The Global Financing Facility (GFF) for Women, Children and Adolescents assists countries in formulating reproductive, maternal, neonatal, child and adolescent health plus nutrition (RMNCAH+N) investment case (IC). The RMNCAH-N IC document outlines prioritized and costed health system strategies or interventions aimed at advancing the health of women, children, and adolescents. Serving as a national blueprint for collaboration, the IC fosters partnership and engagement among governments (both national and subnational), development partners, the private sector, and civil society. The RMNCAH-N IC aims to align, coordinate, and mobilize resources from both domestic and external sources to enhance the effectiveness, efficiency, and equity of programs. The overarching objective is to establish a unified approach with "one country-led plan, one budget, and one monitoring and evaluation (M&E) framework" for RMNCAH-N at both national and subnational levels.

After nearly a decade, the GFF seeks to conduct a country-led evaluation of investment case processes and outcomes. This evaluation aims to generate evidence and insights into the design, implementation, and outcomes of the IC. The findings will be utilized to reinforce transparency and accountability in achieving measurable results. Furthermore, they will facilitate the dissemination and utilization of evidence to inform decision-making and drive improvement. The first evaluation in this series focuses on the mid-term review (MTR) of Nigeria's IC.

The IC for Nigeria was formulated based on the RMNCAH-N strategy. Stakeholders, under government leadership, particularly the Honorable Minister of Health and the Department of Family Health (DFH), developed, costed, and prioritized this strategy. Spanning the period 2017-2030, the Strategy is aligned with the National Health Strategic and Development Plan (NHSDP) II. The plan's premise was to revolutionize the Nigerian health system through a leapfrogging approach. Its overarching goal is "to reduce maternal, neonatal, child, and adolescent morbidity and mortality in Nigeria and promote universal access to comprehensive maternal and child health (MCH), sexual and reproductive health services for adolescents and adults throughout their life cycle." The plan encompasses six strategic objectives delineated in the results framework, with corresponding targets set for the indicators.

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