Nigeria State Health Investment Project A Mid-term Qualitative Study to Assess Implementation of NSHIP in Pilot States

The main objectives of this study are to assess the implementation fidelity of activities included in the program design of NSHIP, including both PBF and DFF arms, as well as to better understand the changes brought about by the NSHIP pilot in behaviours of health workers and organizational structures and processes at the health facilities. In addition, the study also aims to document the experiences of community members in accessing and using services from facilities receiving PBF and DFF. The findings of this study will be triangulated with the results of the mid-term quantitative assessment, to ascertain what has worked and what has not, and the reasons for the same, in the implementation of NSHIP up to mid-point of the project.