Breaking Barriers to Sustainability: Strengthening Public Health Supply Chain Financing Through State Ownership in Kaduna, Nigeria
1
ARC_ESM, Abuja, Nigeria
Popul. Med. 2026;8(Supplement Supplement 1):
ABSTRACT
BACKGROUND:
Public health supply chains remain fragile in many low- and middle-income countries due to heavy donor dependency and systemic bottlenecks. In Nigeria, medicine and vaccine supply chains face financing gaps, governance weaknesses, and frequent stock-outs, undermining equitable access to essential health commodities (Olutuase et al., 2022). Between 2021 and 2024, the Strategic Support to Targeted States to Improve Supply Chain Performance (SSTS) Project, funded by the Bill & Melinda Gates Foundation and implemented by the Africa Resource Centre for Excellence in Supply Chain Management (ARC_ESM), supported supply chain reforms across ten Nigerian states. Kaduna State demonstrated notable progress, improving supply chain maturity from 52% (Emerging) in 2021 to 88% (Maturing – Ready to Integrate) by 2024.
METHODS:
This case study analyzed ARC_ESM's interventions in Kaduna State from 2021 to 2024. Core strategies included establishing an autonomous State Drug Management Agency (DMA), revitalizing a Drug Revolving Fund (DRF) scheme, capacity building through a Center of Excellence, deploying performance management tools, mobilizing private sector Corporate Social Responsibility and Public–Private Partnerships, and advocating for dedicated state budget lines. Progress was tracked using a DMA maturity model assessing governance, financing, infrastructure, and service delivery (UNICEF, 2021).
RESULTS:
By 2024, Kaduna's DMA achieved ₦5.4 billion annual turnover, 100% facility coverage for essential commodities, and 88% maturity score. The institutionalized DRF ensured continuous commodity availability through cost-recovery financing (Ogbonna & Nwako, 2016). Private sector engagement diversified financing sources, while legislative backing and budgetary allocations strengthened accountability and system resilience (Okoro et al., 2020).
CONCLUSIONS:
Kaduna's experience demonstrates that transitioning from donor-dependent to self-reliant supply chains is achievable through governance reform, sustainable financing, and domestic resource mobilization. This model exemplifies "Health Without Borders" by offering a replicable framework for sub-Saharan African settings, contributing to resilient health systems and accelerated UHC progress.
Public health supply chains remain fragile in many low- and middle-income countries due to heavy donor dependency and systemic bottlenecks. In Nigeria, medicine and vaccine supply chains face financing gaps, governance weaknesses, and frequent stock-outs, undermining equitable access to essential health commodities (Olutuase et al., 2022). Between 2021 and 2024, the Strategic Support to Targeted States to Improve Supply Chain Performance (SSTS) Project, funded by the Bill & Melinda Gates Foundation and implemented by the Africa Resource Centre for Excellence in Supply Chain Management (ARC_ESM), supported supply chain reforms across ten Nigerian states. Kaduna State demonstrated notable progress, improving supply chain maturity from 52% (Emerging) in 2021 to 88% (Maturing – Ready to Integrate) by 2024.
METHODS:
This case study analyzed ARC_ESM's interventions in Kaduna State from 2021 to 2024. Core strategies included establishing an autonomous State Drug Management Agency (DMA), revitalizing a Drug Revolving Fund (DRF) scheme, capacity building through a Center of Excellence, deploying performance management tools, mobilizing private sector Corporate Social Responsibility and Public–Private Partnerships, and advocating for dedicated state budget lines. Progress was tracked using a DMA maturity model assessing governance, financing, infrastructure, and service delivery (UNICEF, 2021).
RESULTS:
By 2024, Kaduna's DMA achieved ₦5.4 billion annual turnover, 100% facility coverage for essential commodities, and 88% maturity score. The institutionalized DRF ensured continuous commodity availability through cost-recovery financing (Ogbonna & Nwako, 2016). Private sector engagement diversified financing sources, while legislative backing and budgetary allocations strengthened accountability and system resilience (Okoro et al., 2020).
CONCLUSIONS:
Kaduna's experience demonstrates that transitioning from donor-dependent to self-reliant supply chains is achievable through governance reform, sustainable financing, and domestic resource mobilization. This model exemplifies "Health Without Borders" by offering a replicable framework for sub-Saharan African settings, contributing to resilient health systems and accelerated UHC progress.
| eISSN: | 2654-1459 |
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