NHED is supporting the implementation of the ‘Evaluating Primary Health Care Performance (ePHCp)’ project at the Federal and State levels in Nigeria. Nigeria is in the process of joining over 10 trailblazer countries implementing the Primary Health Care Performance Initiative (PHCPI). The PHCPI is being implemented in Nigeria as ePHCp. This project is funded by BMGF. 


The PHCPI seeks to support stronger primary health care improvement through better measurement. The core of the initiative is to develop a ‘Vital Sign Profile’ (VSP) for PHC. This is a dashboard that shows at a glance the status of primary health care in Nigeria, which is used to engage critical stakeholders to catalyze improvement for priority areas. The VSP has four cardinal components that require both qualitative and quantitative methods to generate data. The quantitative components are three namely Finance, Performance, and Equity; while the qualitative component is ‘Capacity’, which uses the Progression Model’ to generate its data.  

The data generated from field studies are results of the ‘core indicators’ measured, stipulated by PHCPI for the evaluation of the performance of PHC delivery. PHCPI’s 38 Core Indicators provide a snapshot of primary health care performance based on existing, globally comparable data. The tools on this site enable users to quickly assess a country’s performance and create custom comparisons.

Our ePHCp Commitment

NHED alongside its partners have been at the forefront advocating for better performance measurement & evaluation at both federal and state levels in PHC provision. So far, the project has achieved key milestones such as:

  • Clear stewardship of the project by the National Primary Health Care Development Agency
  • Commitment assurance by key stakeholders including the Federal Ministry of Health, Nigeria Governors’ Forum, Civil Society Organisations and other non-state actors
  • Development of a preliminary Vital Signs Profile

The project is currently in the process of galvanizing relevant stakeholders including subnational stakeholders to develop a country-owned and led Vital Signs Profile, which will be utilized for advocacy to improve weak areas. The VSP will contribute to facilitating global learning with other trailblazer countries.