NPHD

NPHD LTD.

Annual Report2017

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1. Message from Leadership ................................................................................................................ 3

2. What We Stand For.......................................................................................................................... 4

3. An Overview of NPHD Management Activities ................................................................................. 5

4. Key Projects Executed In 2017 ......................................................................................................... 6

4.1 Peer Detailing Of PPMVs And Integrated Supportive Supervision Cycles......................................... 6

4.2 PACT-ICARE Project Evaluation....................................................................................................... 8

4.3 UNITED Project (2012-2019) .......................................................................................................... 8

4.4 CHAI -Training of Health Workers on Pneumonia treatment .......................................................... 9

4.5 Clinton Health Access Initiative (CHAI) Cash Disbursement Vendor Management Service............. 10

4.6 World Bank Funded Saving One Million Lives-Independent Verification Agency (SOML-IVA) ........ 10

4.6.1 Program Activities: ................................................................................................................ 11

4.6. 2 Verification and computation of payments ........................................................................... 12

5. Summary of Historical Projects .......................................................................................................... 12

5.1 ZIFAS Project (2013-2015) ............................................................................................................ 12

5.2 MNCH2 Health Facility Survey ...................................................................................................... 13

6.0 Our Team ........................................................................................................................................ 14

6.1 Our Board of Directors ................................................................................................................. 14

6.2 Our Core Management Team ....................................................................................................... 15

Table of Contents

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Message from Leadership

The report is coming on the heels of the 2017 Annual General Meeting of NPHD as a

recommendation of that meeting.

The report is intended to provide a brief overview of activities of NPHD for 2017 and to

highlight the progress the organization has made during the year.

During the year, the health development sector witnessed very low activity as there

were very few health projects that were funded by international development

organisations for reasons which we don’t need to discuss. National and international

development consultancy firms therefore had a rough deal with many of them

downsizing to meet their running costs.

Despite this harsh development climate, NPHD maintained a stable level of activities

with significant positive outcomes to the delight of their clients and to the Board. We

therefore intend to build on this achievement – surveying in a harsh business climate –

and to attain greater heights in the coming year. We promise to excite our clients and

stakeholders with our outstanding services and to thereby contribute out quota towards

enhancing the attainment of the Universal Health Coverage in Nigeria and beyond.

The Board and Management of NPHD wish to express their appreciation to their clients

and stakeholders in and outside the country. NPHD promises to serve them even better

in the organisation’s collective desire and efforts especially in strengthening health

governance and health system in general in order to improve the quality and reach of

health services to Nigerians so that no one is left behind.

Dr Emmanuel SokpoManaging Director

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Our Values

Our core value is to excel in our product offerings; pursue people-centered programs;

promote the spirit of friendship and teamwork; instil honesty and transparency in all its

transactions; promote strong local content; remain positive and forward looking in all our

outlook, to remain patriotic, ensure equity and remain gender sensitive.

Our Vision Statement

To become a leading, reliable and effective home-grown health and development

consultancy company in Nigeria.

Our Mission Statement

To significantly contribute positively to the transformation of the Nigerian health sector

Our Areas of expertise

These include health governance and health system strengthening, high level advocacy

and social mobilization, social research including organizational/impact assessment,

training and institutional capacity building in a broad spectrum of health and health

system issues; monitoring and evaluation, program design, implementation and

management. We also provide humanitarian services and health support to those

affected by conflicts and natural disasters.

Where We Work

Our Head Office is on the 3rd Floor, Abia House, Off Ahmadu Bello Way, Central

Business District, Abuja.

We also have offices in Kano, Jigawa, Yobe, Katsina, Zamfara, Borno, Lagos and

Makurdi. Our project activities span all the Northern States as well as Lagos and most

other Southern States of Nigeria.

What We Stand for

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An Overview of NPHDManagement Activities

NPHD is managed by the Board of Directors who provide strategic and oversight

support of a full-time team of staff and part-time MD who works almost full-time. Staff

are dedicated and highly multitasking to meet the multifaceted activities of the

organisation. There is ongoing staff capacity building including mentoring to motivate

staff and ensure that they support NPHD to provide a high quality of service to its

teaming clients. Apart from the Board and full-time team, NPHD has a network of over

100 experienced and talented consultants across the country.

The NPHD head office which is easily accessible and secure is on the 3rd Floor Abia

House, Off Ahmadu Bello Way, in the Central District Area of Abuja.

During the year, NPHD acquired an extra office space at HERFON Offices along Jimmy

Carter Street in Asokoro due to the additional work from IVA project on the FMOH Save

One Million Lives Program and other related activities.

NPHD has continued to build on its established partnership network which has been

spearheaded by the board of directors and staff. Institutional partners include FMOH,

NPHCDA, State governments; international development partners including DFID,

USAID, Bill and Melinda Gate Foundation, WHO, UNICEF, EU and several of the

programs funded by these international agencies.

During the year, NPHD has carried out the following management activities to ensure

that a conducive operating environment exists for its smooth operations to achieve its

set objectives:

• Maintained an active website with current information on programs and

management

• Upgraded our accounting software (Quick Books) from 2015 to 2018 version for

more robust accounts

• Revised the Office Operational Guidelines

• Audited reports for 2016 with no major issues and has set in motion the process

of auditing its 2017 accounts

• Maintained an up-to-date company tax compliance system for the company, its

staff and the team of consultants and has obtained a Tax Clearance Certificate.

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Key Projects Executed in 2017

NPHD experienced tremendous growth and collaborative relationships in the year 2017.

Outstanding projects in 2016 were rolled over into 2017 activities as expounded below.

1.1 Peer Detailing of PPMVs and Integrated Supportive Supervision Cycles

In June 2016, NPHD LTD and CHAI signed a Memorandum of Agreement (MOA) to

partner in the implementation of 2 Cycles of shop-to-shop peer detailing of all registered

patent and proprietary medicine vendors (PPMVs) and to support integrated supportive

supervision (ISS) of all the health facilities in Niger State. NPHD gave logistic support to

both programs.

Training was conducted for peer mentors, pharmacists and the State ISS team.

Field activities for ISS took place in 2 Cycles and 3 Cycles for Peer detailing of PPMVs.

In the first cycle, the data of all registered PPMVs, and all the health facilities in the 25

LGAs were captured into a specified database tool. The process assisted in identifying

non-functional public health facilities and PPMV shops that were closed. The third Cycle

of PPMV was carried out on 5 low performing LGAs.

4.1

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At the end of the first Cycle, a total number of 3330 PPMV shops were detailed and

1241 health facilities and 1241 health care workers were captured in a database while

in the 2nd Cycle, 3149 PPMV shops were detailed, 1213 health facilities and 3,519

health workers were captured. 754 PPMV shops were detailed in low five performing

LGAs.

The MOA was successfully executed and in time. The exercise provided a platform to

build the capacity of peer detailers, pharmacists and health facility workers through on

the job training.

Achievements

This evaluation provided the evidence to engage policy makers and health managers,

service providers and other development partners in a constructive way for the desired

change in policy and practice:

· Policy change included the revision of the State ISS tools agreement to feedback

its key findings for discussion by health managers at the regular quarterly health

sector review meetings and to include the ISS into the State government budget

Change in practice included the training and mentoring of PHC service providers based

on gaps identified and introducing measures that would improve facility infrastructure for

the provision of water and sanitation services in PHC centres.

One of the ISS team members at a facility

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Increasing Care Seeking Behaviour in Nigeria for Childhood Illnesses (ICARE) Project

was a 3-year demand creation project managed by PACT and funded by the Bill &

Melinda Gates Foundation (BGMF) and DFID. The project commenced in November

2013 and ended December 2016. It was primarily implemented in 22 Local

Government Areas (LGAs) across Benue and Kebbi States.

The primary focus of the project was to increase early care seeking behaviour

amongst caregivers who have children with diarrhoea and under the age of five; as

well as increase availability of Oral Rehydration Salt and Zinc (ORS + Zn) in

communities, for the management of diarrhoea in childhood.

In November 2016, Health Partners International, HPI, subcontracted NPHD Ltd to

manage the implementation of the PACT-ICARE 4 months evaluation project in Kebbi

and Benue States including review and feedback activities with the Pact Head Office in

Abuja. NPHD supported in the recruitment and training of National and State field staff,

and the provision of logistic support for field activities as well as to immigration and in-

country trips of the international consultants. We trained approximately 36 evaluators in

the two States, supported in the development of the research protocol, logistic plan, and

provided quality assurance during data collection, analysis and report writing. NPHD’s

support ended January 2017. The evaluation report shows an overall increase in the

care seeking behaviour among care givers in Benue and Kebbi States.

NPHD applied due diligence to successfully manage the budgeted funds deployed by

HPI to implement the project to the full satisfaction of all.

4.3 UNITED Project (2012-2019)

NPHD was contracted by HPI to provide project support for the in-country activities of

HPI in the health systems strengthening work-stream of the about £13m DFID funded

UNITED programme.

The NPHD project support activities included: Contracting and management of short-

term national consultants, in respect of specific terms of response. Management of the

HSS work-stream long-term staff, management of HPI budget for field activities through

NPHD’s robust financial management system as well as its sound administrative

procedures on the behalf of HPI. Logistic support included assistance to organize

program workshops including payment of workshop participants in line with program

guidelines.

Phase 1 of the project which ended in mid-2017 was extended by DFID to 2019.

NPHD’s management and logistic support for HPI has continued. This has resulted in

stronger

PACT-ICARE Project Evaluation

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and a more cordial relationship between NPHD and HPI to explore other opportunities

in Nigeria. NPHD is therefore partnering with HPI to bid for the DFID funded SuMaP2

project which is expected to commence in 2018.

4.4 CHAI -Training of Health Workers on Pneumonia Treatment

NPHD provided management and technically supported the CHAI team in Niger State to

roll out cascaded trainings of health providers across 10 secondary health facilities. The

training focused on appropriate practices for the management of childhood pneumonia,

with the aim of shifting healthcare provider behaviour towards the use of pulse oximetry,

oxygen therapy and Amoxicillin DT for the diagnosis and treatment of pneumonia.

The project was successfully implemented. We recruited the trainers and managed 10

training sessions in Minna, Agaie, N/Bussa and T/Magajiya and successfully trained 178

health workers, 38 doctors and pharmacists, and 140 nurses, midwives and CHEWs.

The assignment was carried out in two months.

Pic 1: Day 1 Doctors and Pharmacists training in Minna

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Clinton Health Access Initiative (CHAI) Cash Disbursement Vendor Management Service

NPHD signed a Memorandum of Agreement (MOA) with CHAI to serve as a cash

disbursement vendor for its numerous field activities covering mainly meetings,

workshops and sundry activities across the several CHAI project activities in Nigeria.

Our core role is to ensure that participants who attended CHAI coordinated programme

activities, meetings and workshops across the country are paid their transport allowance

as at when due. The Cash Disbursement services are rendered as follows:

1. We ensure that names on the payment schedule is the same as with the signed names in the attendance sheet.

2. We also ensure that no participant sign for or collect another person’s allowance at the training venue except with written permission of the latter.

3. We ensure payments are made to participant’s bank accounts, the account name must be same with participant’s name as contained in the schedule of payment.

4. We ensure that duly signed payment schedule/evidence of bank payment are forwarded to CHAI alongside the invoice.

5. We ensure invoices and evidence of disbursement reach CHAI within 3 days after the completion of the activity.

6. We send monthly reports to CHAI for completed disbursement services. The project which started since 2016 is going well without major hitches and has built the strong confidence of CHAI on NPHD’s capability and capacity to effectively deliver the required services to ensure no disruption of CHAI’s field work and to ensure value for money for the services.

4.6 World Bank Funded Saving One Million Lives-Independent Verification Agency (SOML-

IVA)

The Saving One Million Lives (SOML) programme is a major initiative with potential for

making a significant impact on MNCH services in Nigeria which will inevitably have

knock on effects on quality, access, governance and overall performance of the PHC

system for improved health outcomes.

As the Independent Verification Agent (IVA), we are to provide an independent, credible

and coherent analysis of State and Federal Government performance and earnings

under the SOML Performance for Result (PforR) using agreed upon data sources and

earning calculations in line with specifications spelt out in the Program appraisal

document (PAD).

NPHD Ltd signed a partnership agreement with HAN Ltd, the lead Organisation

contracted through the Federal Ministry of Finance, to carry out the IVA role process.

HAN, has its head office in Lagos and is responsible for verification of all the Southern

States plus Kaduna, Plateau and Kwara States. NPHD Ltd is responsible for the

verification of 16 States (Sixteen), namely; Kano, Katsina, Jigawa, Benue, Taraba,

Borno,

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Gombe, Bauchi, Yobe, Niger, Nassarawa, Kogi, Kebbi, Adamawa, Sokoto and Zamfara

States plus FCT.

At the Abuja Regional Office, the team is led by Dr. Ben Anyene who serves as the

deputy director, Dr. Emmanuel Sokpo as the head of strategic coordination & planning,

Dr. Grace Onotu as the project Manager, North and Dr. Ahmad Abdulwahab as a

consultant giving technical assistance on a need basis.

In addition, we have also engaged the following IVA State representatives with a clear

job description:

S/N Focal Person State(s)

1 Dr. Ashiru Garba Gombe, Yobe & Bauchi

2 Mallam Salele Abdul Katsina, Jigawa &Kano

3 Prof Sadiq Garba Adamawa & Borno

4 Dr. Geoffrey Tolough Benue State

5 Dr. Alabi Oluyomi Kebbi State

6 Dr Abubakar D. Sokoto & Zamfara States

7 Dr. Aisha Adamu Taraba State

8 Dr. Shehu Sule FCT

9 Dr. Grace Onotu Niger, Nassarawa & Kogi

4.6.1 Program Activities:

Partners Meeting and Northern States Orientation Workshop

We had a one-day management meeting at Tahir hotel where NPHD and HAN

concluded on the modalities of partnership before the commencement of the IVA

implementation. This was followed by a one-day workshop for the IVA state

representatives in North Tahir Hotel, Kano.

Introductory Visit

An introductory visit was made to the 16 NPHD assigned States plus the Federal

Capital Territory. This was to establish a good working relationship with the states and

to inform them on the role of IVA and criteria for verification of all the DLIs. The states

expressed satisfaction and understanding of the criteria and promised to comply as

spelt out in the PAD.

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Dr. Grace Onotu making a presentation to the SMOH team led by the Hon Commissioner of

Health, Dr. Kabiru Getso during IVA introductory visit to Kano State Ministry of Health

4.6. 2 Verification and Computation of Payments

The IVA team worked closely with the FMOH Program Management Unit to obtain reports on

the NICS/SMART 2015/2016 survey reports to compute State earnings based on program

criteria. This provided an opportunity for NPHD to establish relationship with the National

Bureau of Statistics, the Federal Government accredited survey institution for conducting

national surveys. This will pave way for the 2018 SMART survey where NPHD would be playing

a more significant role especially in the northern States.

5. Summary of Historical Projects

5.1 ZIFAS Project (2013-2015)

NPHD successfully managed the ZIFAS project (Zinc, Iron and Folic Acid Supplementation) on behalf of HPI. This was a three-year program of collaboration between Micronutrient Initiative funded by CIDA and PRRINN-MNCH funded by DFID and the Norwegian government.

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The project covered four States with a total population over 16 million people and was valued at 3.375 million Canadian Dollars. We undertook the baseline assessment that informed the successful design and implementation of the ZIFAS programme and garnered government support for budgetary allocation for ZIFAS commodities in some of the States and advocated for its inclusion in the revised essential medicine list. We also gave technical support in the development and revision of the Integrated Management of Childhood Illnesses (IMCI) guidelines and we supported the Clinical technical working group in the revision of the National Essential Medicine list. The project was able to achieve most of the targets as demonstrated in the end of project document and the dissemination event in Abuja.

5.2 MNCH2 Health Facility Survey

In December 2015 NPHD was subcontracted by DFID funded project MNCH2 to

undertake a Health Facility (HF) assessment in 456 HFs across their six project States,

namely, Katsina, Jigawa, Kano, Yobe, and Kaduna. The assessment captured critical

information associated with availability and functionality of MNCH infrastructures,

equipment, life-saving drugs, and commodities as well as information on how well the

supply chain is functioning and the number, type and cadres of human resources for

health at the facilities level. The information is to be used to ensure sound planning,

implantation and policy decisions. The assessment exercise was carried out

successfully and all milestones were delivered on time and were of excellent quality.

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Our Team

6.1 Our Board of Directors

Dr. Benjamin Anyene is the Chairman of NPHD Ltd, a medical doctor and a

microbiologist with over 30 year’s experience. Dr. Anyene has considerable experience

in health systems management, with skills in human resource management,

performance-based financing and contracting, health facility rehabilitation, nutrition and

nutrition counselling. Others include project management, strategic planning, conflict

resolution and knowledge management, advocacy, policy analysis and development.

Dr. Emmanuel Sokpo is the Managing Director of NPHD Ltd. He has over 25 years

policy and senior management experience in the public as well as the private not-for-

profit health sector of which about 15 years has been in managing and supporting

international development assistance funded programs. Dr. Sokpo is a specialist

physician with extensive clinical skills; he has vast knowledge and experience in human

resource for health, safe motherhood, new born and child health, health technology and

drug supply management, health policy and practice and clinical governance.

Dr. Shehu Sule is a Medical Doctor with over 35 year’s experience in health system

strengthening particularly in the areas of health management information system, health

care financing, Reproductive, Maternal, Newborn and Child Health (RMNCH)

interventions, routine immunisation and cold chain logistics, health policy analysis and

development, advocacy and lobbying, programme management and strategic planning.

Dr. Garba Abubakar Idris has 38 years’ experience working in the Nigeria health

sector particularly in SWAP environment. His competencies are in programme

management especially working with district level stakeholders, leveraging funds for

primary health care, health facility rehabilitation, advocacy, reproductive health and

family planning, strengthening emergency obstetrics and new born care.

Dr. Anne Okigbo-Fisher has about 23 year’s experience working in the health sector

across Africa, particularly in fragile states and SWAP environment. She possesses

extensive skills and experience in programme areas such as child health and survival

interventions, routine immunisation and cold chain logistics, strategic planning,

advocacy, community engagement and demand creation, managing grants and

performance-based financing and contracting.

Professor Obinna Onwujekwe is a medical doctor with extensive experience in

teaching and research. His expertise includes public health economics, economic

analysis, equity analysis such as benefit and financing incidence analysis, healthcare

financing and public health economics. He has published extensively in local and

international journals. He is currently a Professor of Health Economics and

Policy/Pharmacoeconomics, College of Medicine, University of Nigeria, Enugu-Campus,

Enugu.

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Dr. Jerome Mafeni has over 32 year’s experience in health systems strengthening particularly

in the areas of legislative and regulatory environment, Reproductive, Maternal, Newborn and

Child Health (RMNCH) interventions, health policy analysis and development advocacy, quality

improvement and quality of care, developing and testing innovative technologies, strategic

planning and working with adolescent boys and girls.

Professor Sadiqq Othman is a Senior Lecturer of Pharmacology, a member of Senate of

University of Maiduguri and a Consultant Pharmacist in the University Teaching Hospital of the

University; a pioneer lecturer of Pharmacy in University of Maiduguri. Had been the Head of

Department of Ethno-Pharmacy and Drug Development, but at present, the Head of Department

of Pharmacology and Toxicology, and the Sub-Dean of the Faculty of Pharmacy in the

University of Maiduguri.

6.2 Our Core Management Team

Dr. Emmanuel Sokpo is the Managing Director of NPHD Ltd. He has over 12 years policy and

senior management experience in the public as well as the private not-for-profit health sector

and 15 year’s experience in managing and supporting international development assistance

funded programs. Dr. Sokpo is a specialist physician with extensive clinical skills; he has vast

knowledge and experience in human resource for health, safe motherhood, new born and child

health, health technology and drug supply management, health policy and practice and clinical

governance.

Dr Grace Ozioma Onotu is the Business Development and Program Manager. She is a trained

medical doctor and global health physician with over a decade experience in both clinical and

global health practice. She has a great passion for community health and development, her

areas of interest are maternal and child health, social determinants of heath, and health system

strengthening. She is energetic, proactive, result oriented and an accomplished writer and

Author.

Mr. Abdulrazak Abdulfatai is the Accountant based in Abuja. His work experience covers

Banking Operations, Internal Control & Compliance Monitoring. Abdul has excellent Analytical

and Report Writing/ Investigation Skills and he is a good team player with strong communication

skills. He has a Bachelor’s degree in Business Administration and Management, as well as

Public Account and Audit. He is also a member of the Institute of Chartered Economists of

Nigeria.

Mrs Doris Sanyaolu is the Admin/Logistics Officer based in Abuja. She has an innovative ability to work in a difficult environment networking with all cadre of individuals. She is hardworking, friendly, has good interpersonal skills and is a good team player. Doris has a Diplomas in Mass Communication and Information, a degree in Mass Communication and a Master’s degree in Public Policy and Administration.

Mr. Auwal Zubair is the Program Officer. He has several years’ experience working in the

development space. With vast experience in program management, finance and logistics

management.