706,245 223,847 8 8 40
TCI: State
3:1
36,347,773 2,496,098 42 34 239
 Conclusion

• Ownership and sustainability of FP through

Business-Unusual Approach in Nigeria is possible.
When government drives the process from inception
to implementation they own it, work towards its
success and sustain it.
Business unusual is Scalable

Thank you for listening