Nigeria began adapting the Collaborative Action Strategy (CAS) in 2024, resulting in the Nigeria Collaborative Action Strategy (N-CAS). This effort builds on momentum and political will for Nigeria’s sector-wide approach (SWAp) to health, which aims to reform the health system through a sustained, government-led harmonization of the efforts of partners, donors, and agencies. The N-CAS is a shared effort led by the Ministry of Health and Social Welfare and the National Primary Health Care Development Agency (NPHCDA).
The country conducts an average of 25 different health campaigns per year. Through the CAS, the Federal Ministry of Health and Social Welfare and NPHCDA sought to streamline the number of campaigns, increase campaign efficiency, and harmonize campaign activities into the primary healthcare system.
A National Coordination Body and Technical Working Groups were established to steer the N-CAS customization and adoption. Subgroups focused on planning, MERLA (monitoring, evaluation, research, learning, and adaptation), and financing. Stakeholder workshops pinpointed financing and policy solutions, identified campaign bottlenecks and opportunities for reform. These shared efforts resulted in the N-CAS implementation plan, shared campaign tools, a coordinated MERLA framework, and a harmonized campaign funding strategy.
In 2025, the N-CAS was formally launched as the official planning and coordination platform for all health campaigns. The first fully integrated, N-CAS-led campaign is taking place in October. It will deliver treatment and services for neglected tropical diseases, immunizations against measles, rubella, and polio, seasonal malaria chemoprevention and distribution of insecticide-treated nets, and nutrition interventions. The Ministry of Health and NPHCDA supported local governments to create subnational campaign microplans and co-delivery strategies and engage community health workers in the campaign.
More updates on the October integrated campaign will be shared as information becomes available.