The goal of this study is to develop a costing tool for the running of NTD programmes in Nigeria, and potentially elsewhere. This tool will be created such that it can be used at all levels of the NTD programme implementation, namely national, state and LGAs. Unlike other costing tools, this tool will consider CDD experiences, motivation, incentives and iOOP (incur out of pocket) spending. To this effect, the work will be broken down into four main sub-studies.
This study seeks to address specific challenges identified in the situational analysis regarding financial and non-financial resource mobilization for the NTD programme, as well as costing and considering alternative incentive packages for community-based implementers such as CDDs and teachers based on their priorities and perspectives.
Resource challenges identified were largely based on inadequate budget estimates due to a lack of knowledge regarding how much it costs to implement the NTD programme, which often resulted in inadequate financing. The federal and state level costing of the NTD programme in Nigeria is documented in the NTD Master Plan of 2015-2020. The main tool used to cost out activities is the Tool for Integrated Costing and Planning (TIPAC).
One of the challenges associated with TIPAC and identified within the situational analysis is that implementers, CDDs, teachers and other community health workers (CHWs) incur out of pocket spending (iOOP), which are not included in current costing estimates, and most critically not captured within the TIPAC tool.
This component of the COUNTDOWN work in Nigeria will therefore include the development of a costing tool that will build on and improve the TIPAC by accounting for iOOP spending and OOP spending at all levels. In addition, the work will study the incentives and motivations of CDDs, teachers and other CHWs using a mixed-methods approach.