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Peer-reviewedCC BYJournal of Interventional Epidemiology and Public Health

Catalyzing domestic financing for infection prevention and control through targeted budget advocacy: Implementation lessons from Nigeria

7 more authors
8 affiliations
  1. 1African Field Epidemiology Network, Abuja, Nigeria
  2. 2Department of Disease Prevention and Health Promotion, Nigeria Centre for Disease Control and Prevention, Abuja, Nigeria
  3. 3Global Health Advocacy Incubator, Abuja, Nigeria
  4. 4Africa Health Budget Network, Abuja, Nigeria
  5. 5Department of Community Health Services, National Primary Health Care Development Agency, Abuja, Nigeria
  6. 6Vaccine Network for Disease Control, Abuja, Nigeria
  7. 7Resolve to Save Lives, Viginia, United States of America
  8. 8Resolve to Save Lives, Abuja, Nigeria

Abstract

Introduction: Robust infection prevention and control (IPC) programs in healthcare settings are crucial for reducing the spread of infectious diseases and are key components of quality healthcare. According to the World Health Organization, a dedicated IPC budget is a minimum requirement for a functional IPC program. However, in Nigeria, significant gaps exist in domestic funding for IPC. We assessed the funding landscape and implemented a targeted advocacy campaign to improve domestic IPC financing. Methods: A two-phase approach was adopted. In 2023, we conducted a budget landscape analysis at the national level using a validated toolkit developed by Global Health Advocacy Incubator (GHAI). The analysis assessed the country’s epidemiological context and the functional status of the national IPC program, existing IPC funding, political and stakeholder mapping, national budget process, and legal frameworks. In 2024, we implemented an advocacy campaign in collaboration with two civil society organizations (CSOs) that included- sustained multi-stakeholder engagement, media advocacy, and capacity building initiatives to influence policy and budgetary decisions at the national level. Results: Landscape analysis revealed that although Nigeria had a national IPC program, no dedicated IPC budget line existed within the health sector budget. Advocacy efforts contributed to the establishment of a dedicated budget line for IPC with an allocation of two hundred million Naira (₦200,000,000) in the 2025 national health budget, approval of a revised national IPC policy, and development of a costed five-year IPC strategic plan. Conclusion: Strategic and sustained budget advocacy serves as a powerful mechanism to catalyse institutionalised financing and governance reforms for IPC in low- and middle-income countries (LMICs). Nigeria’s experience demonstrates that linking evidence-based analysis with strategic engagement during national budget cycles is crucial for strengthening health system resilience and accelerating progress toward International Health Regulations (IHR-2005) goals.

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BibTeX
@article{faruk2026catalyzing,
  title = {{Catalyzing domestic financing for infection prevention and control through targeted budget advocacy: Implementation lessons from Nigeria}},
  author = {Aisha Sani Faruk and Tochi Okwor and Emmanuel Alhassan and Aminu Garba Magashi and Muzzammil Gadanya and Aisha Abba and Ibrahim Ozaki Suleiman and Elizabeth Bunmi Adedire and Chika Kemi Offor and Oliver Iorkase and Benson Omaiye and Celestine Ameh and Justine Landegger and Stacey Mearns and Jenom Danjuma and Celestina Awele Obiekea and Nanlop Ogbureke and Patrick Mboya Nguku and Moreen Kamateeka},
  journal = {Journal of Interventional Epidemiology and Public Health},
  year = {2026},
  month = jul,
  doi = {10.37432/jieph-d-26-00061},
  url = {https://doi.org/10.37432/jieph-d-26-00061},
  note = {CC BY},
}
RIS
TY  - JOUR
TI  - Catalyzing domestic financing for infection prevention and control through targeted budget advocacy: Implementation lessons from Nigeria
AU  - Aisha Sani Faruk
AU  - Tochi Okwor
AU  - Emmanuel Alhassan
AU  - Aminu Garba Magashi
AU  - Muzzammil Gadanya
AU  - Aisha Abba
AU  - Ibrahim Ozaki Suleiman
AU  - Elizabeth Bunmi Adedire
AU  - Chika Kemi Offor
AU  - Oliver Iorkase
AU  - Benson Omaiye
AU  - Celestine Ameh
AU  - Justine Landegger
AU  - Stacey Mearns
AU  - Jenom Danjuma
AU  - Celestina Awele Obiekea
AU  - Nanlop Ogbureke
AU  - Patrick Mboya Nguku
AU  - Moreen Kamateeka
PY  - 2026
DA  - 2026/07/01
JO  - Journal of Interventional Epidemiology and Public Health
DO  - 10.37432/jieph-d-26-00061
UR  - https://doi.org/10.37432/jieph-d-26-00061
AB  - Introduction: Robust infection prevention and control (IPC) programs in healthcare settings are crucial for reducing the spread of infectious diseases and are key components of quality healthcare. According to the World Health Organization, a dedicated IPC budget is a minimum requirement for a functional IPC program. However, in Nigeria, significant gaps exist in domestic funding for IPC. We assessed the funding landscape and implemented a targeted advocacy campaign to improve domestic IPC financing. Methods: A two-phase approach was adopted. In 2023, we conducted a budget landscape analysis at the national level using a validated toolkit developed by Global Health Advocacy Incubator (GHAI). The analysis assessed the country’s epidemiological context and the functional status of the national IPC program, existing IPC funding, political and stakeholder mapping, national budget process, and legal frameworks. In 2024, we implemented an advocacy campaign in collaboration with two civil society organizations (CSOs) that included- sustained multi-stakeholder engagement, media advocacy, and capacity building initiatives to influence policy and budgetary decisions at the national level. Results: Landscape analysis revealed that although Nigeria had a national IPC program, no dedicated IPC budget line existed within the health sector budget. Advocacy efforts contributed to the establishment of a dedicated budget line for IPC with an allocation of two hundred million Naira (₦200,000,000) in the 2025 national health budget, approval of a revised national IPC policy, and development of a costed five-year IPC strategic plan. Conclusion: Strategic and sustained budget advocacy serves as a powerful mechanism to catalyse institutionalised financing and governance reforms for IPC in low- and middle-income countries (LMICs). Nigeria’s experience demonstrates that linking evidence-based analysis with strategic engagement during national budget cycles is crucial for strengthening health system resilience and accelerating progress toward International Health Regulations (IHR-2005) goals.
SN  - 2664-2824
ER  -