DGI Consult conducted public health expenditure analysis and produced budget briefs in Jigawa, Kebbi, Katsina, Zamfara, Niger, Taraba, Gombe and Bayelsa States with funding from United Nations Children’s Fund (UNICEF). The analysis provided insights into health sector budget allocations, expenditures, and budget performance in the last 5 fiscal years. It also assessed the effectiveness and efficiency in health spending at the state and LGA levels, particularly on primary health care (PHC) and maternal, newborn and child health (MNCH).

The public health expenditure analysis was conducted using qualitative and quantitative methods. To conduct the analysis, relevant health state and LGA-level health financing-related documents were reviewed, and financial data on health budgets and expenditure at the state and selected LGAs were extracted, with a primary focus on PHC and MNCH. To corroborate the information obtained during the desk review and data extraction, key informant interviews were conducted with selected stakeholders from the Ministry of Health, Ministry of Finance, Ministry of Local Government, State Primary Healthcare Development Agency, LGA Departments of Health, Officers-in-Charge (OICs) of PHC facilities and Civil Society Organizations (CSOs) across the states.

After gathering the data, a validation workshop was held across the states to verify the findings of the analysis and gather additional input. The findings were then used to produce budget briefs for each state. These briefs highlighted the key findings from the analysis of public health expenditure, along with key recommendations to inform advocacy for improving budget allocations and expenditures for health, particularly for PHC and MNCH.

After developing the budget briefs, DGI Consult organized a high-level regional workshop on primary healthcare in Kano State on the 16^{th of} April 2025 for Katsina, Kebbi, Jigawa and Zamfara States to present the findings of the public health expenditure analysis to stakeholders from the states. At the regional workshop, participants shared experiences and ideas on strategies to secure improved funding for PHC and MNCH in their respective states. Additional strategies for advocating for increased and sustainable funding for PHC and maternal and child health were also co-created during the workshop.

The budget briefs and recommendations from the analysis will guide advocacy for increased budget allocations and expenditure for health, particularly PHC and MNCH, to improve health outcomes, especially for women and children in the target states.